Mehl. imperforate hymen 03-24 (1)

Question 1

M. what is hymen?

Answer 1

The hymen is a thin membrane that partially covers the vaginal opening in females. It normally has a small hole that allows the passage of menstrual blood out of the vagina. The size and shape of the hymenal opening can vary between females.

Question 2

M. Imperforate hymen is ???

Answer 2

When the hymen completely covers the vaginal opening, which can lead to hematocolpos and hematometra

Question 3

M. Hematocolpos. definition?

Answer 3

Blood accumulation within the vaginal canal due to imperforate hymen.

Question 4

M. Blood accumulation within the vaginal canal due to imperforate hymen. Dx?

Answer 4

Hematocolpos

Question 5

M. Hematocolpos.
USMLE Q will give a teenage girl who’s never had a menstrual period. Physical exam shows a “blueish bulge” behind the hymen. The Q might say the girl has had monthly pain (i.e., she has in fact had menses, but blood is blocked from leaving the vagina due to the imperforate hymen).

Answer 5

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Question 6

M. Hematocolpos.

Answer is either hematocolpos or “cruciate incision of the hymen.”

Answer 6

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Question 7

M. Hematometra. definition?

Answer 7

Blood backing up all the way to the uterus causing uterine distention.

Question 8

M. Blood backing up all the way to the uterus causing uterine distention. Dx?

Answer 8

Hematometra

Question 9

!!!!! read this M. Hematometra.

Q will give what sounds like imperforate hymen + hematocolpos but you’ll notice the blood pressure is low -> distention of the uterus can trigger a vagal response leading to low BP.

Answer 9

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