VAGINAL BLEEDING Flashcards
1
Q
17 yo F presents with prolonged,
excessive menstrual bleeding occurring
irregularly over the past six months.
A
Dysfunctional uterine bleeding Coagulation disorders (e.g., von Willebrand’s disease, hemophilia) Cervical cancer Molar pregnancy Hypothyroidism Diabetes mellitus
Pelvic exam Urine hCG Cervical cultures, Pap smear CBC, ESR, glucose PT/PTT Prolactin, LH/FSH TSH U/S—pelvis
2
Q
61 yo obese F presents with profuse vaginal bleeding over the past month. Her last menstrual period was 10 years ago. She has a history of hypertension and diabetes mellitus. She is nulliparous.
A
Endometrial cancer Cervical cancer Atrophic endometrium Endometrial hyperplasia Endometrial polyps Atrophic vaginitis
Pelvic exam Pap smear Endometrial biopsy U/S—pelvis Endometrial curettage Colposcopy Hysteroscopy
3
Q
45 yo G5P5 F presents with postcoital
bleeding. She is a cigarette smoker and
takes OCPs.
A
Cervical cancer Cervical polyp Cervicitis Trauma (e.g., cervical laceration)
Pelvic exam
Pap smear
Colposcopy and biopsy
4
Q
28 yo F who is eight weeks pregnant
presents with lower abdominal pain and
vaginal bleeding.
A
Spontaneous abortion
Ectopic pregnancy
Molar pregnancy
Pelvic exam Urine hCG U/S—pelvis CBC, PT/PTT Quantitative serum hCG
5
Q
32 yo F presents with sudden onset of left
lower abdominal pain that radiates to the
scapula and back and is associated with
vaginal bleeding. Her last menstrual
period was fi ve weeks ago. She has a
history of PID and unprotected
intercourse.
A
Ectopic pregnancy
Ruptured ovarian cyst
Ovarian torsion
PID
Pelvic exam Urine hCG Cervical cultures U/S—pelvis Quantitative serum hCG
