OB/Gyn

Question 1

Causes of Abnormal Uterine Bleeding

Answer 1

PALM-COEIN

Polyp
Adenomyosis
Leiomyoma
Malignancy/Hyperplasia
Coagulopathy
Ovulatory dysfunction
Endometrial
Iatrogenic
Not yet classified

Question 2

MC indication for hysterectomy

Answer 2

Leiomyomas (Fibroids)

2/2 AUB

Question 3

Endometriosis

Answer 3

70% of patients w/ pelvic pain.

Lesions MC found on ovaries, uterosacral ligaments, cul-de-sac

Black, dark brown, blue

tx: laparoscopy and ablation

Question 4

Tx of Rectovaginal fistula following episiotomy with vaginal birth

Answer 4

wait at least 3-6 months for inflammation to subside before surgical repair

simple low fistula/some mid-rectovag fistula repair: endorectal advancement or anorectal flap technique

high fistula repair: transabdominal approach

permanent colostomy for elderly/unfit pts

Question 5

W/u for abnormal uterine bleeding

Answer 5

Transvaginal US first to assess for any masses

Endometrial Bx or curettage

Question 6

Tumor marker for granulose cell tumor of ovary

Answer 6

Inhibin

Non-epithelial ovarian cancer

Question 7

Tumor marker for choriocarcinoma

Answer 7

HCG

Question 8

Tumor marker for endodermal sinus tumor

Answer 8

AFP

Question 9

Tumor marker for dysgerminoma

Answer 9

LDH & HCG

Question 10

Tumor marker for epithelial ovarian cancer

Answer 10

CA-125

Question 11

Indications for emergency C-section in pregnant trauma patients

Answer 11

Maternal refractory shock
Threat to maternal life from exsanguination
DIC
amniotic fluid embolism
Uterine injury or rupture
Fetal distress in viable fetus (23-24 weeks)
Unstable thoracolumbar spinal injury