ObGyn Clerkship - Mostly GYN

Question 1

Medical term for breast development

Answer 1

Thelarche

Question 2

Medical term for pubic hair development

Answer 2

Pubarche

Question 3

MCC of delayed puberty

Answer 3

Turner’s Syndrome

Question 4

Syndrome involving congenital agenesis of the vagina

Answer 4

Mullerian agenesis

Question 5

Which phase of the menstrual cycle (follicular or luteal) remains relatively constant, and which is variable?

Answer 5

Follicular phase is variable, Luteal phase is constant

Question 6

During what point in the menstrual cycle is there an increased production of cervical discharge? What causes it?

Answer 6

Toward the end of the follicular phase (just before ovulation), which is caused by rising levels of estrogen

Question 7

During what point in the menstrual cycle is there increased breast fullness and tenderness? What causes it?

Answer 7

• During the luteal phase

- Caused by the rising levels of progesterone

Question 8

Will vaginal mucosa be dryer in follicular or luteal phase? Why?

Answer 8

Luteal phase - because vaginal mucosa responds to estrogen, which is lower in the luteal phase

Question 9

During which phase of the menstrual cycle is a breast exam best performed?

Answer 9

Follicular phase

Question 10

fetal lie

Answer 10

The relation of the long axis of the fetus with the maternal long axis

Question 11

Fetal presentation

Answer 11

Determined by the “presenting part” that is lowest in the birth canal

Question 12

Fetal position

Answer 12

The relation of the fetal presenting part to the right or left side of the maternal pelvis

Question 13

Subactue inflammation of the ductal system that causes dilated mammary glands

Answer 13

Ductal ectasia

Question 14

When does ductal ectasia most often occur?

Answer 14

At or after menopause

Question 15

Does LCIS or DCIS have a higher potential to progress to invasive carcinoma?

Answer 15

Ductal CIS has a higher chance than lobular CIS

Question 16

Normal fasting plasma glucose

Answer 16

< 95

Question 17

Normal 1-hour postprandial glucose value in gestational diabetic patient

Answer 17

< 140

Question 18

Normal 2-hour postprandial glucose value in gestational diabetic patient

Answer 18

< 120

Question 19

Most common cause of androgen excess and hirsutism

Answer 19

PCOS

Question 20

Protraction disorders (obstetrics)

Answer 20

Labor is SLOW to progress

Question 21

Arrest disorders (obstetrics)

Answer 21

Labor STOPS progressing

Question 22

During which phase of labor can protraction disorders occur (active or latent)?

Answer 22

Either

Question 23

During which phase of labor can arrest disorders occur (active or latent)?

Answer 23

Only during active phase

Question 24

MC symptom of uterine fibroids

Answer 24

Bleeding