Repro 6

Question 1

typically results as a complication of pelvic inflammatory disease (PID) and is most commonly seen in sexually active women. Patients typically present with lower abdominal and pelvic pain, fever, vaginal discharge, and cervical motion or adnexal tenderness. Pelvic exam may reveal a palpable mass in the adnexa.

Answer 1

Tubo-ovarian abcess

Question 2

In post partum hemorrhage, if ocytocin what are the other options and their contraindications?

Answer 2

Methylergonovine if no CAD

Carboprost if no asthma

Question 3

Vaginal itching, and dysuria. No associated odor

Vaginal discharge pH < 4.5

KOH shows pseudohyphae and spores.

Answer 3

Candidiasis

Question 4

frequently occurs in postmenopausal women, but it manifests as an erosive dermatitis associated with intense pruritus, burning, and vulvar pain.

Answer 4

Vulvar lichen planus

Question 5

Vaginal dryness ensues, as well as burning, pruritus, discharge, bleeding and possibly dyspareunia (painful sexual intercourse subsequent to decreased vaginal lubrication). Physical examination of the vaginal canal reveals pale, dry, and shiny epithelium without frank discharge or superficial lesions.

Answer 5

Atrophic vaginitis

Question 6

classically occurs 2-3 days post-partum and is characterized by fever, foul-smelling lochia, abdominal and pelvic pain, abnormal vaginal bleeding, uterine tenderness and leukocytosis. This is an acute bacterial infection of the endometrium commonly caused by Group B strep, S. aureus, E. coli and E. faecalis. The patient should have an ultrasound to rule out retained products of conception. She should be started on intravenous broad-spectrum antibiotics and admitted to the hospital.

Answer 6

Endometritis

Question 7

is light uterine bleeding that occurs at irregular intervals and typically is not associated with significant pelvic pain.

Answer 7

Metrorrhagia

Question 8

MC physiologic ovarian cyst

Answer 8

Follicular

Question 9

Stippled epithelial cells on wet prep is another way of describing what?

Answer 9

Clue cells in BV

Question 10

Painless ulcerative lesion on the cervix associated with post coital bleeding and inguinal lymphadenopathy.

Answer 10

Cervical cancer from HPV

Question 11

MC cause of tubal-factor infertility?

Answer 11

Hx of PID and insufficient antibiotic treatment.