gyn

Question 1

can oral contraceptives decreaase risk of breast cancer ?

Answer 1

no ! they decrease the risk of ovarian cancer but have no effect on breast cacner

Question 2

when to stop pap testing

Answer 2

when 65 and above with negatove pap smears and no CIN2 (2 consecutive co testing or 3 consecutive negative pap

Question 3

atypical glandular cells can be due to ? next step in managment ?

Answer 3

can be due to cervical or endometrial problems and the next step should be an endometrial biopsy not a leep

Question 4

Which term ultrasound is the best predictor of gestational age

Answer 4

First trimester plus crown rump is th best predictor

Question 5

Treatment for urinary urgency, stress and overflow incontinence

Answer 5

Stress incontinence give kegel exercise and sling
Overflow incontinence give tamsulosin, bethanechol
Urgency give oxybutinin

Question 6

Diffuse uterine enlargement vs irregular enlargemnet

Answer 6

Ad3nomyosis vs leiomyoma

Question 7

Intermenstrual bleeding, premenaupausal, 30s to 40 year old

Answer 7

Endometrial polyp

Question 8

What is the contraindication to raloxifene

Answer 8

Hor flashes and hx of thromnoembolisms

Question 9

Pink fleshy friable papules

Answer 9

Condylom accuminata

Question 10

Can only give 4 doses

Answer 10

Cytotec

Question 11

Can use with a bloon

Answer 11

Ballon plus pitocin

Question 12

Can pitocin and cytotec be uused together

Answer 12

Nope

Question 13

When can pitocin be given

Answer 13

When bishop score is more than 7 ..increases chances of vaginal delivery

Question 14

Symmetric, boggy tender uterus, 40 year old , new onset dysmenorrhea

Answer 14

Adenomyosis

Question 15

Uterine atony management

Answer 15

Massage 
Bladder balloon 
Oxytocin 
Tranexamic acid 
Metylergonvine 
Intrauterine balloon

Question 16

Cervical insufficiency risk factors

Answer 16

Leep
Cervical laceration
Manual dilation of cervix
Uterine anomaly

Question 17

hidradenitis suppurativa

Answer 17

inflammation and blockage of ahir follicles that are painful and can lead to spontanoeus draing abscess
fibrotic bands, acneform scars and thickened plaques

Question 18

bilateral, gray non bloody discharge from breast

Answer 18

physiological galactorrhea

Question 19

what is cloposcopy

Answer 19

adding acetiic acid to the cervix to visualize the areas

Question 20

when is endometrial biopsy indicated

Answer 20

when postmenaupausal and endometrial strip is 4mm

Question 21

condition that occurs two weeks prior to menses and condiiton that occurs during menses

Answer 21

2 weeks prior is mettelschmerz pain caused by peritoneal inflammation from ovarian follicale rupture
condtion during menses dysmennorhea due to endometrial postag;andin procution

Question 22

endometrial cells present on pap based on age

Answer 22

if less than 45 then its considered normal if greater than 45 or postmenaupausal then need to do endometrial biopsy to rule out cancer

Question 23

clinical presnetaion of intramniotic infection

Answer 23

fever, tachy baby, fundal tenderness or ruptur of memnrabes

Question 24

treatment for aymptomatic bacterieuria

Answer 24

cephalexin
amox-clavulanate
nitrofurantoin
fosfomycin

Question 25

thyroid values in pregnancy

Answer 25

TSH decreases
totoal T4 increases
free T4 stays the same or increases

Question 26

when to give anti D immune globulin in patients

Answer 26

at 28 weeks and again within 72 hrs of delivery
after delivery a higher does of immunoglobulinns might be required if the aptient went through a procedure of abruption
kleiher betke test is used to detemrine higher dose

Question 27

treatment of carpal tunnel during pregnancy

Answer 27

wrist splinitng –keeps the writ at neutral position during sleep to prevent edema

Question 28

hamman sign (crunching soound on auscultation)

Answer 28

esophageal perforation

Question 29

pseuocyesis

Answer 29

patient belives she is pregannt and has associated symmpoms such as morning sickness, breadt fullness and abdominal distention

Question 30

how many months follwing cessation of OCP i the person considered amennorheic and require foloow up treatment

Answer 30

3 motnsh

Question 31

Lsb values for hyperenesis grsvusarum

Answer 31

Ketonuria
Hypochloremic
Hypokalemua
Hemoconcentration

Question 32

Asympotamic vs stmptomatic bartholin cyst management

Answer 32

Treat asymptomatic with observation and symtomatic with antibiotics

Question 33

when should hsv suppession begin

Answer 33

starting week36

Question 34

What stage does neuroaxial anesthesia effect ?

Answer 34

Stage 2 of deliver when cervix is 10 cm dilated.

Question 35

Normal post partum period

Answer 35

Rigor and chills 
Peripheral edema 
Lochia rubra 
Jnvolution of uterus 
Breast engorgement

Question 36

What are normal postrisidual volume in men and women

Answer 36

Men less than 50ml

Women less than 150ml

Question 37

Epidural place,ent …how does breathing in helps

Answer 37

Breathing increases the preload to the right heart pulling blood from veins and this increases space in the epidural area which has vein fats and nerves