Womens Health

Question 1

Leiomyoma

Answer 1

Fibroids

Irregular uterine mass and abnormal bleeding

Increase risk of endometrial cancer

TX: usually none bc asymptomatic
Gn-Rh analog to shrink size
OCP/IUD for bleeding
Surgery

Question 2

Adenomyosis

Answer 2

Endometrial tissue in uterine muscle wall

Symmetrically enlarged uterus, menorrhagia

Question 3

Asher man syndrome

Answer 3

Scarring of endometrial lining

Question 4

Sheehan syndrome

Answer 4

D/t pituitary ischemia

Question 5

Medication for inducing ovulation

Answer 5

Clomiphene citrate

Question 6

Cervical cancer screening

Answer 6

21-29 cytology q 3 yr

30-65 cytology and HPV q 5 yr

Cervical CA - q 6 mos

S/p cervical CA w hysterectomy - q 3 years

Question 7

Normal, assymptomatic cyst

Answer 7

Follicular

Incidental finding on US

SELF LIMITED

Question 8

Chocolate cyst

Answer 8

Endometrioma

Question 9

Benign germ cell tumor

Answer 9

Dermoid/terratoma

Question 10

1st trimester cyst

Answer 10

Corpus luteum cyst

Question 11

DEXA

Answer 11

Normal -1.0 to 1.0

Osteopenia -1.25

Osteoporosis >-1.25

Question 12

Breast changes

Answer 12

Fibrocystic - bilateral and tender, changes with menses

Fibroadenoma - solid, rubbery, movable, painless

Question 13

Calculate estimated delivery date

Answer 13

Add 7 days and subtract 3 months

Question 14

Pre-eclampsia triad and tx

Answer 14

HTN, edema, proteinuria

Labetalol and deliver at 37 weeks

Magnesium sulfate in severe

Question 15

HELLP syndrome

Answer 15

Severe pre eclampsia

Hemolysis, elevated liver enzymes, low platelets

Question 16

Gestational DM DX

Answer 16

Fasting <95
1 hr < 140
2 hr < 120

Question 17

Stages of labor

Answer 17

1 onset to complete dilation
     Latent = cervical effacement 
     Active = 4 cm dilation
2 dilation to delivery
3 placenta

Question 18

Pre term tx for lungs

Answer 18

Corticosteroids

Question 19

Chlammydia screening

Answer 19

Sexually active <25