OBGYN

Question 1

First sign of puberty

Answer 1

Females: thelarche (breasft growth)
Males: testicular enlargement

Question 2

Mcc of precocious puberty

Answer 2

Idiopathic (constitutional)

Question 3

Main hormone in follicular phase of menstruation

Answer 3

Estrogen and FSH

Question 4

Wollfian duct vs mullerian

Answer 4

Wolf=mesonephric=male internal organs
Mullerian=paramesonephric= female

Question 5

Amenorrhea primary vs secondary

Answer 5

Primary : after 14 if no 2ndary sex characteristics or 16 if present sex characteristics
2°: cessation of menses for 3 months if previously regular or 6 mths if previously irregular

Question 6

Mcc of 2° amenorrhea

Answer 6

Pregnancy

Question 7

Mcc of postpartum hemorrhage

Answer 7

Uterine atony

Question 8

Mcc for labial fusion

Answer 8

EXOGENOUS androgen exposure

Question 9

Mc type of vulvar cancer

Answer 9

Squamous cell carcinoma

Question 10

Two of the following three are diagnostic for policystic ovarian ovarian syndrome

Answer 10

-Amenorrhea or oligominorrhea
-hyper androgenism
-polycystic ovaries on ultrasound, more than eight

Question 11

Lh:Fsh ratio in pcos

Answer 11

3:1(normally 1.5:1)
No rule in diagnosis

Question 12

Mc symptom of vulvar cancer in elderly woman

Answer 12

Pruritus