tx

Question 1

HSV

Answer 1

is no tx, but some antivirals (acyclovir) can shorten the active phase.

Question 2

Bartholin Cyst

Answer 2

excised or opened permanently (marsupialization).

Question 3

extramammary paget dis

Answer 3

wide local incision

Question 4

Embryonal Rhabdomyosarcoma (sarcoma bortyoides)

Answer 4

-conservative sx and chemo

Question 5

-endocervical polyps

Answer 5

curettage or surgical excision = curative.

Question 6

cervical carcinoma

Answer 6

o Early invasive: cervical cone excision.
o Invasive cancer: hysterectomy + LN dissection.
o Advanced cancer: + radiation + chemo.

Question 7

acute endometritis

Answer 7

curettage of fragments + antibiotics = curative.

Question 8

endometriosis

Answer 8

Aromatase inhibitors or surgical

Question 9

endometrialhyperplasia

Answer 9

o Hysterectomy.
o Up to half of pts are found to have carcinoma after hysterectomy.
o In pts who wish to remain fertile, progesterone therapy and close follow up may be trialed.

Question 10

dysgerminoma

Answer 10

chemo: all are malig

Question 11

choriocarcinoma

Answer 11

o When found in the ovary: unresponsive to chemo.

o In placental tissue: responsive.

Question 12

Hilus Cell tumors (pure Leydig cell tumors)

Answer 12

surgical excision

Question 13

preeclampsia

Answer 13

 Preterm: Mild: close monitoring of mom + baby. Delivery is indicated with end organ damage, eclampsia, fetal compromise or HELLP syndrome regardless of age.
 Term: Delivery (regardless of severity).
 HTN is not amenable to antihypertensive therapy.

Question 14

partial or early complete mole

Answer 14

curettage

Question 15

complete mole

Answer 15

curettage

Question 16

invasive mole

Answer 16

chemo