Obj 42-52

Question 1

What are is the order of occurences in female puberty?

Answer 1

Thelarche, adrenarche (hair grown), Growth spurt, menarche

Question 2

What is Asherman’s syndrome?

Answer 2

FIbrosis/adhesions of endometrium caused by D&C

Question 3

What is the first step for imagine/testing any sort of pelvic mass or abnormal bleeding?

Answer 3

Pregnancy Test then Pelvic US

Question 4

How are submucosal leiomyomas treated?

Answer 4

Hysteroscopic myomectomy. NOT Laparoscopic

Question 5

What is the guideline for Gonorrhea and Chlamydia testing?

Answer 5

All sexually active pts 25 and younger.

G+C may cause secondary dysmenorrhea.

Question 6

At what age should an endometrial biopsy be performed to rule out endometrial carcinoma in ALL pts with abnormal bleeding?

Answer 6

40 and up in ALL pts.

Question 7

How much calcium do postmenopausal women need?

Answer 7

1200mg

osteoporosis has 12 letters in it.

Question 8

What is the most effective treatment for hot flashes?

Answer 8

Estrogen (although SSRIs are currently the reccomendation)

Question 9

What cancer does HRT increase your risk for? Decrease?

Answer 9

Inc Breast, Dec Colon

Question 10

What effect does HRT have on lipid profile?

Answer 10

Inc HDL and dec LDL

Question 11

What do Antimullerian hormone levels do?

Answer 11

Help determine ovarian reserve.

Question 12

What is the first line medical treatment of PMS/PMDD?

Answer 12

SSRI (if mood symptoms)

NSAID (if no mood symptoms)

Question 13

What vitamin/mineral helps with PMS symptoms?

Answer 13

Calcium

Question 14

What is the reoccurance risk % of molar pregnancy?

Answer 14

1-2%

Question 15

What type of mole has a higher conversion rate to post molar GTD?

Answer 15

Complete

Question 16

How long post molar pregnancy should someone wait to conceive?

Answer 16

6 months

Question 17

A patient has a molar pregnancy and nodules in the vagina. What do you do next?

Answer 17

CT Chest/Abd/Pelvis

Question 18

Do you ever biopsy Choriocarcinoma/molar mets?

Answer 18

NO they are highly vascular

Question 19

Around what age would amass in the bartholin gland be suspected to be a cyst vs a cancer?

Answer 19

Under 40.

Question 20

What is the treatment for VIN 3?

Answer 20

Since it is not cancer, local excision is the treatment of choice.

Question 21

What is TCA used to treat in the vulva?

Answer 21

Small moist genital warts.

Question 22

What is the treatment for VIN 2?

Answer 22

Laser ablation

Question 23

What are the cervical screening guidelines for <21, 21-29, 30-65, >65?

Answer 23

Under 21: dont do
21-29: 3 years
*21-24: ASCUS, HPV+ then ctology at 12 months. Colposcopy only if high grade.*
30-65: 5 year pap+HPV (or pap every 3)
65+: Stop if negative thus far

Question 24

If you see anything abnormal on a cervical exam, what do you do?

Answer 24

Biopsy/Cut it out!

Question 25

Does talc predispose you to cervical cancer?

Answer 25

NO