Gynecology

Question 1

Treatment of labial adhesions

Answer 1

Topical estrogen

Lysis

Question 2

Causes of vulvovaginitis

Answer 2

Chemical irritants

Infectious

• Younger kids: Fecal/resp bugs (e.coli, strep pyogenes, s. aureus, h. flu)
• Teens: chlamydia, gonorrhea

Question 3

Treatment of non-specific vulvovagnitis

Answer 3

Sitz baths
Barrier cream
Wipe front to back
Cotton underwear
No tight clothing
Non-scented soap/deodorant/fabric softeners

Question 4

List indications for pelvic examination in adolescents

Answer 4

Age 21 yr
Menstrual irregularities, acute phase
Severe dysmenorrhea
Unexplained abdominal pain
Unexplained dysuria
Abnormal vaginal discharge

Question 5

List 5 causes of vaginal bleeding in a prepubertal girl

Answer 5

Vulvovaginitis
Vaginal foreign body
Sexual abuse
Urtheral prolapse
Sarcoma
Premature menarche

Question 6

List 5 causes of dysmenorrhea (past SAQ)

Answer 6

Primary dysmenorrhea

Secondary dysmenorrhea

• Congenital partial outflow tract obstruction
• Foreign body (IUD)
• Endometriosis
• PID
• Pregnancy complication

Question 7

What are 2 medications can you use to treat dysmenorrhea (past SAQ)

Answer 7

Naproxen

OCP