Office one-liners

Question 1

What is the inheritance of Von Willebrand disease?

Answer 1

Autosomal dominant

Question 2

What is the acronym that describes the types of abnormal uterine bleeding?

Answer 2

PALM - COEIN

Question 3

What is the failure rate of OCPs with typical use?

Answer 3

8%

Question 4

How does the etonogestrel implant prevent pregnancy?

Answer 4

Inhibits ovulation

Question 5

What is the most effective emergency contraception?

Answer 5

Paragard (copper) IUD, followed by ulipristal acetate

Question 6

What is the most common genital infection in WSW (women who have sex with women)?

Answer 6

Bacterial vaginiosis

Question 7

What is the appropriate test for evaluation of a thyroid nodule on ultrasound?

Answer 7

Fine needle aspiration

Question 8

What are the criteria for metabolic syndrome (3 out of 5)?

Answer 8

1) waist circumference > 35 inches
2) Elevated blood pressure >130/85
3) Increased fasting glucose >100
4) HDL < 50
5) Triglycerides >150

Question 9

How do you make the diagnosis of diabetes mellitus?

Answer 9

Fasting glucose >126, HgbA1c >6.5%

Question 10

What is the most common side effect of Metformin?

Answer 10

GI side effects, especially diarrhea

Question 11

Name the mechanism of the oral hypoglycemic agent Metformin

Answer 11

Increases peripheral insulin sensitivity, decreases gluconeogenesis (decreases insulin levels)

Question 12

What disease does combination HRT increase the risk of?

Answer 12

Breast and ovarian cancer, VTE

Question 13

What diseases does combination HRT protect against?

Answer 13

Colon cancer, osteoporosis

Question 14

Which osteoporosis treatment builds bone mass?

Answer 14

Teriparatide (Forteo)

Question 15

When is peak bone mass reached?

Answer 15

Age 19

Question 16

What is the T-score that defines osteoporosis and low bone mass?

Answer 16

Osteoporosis T score < -2.5, Osteopenia T-score -1 to -2.4

Question 17

When should screening for osteoporosis be initiated in the absence of risk factors?

Answer 17

Age 65

Question 18

What lab best predicts cardiovascular disease in women?

Answer 18

HDL (low HDL is most predictive of risk of heart disease)

Question 19

At what age does ACOG recommend starting mammography in women with an average risk of breast cancer?

Answer 19

40 years old

Question 20

What age do you start cholesterol screening without risk factors?

Answer 20

45 years old

Question 21

When and how often does ACOG say you should screen for diabetes (without risk factors)?

Answer 21

Age 50, every 3 years

Question 22

Who is the HPV vaccine recommended for?

Answer 22

Girls and boys ages 9-26 -> now women 9-45 yrs old

Question 23

Who should receive the meningococcal vaccine?

Answer 23

Adolescents around age 11-12, definitely prior to college

Question 24

Who should receive the pneumococcal vaccine?

Answer 24

Age >65, chronic disease or history of splenectomy

Question 25

What is the best treatment for gonorrhea?

Answer 25

Ceftriaxone and azithromycin

Question 26

What is the most common STI?

Answer 26

Chlamydia

Question 27

What is the most common mode of transmission of hepatitis B?

Answer 27

Sexual contact

Question 28

What is the most common sexual disorder in women?

Answer 28

Hypoactive sexual desire disorder

Question 29

What is the best treatment for MRSA outpatient?

Answer 29

Trimethoprim-sulfamethoxazole

Question 30

What is the imaging of choice for suspected nephrolithiasis?

Answer 30

Helical non-contrast CT scan

Question 31

What is the class of drug of choice for hyperlipidemia?

Answer 31

Statins (atorvastatin)

Question 32

What presents with a painless charge and is caused by a spirochete?

Answer 32

Syphilis

Question 33

What organism is LGV caused by?

Answer 33

Chlamydia trachomatis

Question 34

How does chancroid present?

Answer 34

Painful genital ulcers with painful lymphadenopathy

Question 35

What is the cause of Granuloma inguinale?

Answer 35

Klebsiella granulomatis

Question 36

What is the most common side effect of progestin only contraceptive pills?

Answer 36

Abnormal uterine bleeding

Question 37

When are HSV2 antibodies positive after infection?

Answer 37

2-12 weeks

Question 38

What is the risk of venous thromboembolism on OCPs?

Answer 38

10/10,000 women

Question 39

What percentage of vulvar Paget’s disease is associated with an underlying adenocarcinoma?

Answer 39

25%

Question 40

Patients with lichen sclerosis atrophicus are at increased risk for what type of malignancy?

Answer 40

Squamous cell carcinoma

Question 41

Recurrent oral aphthous lesions with genital ulceration, lymphadenopathy, and fever are symptoms of what?

Answer 41

Behcet’s disease

Question 42

What is the term for female transitioning to male?

Answer 42

Transgender male, transman, FTM

Question 43

What is the term for male transitioning to female?

Answer 43

Transgender female, transwoman, MTF

Question 44

What is the laboratory surveillance for a female transitioning to male?

Answer 44

Testosterone, lipids

Question 45

What is the laboratory surveillance for a male transitioning to female?

Answer 45

CBC, CMP, Estradiol, prolactin is checked yearly by some provides and others do it as needed

Question 46

What is the maintenance surveillance for a transgender male?

Answer 46

Age appropriate cervical cytology, mammogram, BMD at age

Question 47

What is the maintenance surveillance for a transgender female?

Answer 47

CBC, CMP, total testosterone, lipids are checked yearly by some providers and others do it as needed

Question 48

What is the recommended route for testosterone and estrogen replacement?

Answer 48

Transdermal

Question 49

When do transgender men typically resume menses after discontinuing testosterone replacement?

Answer 49

6 months

Question 50

What is the effect of feminizing hormones on voice town in a man underling transition to female?

Answer 50

None, the voice will remain deep unless he undergoes voice coaching

Question 51

When is an appropriate time to insert an intrauterine device or contraceptive implant?

Answer 51

Insertion of an IUD or an implant may occur any time during the menstrual cycle as long as pregnancy may be reasonably excluded

Question 52

Women who report receptive anal intercourse would be offered rectal swab for which STIs?

Answer 52

Gonorrhea and chlamydia. 20.5% of C trachomatis rectal infections and 18% of N gonorrhoeae infection would be missed and untreated by genital screening alone

Question 53

What is the most frequent STI among peri-menopausal women?

Answer 53

Trichomonas vaginalis. T vaginalis detection rate distribution by age shows a bimodal pattern with first peak at ages 21-22 years and a higher second peak at ages 48-51 years