OBGYN

Question 1

age range of menarche

-at what age if no menarche would we want to run labs? –what is this called

Answer 1

11-14

**age 15+ run labs—– primary amenhorriah
SH, LH, prolactin and testosterone levels, TSH, free T4, and a pregnancy test

Question 2

Failure of the menses to appear by age 15 with normal growth and secondary sex characteristics or by age 13 in the absence of secondary sex characteristics, such as breast development, is defined as

Answer 2

primary amenorrhea

Question 3

etiologies for primary amenorrhea

-mcc?

Answer 3

hypothalamic-pituitary causes, ovarian causes, hyperandrogenism, disorders of sexual development, pregnancy, and uterine causes

mcc=gonadal dysgensis aka Turner syndrome—45XO

Question 4

______ is the preferred initial biopsy procedure for evaluating suspicious breast masses

Answer 4

core needle biopsy

***provides better biopsy specimen than FNA

Question 5

mc site for endometriosis

Answer 5

ovaries

Question 6

A 28-year-old woman presents to her gynecologist with concerns about pain during sexual intercourse. She reports no fever, vaginal discharge, or vaginal odor but has dull, crampy pain with menstruation and bowel movements. Pelvic examination reveals a fixed and retroverted uterus, no cervical motion tenderness, and no adnexal masses

Answer 6

endometriosis

Question 7

endometriosis

• define
• which hormone is responsbile
• MC age group
• RF

Answer 7

uterine glands/tissue outside the uterus that implant, grow, and elicit an inflammatory response.

**estrogen dependent

MC 25-35

RF:
-nulliparity, early menarche, late menopause, shorter menstrual cycles, menorrhagia, obstruction of menstrual outflow, exposure to diethylstilbestrol in utero, height > 68 inches, lower body mass index, exposure to physical or sexual abuse in childhood, and excessive consumption of trans fats.