women's health

Question 1

PCOS is diagnosed based off what criteria?

Answer 1

Rotterdam criteria –needs to meet 2 out of 3

-irregular cycle
-hyperandrogenism
-cystic ovaries

Question 2

patient is having heavier periods, what changes can be made to her birth control?

Answer 2

increase levonorgestrel (LNG) because there is less breakthrough bleeding

Question 3

for a patient with migraines with aura, what method of birth control is best?

Answer 3

progestin-only birth control

Question 4

for patients that are among ages 9 to 14, how many doses and months apart should they wait for Gardasil ?

Answer 4

2 doses, 6 months apart.

**if they are sexually active they should get 3 doses

Question 5

for patients that are among 15 to 26 years, how many doses and months apart should they wait for gardasil in each interval?

Answer 5

3 doses, and at 0, 1-2 months apart, and 6 months apart

Question 6

what is the cervical cancer screening recommendation for women 21 to 29?

Answer 6

screening pap every 3 years

Question 7

what is the cervical cancer screening recommendation for women 30 to 65 years?

Answer 7

every 3 years for pap OR every 5 years for hpv or every 5 years for both

Question 8

what is the treatment for vulvovaginal atrophy?

Answer 8

intravaginal estrogen

Question 9

what is the gold standard test for screening osteoporosis ?

Answer 9

a dexa scan (Dual energy x-ray absorptiometry)

Question 10

a T score of -1.0 to -2.5 is what diagnosis?

Answer 10

osteopenia (+risk factors)

Question 11

a T score of less than -2.5 is what diagnosis?

Answer 11

osteoporosis

Question 12

what are the first line medications for treating osteoporosis?

Answer 12

bisphosphonates
think alendronate, risedronate, zoledronic acid

Question 13

what is the recommendation for calcium in osteoporosis patients?

Answer 13

calcium supplement 1200 mg daily

Question 14

what is the recommendation for vitamin D3 in osteporosis patients?

Answer 14

vitamin d3 supplementation 800 to 1,000 IU daily

Question 15

a red-colored rash that is scaly (resembling eczema( and starts at the nipple and spreads to the areola of one breast. women will complain of itching, pain, or burning sensation. what is this?

Answer 15

Paget’s disease of the breast

Question 16

for women who have a high lifetime risk should undergo annual screening mammogram, annual breast MRI and clinical breast exam every 6 to 12 months beginning at what age?

Answer 16

beginning 10 yrs prior to the age at the diagnosis of the youngest affected family member

Question 17

puberty in girls starts with breast buds, which is at what tanner stage?

Answer 17

tanner stage 2 (II)

Question 18

when is it best to perform a pap test ?

Answer 18

at least 5 days after the period stops

Question 19

screening women without a cervix

Answer 19

stop screening if a patient does not have a cervix as a result of a hysterectomy for a benign condition

Question 20

potassium hydroxide slide or KOH test is used to diagnose what?

Answer 20

candida or fungal infections

Question 21

a whiff test is associated with what gynecological diagnosis?

Answer 21

bacterial vaginosis

a positive result occurs when a strong, fish-like odor is released after one or two drops of KOH are added to the slide.

Question 22

Tzanck smear is used for what?

Answer 22

herpetic infection

Question 23

what is the black box warning for Depo-provera?

Answer 23

avoid long term use (more than 2 yrs) because it increases risk of osteopenia or osteoporosis that may not be fully reversible.

Question 24

what do you tell a patient that misses two consecutive days of birth control pill?

Answer 24

take the most recent missed pill asap, discard any leftover missed pills. continue taking remaining pills at the usual time. use back up contraception or avoid sex until hormonal pills have been taken for 7 consecutive straight days