Pelvic, Ovarian Disorders

Question 1

Mittelschmerz

Answer 1

Midcycle pelvic pain

Question 2

Most common cause of chronic pelvic pain?

Answer 2

Endometriosis

Question 3

Pelvic Inflammatory Disease (PID)

Answer 3

Ascending infection from vagina or cervix

Usual risk factors

Question 4

PID bugs

Answer 4

Gonorrhea and clamydia

Question 5

Tubal infertility occurs in ___% of women after 3 episodes of PID

Answer 5

50%

Question 6

PID Tx

Answer 6

Ceftriaxone 250mg IM
AND
Azithromycin 1 gram
W/ or W/O
Flagyl

Question 7

PID pts should see improvement after therapy within

Answer 7

72 hrs

Question 8

Primary Amenorrhea

Answer 8

Absence of menses by age 13

Question 9

Secondary amenorrhea

Answer 9

Absence of menses for 3-6 cycles w/ previous menses.

Question 10

No breast development, elevated FSH

Answer 10

Gonadal dysgenesis

Question 11

Most common uterine dz causing secondary amenorrhea

Answer 11

Ashermans syndrome

Question 12

Most common cause of secondary amenorrhea?

Answer 12

Pregnancy

Question 13

Polycystic Ovarian Syndrome (PCOS)

Answer 13

Most common cause of androgen excess and hirsutism in women.

Most common hormonal disorder among women of reproductive age

Question 14

PCOS S/S

Answer 14

Obesity
Oligomenorrhea
Amenorrhea
Anovulation
Acne
Hirsutism
Infertility
Insulin resistance

Question 15

Acanthosis Nigricans

Answer 15

Seen in PCOS

Question 16

70% of women with PCOS have

Answer 16

Insulin resistance

Question 17

PCOS Tx

Answer 17

Diet and exercise
OCP's
Spironalactone
Metformin
Cloniphene (to ovulate)

Question 18

Dysmenorrhea

Answer 18

Most common in teens and early 20’s

Feels like cramping with menstruation

Question 19

Dysmenorrhea tx

Answer 19

NSAIDS (naproxen)

Question 20

PMS happens in which phase?

Answer 20

Luteal phase

Question 21

Premenstrual Dysmorphic Syndrome (PMDD)

Answer 21

Severe form of PMS

Emotional sx more prominent

Question 22

PMDD Tx

Answer 22

Hide ya kids
Hide ya wife
Cause they gon find you

Question 23

Follicular cyst

Answer 23

Ovarian follicle fails to rupture
Ovulation does not occur
Cyst develops
Usually resolves itself

Question 24

Corpus Luteum cyst

Answer 24

Enlarged corpus luteum

Often presents w/ missed period and lower abd pain

Question 25

Can ovaries be palpated in childbearing age women?

Answer 25

Yes sometimes

Not in pre or post, however.

Question 26

Ovarian torsion

Answer 26

Acute, severe unilateral lower abd pain w/ N/V.

Comes on suddenly or w/ change of position