Gynecology

Question 1

The first test to perform when a woman presents with amenorrhea

Answer 1

Beta-hCG; the most common cause of amenorrhea is pregnancy

Question 2

Term for heavy bleeding during and beteen menstual periods

Answer 2

Menometrorrhagia

Question 3

Cause of amenorrea with normal prolactin, no response to estrogen-progesteron challenge, and a history of D&C

Answer 3

Asherman syndrome

Question 4

THerapy for polycystic ovarian syndrome

Answer 4

Weight loss and OCPs. Consider metformin

Question 5

Medication used to induce ovulation

Answer 5

Clomiphene citrate

Question 6

Diagnostic step rquired in a postmenopausal woman who presents with vaginal bleeding

Answer 6

Endometrial biopsy

Question 7

Indications for medical treatment of ectopic pregnancy

Answer 7

Patient stable; unruptured ectopic pregnancy of < 3,5cl at < 6 weeks’gestation

Question 8

Medical options for endometriosis

Answer 8

OCPs, dnanzol, GnRH agonists

Question 9

Laparoscopic findings in endometriosis

Answer 9

Powder burns, ‘chocolate cysts’

Question 10

The most common location for an ectopic pregnancy

Answer 10

Ampulla of the oviduct

Question 11

How to diagnose ande follow a leiomyoma

Answer 11

Ultrasonography

Question 12

Natural history of a leiomyoma

Answer 12

Regresses after menopauze

Question 13

A patient has elevated vaginal discharge and petcial patches in the upper vagina and cervix

Answer 13

Trichomonal vaginitis

Question 14

Traitment of bacterial vaginosis

Answer 14

Oral metronidazole

Question 15

The most common cause of bloody nipple discharge

Answer 15

Intraductal papilloma

Question 16

Contraceptive method that protect against PID

Answer 16

OCP’s and barrier contraception

Question 17

Unopposed estrogen is contraindicated in which cancers?

Answer 17

Endometrial or estrogen receptor-+breast cancer

Question 18

A patient presents with recent PID with RUQ pain

Answer 18

Consider Fitz-Hugh_Curtis syndrome

Question 19

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

Answer 19

Paget disease

Question 20

Annual screening for women with a strong family history of ovarian cancer

Answer 20

CA-125 and transvaginal ultrasonography

Question 21

A 50-year-old woman leaks urine when laughing or coughing. Nonsurgical options?

Answer 21

Kegel exercise, estrogen, pessaries for stress incontinence

Question 22

A 30-year-old woman has unpredictable urine loss. Examination is normal. Medical options?

Answer 22

Anticholinergics (oxybutynin) (or beta-adrenergics; weet niet of het in België ook is) for urge incontinence

Question 23

Lab values suggestive of menopause

Answer 23

elevated serum FSH

Question 24

The most common caurse of ffemale infertility

Answer 24

Endometritis

Question 25

Two consecutive findings of atypical squamous cells of undetermined significance (ASCUS) on Pap smear. Follow-up evaluation?

Answer 25

Colposcopy and endocervical curettage

Question 26

Breast cancer type that raises the future risk of invvasive carcinoma in both breasts

Answer 26

Lobular carcinoma in situ