Women's health buzzz

Question 1

boggy uterus, deep pelvic pain, menorrhagia, middle aged woman, Venetian blind appearance

Answer 1

adenomyosis

Question 2

primary amenorrhea + u/s shows no uterus or ovaries presence of testicles cannot be excluded

Answer 2

androgen insensitivity syndrome

Question 3

recurrent miscarriages, previous VTE, SLE

Answer 3

antiphospholipid syndrome

Question 4

secondary amenorrhea post multiple uterine procedures

Answer 4

ashermans syndrome

Question 5

positive whiff test, grey discharge, fishy odour, clue cells

Answer 5

bacterial vaginosis

Question 6

lumps at 5 and 7 o’clock

Answer 6

bartholin cyst

Question 7

cottage cheese like discharge, pseudophyae on KOH test, satellite leisons, COCP use, pregnant, diabetes

Answer 7

candidas

Question 8

IMB, PCB and Ph of non compliance with CST

Answer 8

Cervical cancer

Question 9

syncope, haemohynamic instability/bradycardia +PV bleeding + abdo pain + POC at cervical os

Answer 9

Cervicogenic shock

Question 10

Rokitansky protuberance

Answer 10

dermoid cyst

Question 11

PMB bleeding, nulliparity, obesity, early monarch/late menopause

Answer 11

endometrial cancer

Question 12

deep dyspareunia, dysmenorrhea, dyschezia, dysuria, thickened uteroscaral ligament, chocolate cysts, kissing ovaries, guitar strong utereoscaral ligamed, fixed retroverted y=uterus

Answer 12

endo

Question 13

PID, perihepatitis, liver capsular adhesions

Answer 13

Fitz-Hugh-Curtis curtis syndrome

Question 14

elevated inhibin

Answer 14

granulose cell tumor

Question 15

gonorrhoea

Answer 15

unprotected sex + purulent discharge

Question 16

new sexual relationship + UTI symptoms (pelvic pain, dysuria, frequency)

Answer 16

honeymooner’s cystitis (strap saprophyticus)

Question 17

primary amenorrhea, cyclical pelvic pain, hematocolpos sign

Answer 17

imperforate hymen

Question 18

small testicles

Answer 18

kleinfelter’s syndrome

Question 19

primary amenorrhea + anosmia

Answer 19

kallmann syndrome

Question 20

signet ring cells, bowel obstruction, ovarian tumor

Answer 20

krukenberg tumor

Question 21

white, dry vulval patches, vulvual itching, dysparenuia

Answer 21

lichen sclerosus

Question 22

pleural effusion (right sided, ascites + ovarian mass

Answer 22

megs syndrome

Question 23

primary amenorrhea + normal breast and pubic hair+ US showing ovaries but no uterus

Answer 23

MRKH

Question 24

sudden onset lower abdo pain + nausea and vomitng, whirlpool sign on U/S and string of pearls sign

Answer 24

ovarian torsion

Question 25

irregular menses/amenorrhea, obesity, acne

Answer 25

PCOS

Question 26

hx of STIs and deep pelvic pain, vaginal discharge, chandelier's sign (cervical motion tenderness)

Answer 26

PID

Question 27

sensation of dragging, leaking, lump Hx of NVDs, digitation, dyspareunia, ulceration

Answer 27

pelvic organ prolapse

Question 28

digitation to defecate

Answer 28

rectocele

Question 29

non painful ulcer, chancre

Answer 29

syphillus

Question 30

frothy yellow/green discharge + foul smelling strawberry cervix

Answer 30

trichomonas

Question 31

loss of urine associated with actions that cause increased AP pressure (coughing, sneezing, lifting weights), history of NVDs

Answer 31

stress incontinenece

Question 32

death in pregnancy + fatal cells in mothers lungs

Answer 32

amniotic fluid emobolism

Question 33

pruitis (with no evident rash, usually palms and soles of feet and worse at night + deranged LFTS

Answer 33

cholestasis of pregnancy

Question 34

sensorineural deafness, cataracts, cardiac malformations, blueberry muffin leison

Answer 34

congenital rubella

Question 35

variable decelerations on CTG

Answer 35

Cord compression

Question 36

lamba sign

Answer 36

DCDA

Question 37

tender abdomen postpartum fever, achy, offensive loch, PV bleeding

Answer 37

endometritis

Question 38

symptoms of preggo + HCG and empty uterus, donut sign

Answer 38

ectopic

Question 39

vagal shock and a mass at Introits

Answer 39

uterine inversion

Question 40

uterine scar + sudden cessation in contractions _ severe abdominal pain + loss of station of presenting part + CTG

Answer 40

uterine rupture

Question 41

barbers pole, umbilical cod, hutichsons teeth, mulberry molars, sabre shins

Answer 41

syphilus in pregnancy

Question 42

post partum galactorrhea, panhypopituriatirsm, past hx of severe PHH

Answer 42

Sheehan syndrome

Question 43

turtle neck sign(retraction of head), gestational diabetes, maternal pelvic disproportion

Answer 43

shoulder dystocia

Question 44

severe FGR, severe oligohydraminos, no fetal bladder on morphology US

Answer 44

renal agencies

Question 45

sudden gush of clear or pale yellow fluid from vagina, fluid in the posterior fornix

Answer 45

P-PROM

Question 46

peaks at 3rd to 4th day postpartum, mood, swings, crying and anxiety

Answer 46

post partum blues

Question 47

snow storm on US, high BCH,e exaggerated pregnancy symptoms(hypermemsis, early pre-eclampsia, elevated SFH)

Answer 47

molar preg

Question 48

T sign

Answer 48

MCDA

Question 49

gestational HTN + headache and or visual disturbances, hyperreflexia + clonus

Answer 49

immient eclampsia

Question 50

woody hard uterus, maternal cocaine use, PET, hypertonic uterus back pain and shock

Answer 50

placental abruption

Question 51

periventricular calcifications

Answer 51

congenital CMV

Question 52

intracranial calcifications, hydrocephalus, choriorentinitis

Answer 52

toxoplasmosis