Gynecology

Question 1

Term for heavy bleeding during and btwn menstrual periods

Answer 1

Menometrorrhagia

Question 2

Cause of amenorrhea with nl prolactin, no respose to estrogen-progesterone challenge, and a h/o D&C

Answer 2

Asherman’s syndrome

Question 3

Therapy for PCOS

Answer 3

Wt loss and OCPs

Question 4

Medication used to induce ovulation

Answer 4

Clomiphene citrate

Question 5

Dxic step req’d in a post-menopausal F who presents with VB

Answer 5

Endometrial bx

Question 6

Indications for medical tx of ectopic pregnancy

Answer 6

Stable, unruptured ectopic pregnancy of

Question 7

Medical options for endometriosis

Answer 7

OCPs, danazol, GnRH agonists

Question 8

Laparoscopic findings in endometriosis

Answer 8

“Chocolate cysts,” powder burns

Question 9

MC location for an ectopic pregnancy

Answer 9

Ampulla of the oviduct

Question 10

How to dx and follow a leiomyoma

Answer 10

U/S

Question 11

Natural hx of a leiomyoma

Answer 11

Regresses after menopause

Question 12

Pt has increased vaginal d/c and petechial patches in the upper vagina and cervix

Answer 12

Trichomonas vaginalis

Question 13

Tx for bacterial vaginosis

Answer 13

Oral or topical metronidazole

Question 14

MCC of bloody nipple d/c

Answer 14

Intraductal papilloma

Question 15

Contraceptive methods that protect against PID

Answer 15

OCPs and barrier contraception

Question 16

Unopposed estrogen is contraI in which CAs?

Answer 16

Endometrial or estrogen R (ER)+ breast CA

Question 17

Pt presents with recent PID with RUQ pain

Answer 17

Consider Fitz-Hugh-Curtis syndrome

Question 18

Breast malignancy presenting as itching, burning, and erosion of the nipple

Answer 18

Paget’s dz

Question 19

Annual screening for F with a strong FHx of ovarian CA

Answer 19

CA-125 and TVUS

Question 20

50 yo F leaks urine when laughing or coughing. Nonsurgical options?

Answer 20

Kegel exercises, estrogen, pessaries for stress incontinence

Question 21

30 yo F has unpredictable urine loss. Exam is nl. Medical options?

Answer 21

Anticholinergics (oxybutynin) or ß-adrenergics (metaproterenol) for urge incontinence

Question 22

Lab values suggestive of menopause

Answer 22

Increased serum FSH

Question 23

MCC of F infertility

Answer 23

Endometriosis

Question 24

2 consecutive findings of atypical squamous cells of undetermined significance (ASCUS) on Pap smear. F/u eval?

Answer 24

Colposcopy and endocervical curettage

Question 25

Breast CA type that increases the future risk of invasive carcinoma in both breasts.

Answer 25

Lobular carcinoma in situ (LCIS)

Question 26

1st test to do when a F presents with amenorrhea

Answer 26

ß-hCG (pregnancy = MCC of amenorrhea)