OB/GYN nbme

Question 1

nabothian cyst

Answer 1

benign lesion on cervix at transformation zone

can be seen during cervisitis inflammation, or during metaplasia occuring at SCJ

Question 2

pagets

Answer 2

• fiery red, white areas
• sore and tender, but not painful
• Carcinoma in situ (adeno)

Question 3

how to differentiate pagets from melanoma?

Answer 3

PAS+, keratin +, S100-

Question 4

molluscum contagiosum

Answer 4

Question 5

condyloma lata vs acuminata

Answer 5

LATA= flat topped vessicles that grow in skin folds assoc with secondary syphyllis

ACUMiNATA= HPV6/11, warty

Question 6

how does cervical carcinoma spread through nodes?

Answer 6

parametrium and paracervical lymphatics

Question 7

how do you treat bartholin gland cysts/abcess?

Answer 7

Asymptomatic= NOTHING

symptomatic/ abbcess= I/D, marsupilization

**usually polymicrobial or aerobic (e coli)

Question 8

can stress cause HSV breakout? Is it painful?

Answer 8

YES, exquisitley painful, acute.

Question 9

differentiate lichen sclerosus from lichen simplex chronicus

Answer 9

SCLEROSIS= thin, parchement skin

SIMPLEX CHRONICUS= leathery skin, will have thick epithelium on histlogy

Question 10

lichen planus

Answer 10

• wickhams striae –> can see in mouth
• chronic vulvar burning/ puritis
• insertional dyspaereunia
• profuse discharge
• biopsy shows NO atypia
• d/c shows inflamm cells with no bacteria

Question 11

“itch that scrathces, scratch that itches”

Answer 11

lichen simplex chronicus –> acanthotic, hyperkeratosis

Question 12

there is weight gain… is it menopause or thyroid?

Answer 12

if it is rapid weight gain you can think thyroid

Question 13

how should you treat anovulatory cycles?

Answer 13

cyclic progesterone

Question 14

premenopausal woman on steroids should be on what to protect bones?

Answer 14

calcitonin probably

**doesn’t need est/prog is she has periods, bisphosphonates are for postmenopausal

Question 15

decidual endometrium/ proliferative endometrium are code for? secretory endometrium code for?

Answer 15

decidual/ prolif= ESTROGEN

secretory= PROG

Question 16

when is it safe to do an amniotomy?

Answer 16

second stage of labor and when you can feel the HEAD as presenting part, otherwise you can risk a cord prolapse

Question 17

fetal heart tracing in maternal fever

Answer 17

tachy and loss of variability

Question 18

sinusoidal heart tracing

Answer 18

fetal anemia, autonomic nervous system dysfunction. OMINOUS SIGN.

Question 19

whast the weight of a normal uterus?

Answer 19

90g

Question 20

tachysystole

Answer 20

>6 contractions in 10 minute period

Question 21

Answer 21

Clear cell vaginal carcinoma, think someone whos mom was given DES while in utero

Question 22

“inflammatroy atypia” on pap

Answer 22

think of chronic cervicitis

Question 23

Answer 23

HPV showing cervical squamous metaplasia with vacuolized cells (koilocytic change)