1-uWorld Female Repro/Breast

Question 1

TCA(ie nortriptyline) can cause __ incontinence

___ way

Answer 1

overflow

antimuscurinic/anticholinergic effects –>bladder does not contract

(DM-neuropathy and spinal cord injury can also do this)

Question 2

definition of recurrent UTIs

Answer 2

3 or more infx in 1y

Question 3

what abx are good for post coital uti prophylaxis for a F with recurrent UTI

Answer 3

bactrim

keflex
ciproflox
Nitrofurantoin

Question 4

First line tx for menopausal vasomotor symptoms

Answer 4

Estrogen txs

unless contraindication to estrogen

Question 5

2nd line menopausal vasomotor tx med

Answer 5

SSRI SNRI

if estrogen is not indicated

Question 6

what are contraindications to estrogen tx

Answer 6

UNLESS estrogen contraindications:
Coronary artery dz
liver dz
prior DVT/PE
breast cancer hx, endometrial cancer

Question 7

tx for Overflow incontienence if meds is not option yet and cause has not been fixed

Answer 7

self catheterization

Question 8

antimuscarinic meds for ___ incontencence

whereas cholinergics for ___ incontinence

Answer 8

urge

overflow

Question 9

patient has pain in pelvic area, gotta go to bathroom very often, pain relieved with voiding
dx___
Tx___

Answer 9

interstitial cystis (ass w fibromyalgia)
AKA bladder pain syndrome

Tx:
pentosan polysulfate sodium, amitriptyline
CBT

Question 10

ectopic pregnancy and hemodynamic stability, tx___

hemodynamic instability, Tx____

Answer 10

if bHCG <5000—>methotrxate
if >5k—>surgery

Surgery if hemodyn instable

Question 11

if B-hcg >100,000 think __

Answer 11

hydatid mole

Question 12

cervix is ___ in incomplete abortion

pregnancy products are out/not out ____

Answer 12

dilated, there is incomplete release of pregnancy products

Question 13

___ hormone HATES prolactin

Answer 13

dopamine

Question 14

complications of prolactinoma

Answer 14

amenorrhea,

Question 15

tx prolactinoma 1st line

Answer 15

dopamine agonists (cabergoline Bromocriptine)

f/u with serial MRIs

Question 16

tx prolactinoma if 1st line fails

Answer 16

trans sphenoidal resection

Question 17

very itchy breast with redness and ulcer in areola dx____

Answer 17

Paget’s dz of breast

Question 18

menopause dz if menses not happened in ___ mo

Answer 18

over 12mo

Question 19

timed voiding and bladder training is a Tx for ___ incontinence

Answer 19

urge

Question 20

what is considered very high testosterone level for women

Answer 20

> 150

Question 21

vulvovaginal atrophy, MC symptom ___ and Tx ____

Answer 21

dyspareunia, topical estrogen

Question 22

prolactin levels ___ should make you think prolactinoma

Answer 22

> 200

Question 23

lab test for congenital adrenal hyperplasia

Answer 23

elevated 17 hydroxyprogesterone