OBGYN

Question 1

what duration of menstrual period is considered the upper limit of normal?

Answer 1

45 days

Question 2

what lab test can be used instead of ultrasound to assess for PCOS?

Answer 2

AMH

Question 3

when would be an appropriate time to screen a patient with suspected PCOS with DHEA level?

Answer 3

if clinical suspicion remains high despite normal free and total testosterone

Question 4

a woman experiences bloating, breast tenderness, irritability, lethargy, and mood lability during the luteal phase of the cycle. what is the most likely diagnosis?

Answer 4

premenstrual disorder

Question 5

what medication class can be used to treat PMS when used 1 week prior to menses and for the first 3 days of menses?

Answer 5

SSRI

Question 6

t/f progesterone or progestin only IUD do not improve premenstrual symptoms

Answer 6

true

Question 7

what mineral supplement can be used to reduce symptoms of PMS?

Answer 7

Calcium

Question 8

in addition to SSRI or OCP as an option for PMS, what other psychiatric and physical modality may be considered to reduce symptoms?

Answer 8

regular exercise (including yoga) and CBT

Question 9

t/f chasteberry may be helpful for improving premenstrual symptoms

Answer 9

true

Question 10

what medication class is most effective for affective symptoms of PMS?

Answer 10

SSRI

Question 11

how frequently should an asymptomatic female be screened during pregnancy for hypertensive disorders?

Answer 11

every prenatal visit

Question 12

t/f oral and vaginal probiotics reduce the incidence of recurrent UTI and prolong the time between UTIs in premenopausal women with frequent UTI

Answer 12

true

Question 13

t/f heat application, breast massage and frequent complete breast emptying are encouraged for treatment of mastitis

Answer 13

false

Question 14

what is the most common etiology of chronic pelvic pain in women?

Answer 14

CNS hypersensitivity

Question 15

chronic pelvic pain in women is defined as pain that originates in the pelvis for what duration?

Answer 15

6 months

Question 16

what two oral non-serotonergic medications can be considered in the treatment for chronic pelvic pain?

Answer 16

nsaids and gabapentin

Question 17

what two classes of serotonergic medication can be used to treat chronic pelvic pain?

Answer 17

1. snri
2. tca

Question 18

t/f chronic pelvic pain is a complex syndrome comprising multiple pain generators with central sensitization and nociplastic pain

Answer 18

true

Question 19

t/f if a patient has a normal pelvic exam and normal TVUS in the setting of chronic pelvic pain, further imaging is rarely beneficial

Answer 19

true

Question 20

what is the first line medication class in patients with suspected endometriosis for treatment of pelvic pain?

Answer 20

OCP

Question 21

what is the only medication that is FDA approved for postpartum depression treatment?

Answer 21

zuranolone

Question 22

what medication can you try first for a patient with chronic pelvic pain with normal evaluation?

Answer 22

duloxetine

Question 23

which type of dosing of SSRI is more effective for treatment of PMS and PMDD?

Answer 23

continuous dosing rather than intermittent

Question 24

t/f evidence supports a healthy diet and calcium supplementation for the treatment of PMS

Answer 24

false

Question 25

other than SSRIs what other two non pharmacologic modalities have been shown to be beneficial in PMS treatment?

Answer 25

CBT and exercise

Question 26

if a patient has symptoms of irritability, mood swings, sleep disturbance, etc that interfere substantially with work, school, social activities or relationships, what is the diagnosis?

Answer 26

PMDD

Question 27

in order for a patient to meet criteria for PMS, their symptoms must resolve by what day of the cycle? the symptoms must be present for how many cycles?

Answer 27

resolve by day 4 present for at least 2 cycles

Question 28

t/f OCP improve mood symptoms in PMS

Answer 28

false

Question 29

if a patient has tried two SSRI medications for PMS, what is the second line treatment?

Answer 29

SNRI - venlafaxine or duloxetine

Question 30

what herb has been shown to reduce PMS symptoms?

Answer 30

vitex agnus castus

Question 31

t/f low quality evidence shows that acupuncture and acupressure improve physical and psychological symptoms of PMS

Answer 31

true

Question 32

medication abortion can only be used up to how many weeks of gestation?

Answer 32

10 weeks

Question 33

t/f procedural abortion has fewer overall complications

Answer 33

true

Question 34

if a patient seeking medical abortion has pelvic pain/bleeding, what should you do first before prescribing medication?

Answer 34

ultrasound to confirm IUP

Question 35

describe the importance of knowing Rh status for patients undergoing abortion

Answer 35

rh negative patients should receive rhogam if abortion occurs after 12 weeks gestation

Question 36

combination of what two medications is superior than single med regimen for abortion?

Answer 36

mifepristone followed by misoprostol

Question 37

what is the dose of mifepristone and misoprostol used for elective abortion?

Answer 37

mifepristone 200mcg and misoprostol 800mg

Question 38

how long after elective medical abortion should you repeat HcG?

Answer 38

7 days

Question 39

which labor position increases the chance of SVD?

Answer 39

upright position