KEY for midterm

Question 1

Rotterdam criteria for PCOS

Answer 1

2/3

chronic anvolution

biochemical or clinical hyperandrogenism

polycystic ovarian morphology

also exclude other DDX: thyroid, nonclassical congenital adrenal hyperplasia

Question 2

androgen excess and PCOS society criteria

Answer 2

hyperandrogegism AND

oligomenorrhea or polycystic ovaires

not a dx of exclusion (unlike Rotterdam)

Question 3

mild vs severe acne

Answer 3

mild- comedones on face

severe- nodules, pustules

Question 4

cause of occupational acne

Answer 4

halogenated aromatic hydrocarbons AKA chloracnegens

Question 5

miliaria cristalina vs miliaria rubra

Answer 5

miliaraia cristallina- superficial eccrine duct closure (sweat retention)

rubra: heat rash

Question 6

SAPHO

Answer 6

synovitis, acne, pustulosis, hyperostosis, osteitis

Question 7

acne conglobata

Answer 7

cysts foul smelling
i.e. from steroids

Question 8

acne fulminans/ maligna

Answer 8

painful and hemorrhagic cysts ie.e from steroids

Question 9

folliculitis causes

Answer 9

bacteria (i.e. strep, staph), fungal (malassezia), mechanical

Question 10

PMS + PMDD

Answer 10

increase amyglada and decrease frontocortical

more sensitive to normal hormone fluctuations

Question 11

PMS vs PMDD dx

Answer 11

PMS 1 somatic and 1 affective sx, onset with menses, for 2 cycles, dysfunction in school or work, not from drugs or other conditions

PMDD: 5 sx total

Question 12

biggest risk factor for dymenorrhea

Answer 12

heavy menses

Question 13

primary dysmenorrhea testing order

Answer 13

normal pelvic exam
HcG pregnancy
STIs

Question 14

primary dysmenorrhea

Answer 14

uterine contract and progesterone when slough endometrial lining –> release prostaglandin, leukotriene, vasopressin

Question 15

adolescent usually have primary dysmenorrhea but if secondary it would be

Answer 15

endometriosis

PID??

Question 16

PID tests

Answer 16

cervical motion test, nucleic acid amplication test NAAT for chylamydia and gonorrhea

Question 17

asthma criteria

Answer 17

variable airway obstruction or airflow limitation

airway hyperresponsiveness

airway inflammation

Question 18

Th2 vs non Th2 asthma

Answer 18

Th2: IL4, IL5, IL13

Th1/Th17: IL6, IL8, IL1b, IFNy

Question 19

spirometry for asthma

Answer 19

FEV1/FVC below O.7

reversibility by >12% and 200mL using bronchodilator

Question 20

bronchoprovocation test

Answer 20

decrease FEV1 >20% when give proactive agent

Question 21

peak expiratory flow PEF in asthma

Answer 21

diurnal variation, varies >20% spontaneously

Question 22

mild vs moderate vs severe asthma

Answer 22

mild PEF >80%
sx copule times a week and sometimes at night … (intermittent vs persistent)

moderate PEF 60-80%
daily sx, night sx weekly, exacerbations limit activity

severe <60%
continual sx, night sx, always limit physical activity

Question 23

intradermal testing for allergy

Answer 23

wheal >3mm of initial beleb

Question 24

most common cause of nonallergic rhinitis

Answer 24

acute viral infectiona

Question 25

acute viral infection/ sinusitis then gets worse and facial pain and fever and can turn into

which bacteria?

Answer 25

bacterial superinfection or rhinosinusitis

bacteria: GABHS, s. pneumonia, h. influenza

Question 26

vasomotor rhinitis dx

Answer 26

of exclusion: RAST, IgE and nasal cytology all normal

Question 27

hormonal rhinitis

Answer 27

pregnancy estrogen causes hylarunic acid to cause nasal edema dn congestion

Question 28

atopic march

Answer 28

Atopic Dermatitis –> Allergic Rhinitis –> asthma