Definitions- office

Question 1

Bi-rads

Answer 1

0= incomplete
1= negative
2- benign
3- likely benign
4= suspicions (2-94%)
5= highly suspicious (>95%)
6= biopsy proven cancer

Question 2

Obesity

Answer 2

Class 1; BMI 30-34.9
Class 2: 35-39.9
Class 3: 40+

Question 3

decreased sexual interest

Answer 3

lack of 1) interest 2) sexual thoughts 3) initiation of SA 4) excitement during SA 5) sensation during SA
At least 3 for at least 6 months and distressing

Question 4

genitopelvic pain/pentration disorder

Answer 4

1) difficulty having sex
2) marked pain during sex
3) fear/anxiety about pain
4) tensing of muscles during penetration
At least 1 for at least 6 months and distressing

Question 5

Pelvic floor PT

Answer 5

myofascial release, trigger point pressure, electrical stimulation, pelvic floor retraining, biofeedback

Question 6

vulvodynia

Answer 6

pain at vestibule with pressure point testing
no identifiable cause
>3 months

Question 7

Genetic carrier screen

Answer 7

ethnic specific, panethnic, and expanded carrier screening are acceptable strategies for pre-pregnancy and prenatal carrier screening

Question 8

Low bone mass

Answer 8

T score between -1 and -2.5
treat if 3% hip fracture risk and 20% major fracture risk

Question 9

Osteoporosis

Answer 9

T score of <-2.5; treat

Question 10

hemorrhagic cyst

Answer 10

in ovulatory patients, a follicular cyst forms mid cycle followed by a corpus lutuem
typically physiologic cysts
more likely to rupture in luteal phase and this may be spontaneous or triggered by activity like sexual intercourse

Question 11

wet mount/KOH prep

Answer 11

0.9% NaCL (2 drops), look within 10-20 minutes
10% KOH destroys cellular elements and facilitates visualization of hyphae

Question 12

clue cells

Answer 12

epithelial cells studded with adherent coccobacilli are best appreciated at the edge of the cell
at least 20% on wet mount should be clue cells

Question 13

Amine test

Answer 13

smelling (whiffing) slide immediately after applying KOH
fishy odor of BV

Question 14

granulation tissue

Answer 14

combined production of collagen and growth of capillaries resulting in exophytic mass which prevents pre-epithelialization
Treat with silver nitrate, laser, cautery, curettage, topical steroids

Question 15

fibrocystic breast changes

Answer 15

non proliferative breast changes
mild hyperplasia of the usual type is an increase in the number of epithelial cells within a duct that is more than 2, but not more than 4 cells in depth

Question 16

stress urinary incontinence

Answer 16

involuntary leakage of urine on effort or exertion or on sneezing or coughing

Question 17

cough stress test

Answer 17

supine position during PE. however if not observed, repeated with patient standing and a full bladder

Question 18

urethral hypermobility

Answer 18

30 degree or greater displacement from the horizontal when the patient is in supine lithotomy position and straining

Question 19

urge incontinence

Answer 19

urge to void immediately preceding or accompanies by involuntary leakage of urine

Question 20

asymptomatic bacteriuria

Answer 20

two consecutive voided urine specimens with isolation of the same bacterial strain in quantitative counts of >100k CFU/mL or single catheterized urine specimen with one bacterial species isolated in quantitative count of >100k CFU/mL

Question 21

pyelonephritis

Answer 21

flank pain
n/v
fever >38 (100.4)
and or CVA tenderness, with or without typical sx of cystitis, confirmed by finding bacteriuria in setting of these symptoms

Question 22

recurrent UTI

Answer 22

3+ uti in pregnancy (2 in 6 months, or 3 in 12 months)

Question 23

nitrite

Answer 23

reflects presence of enterobacteriaeceae which convert urinary nitrate to nitrite

Question 24

leukocyte esterase

Answer 24

enzyme release by leukocytes reflecting pyuria

Question 25

adequate colposcopy

Answer 25

The entire SCJ and transformation zone are visualized circumferentially around the external os
the margins of any visible lesions must be fully identified
the histologic results from the biopsies of the lesions should explain the abnormal cytology

Question 26

LSIL/HSIL

Answer 26

LSIL generally a transient HPV infection
HSIL more likely to be associated with persistent HPV infection and a higher risk of progression to cervical cancer

Question 27

CIN 1/2

Answer 27

Mild (HPV effect, cellular changes in lower 1/3 of epithelium)
moderate (basal 2/3)
severe dysplasia (>2/3 of epithelium)

Question 28

reliable dating

Answer 28

1st tri sono
2nd tri sono + history
UPT + for 36w
Doppler FHR x30w

Question 29

suboptimal dating

Answer 29

if sono >22w; manage according to best estimate; repeat scan 4w later; dont deliver before 39w unless necessary ; induce at 41w

Question 30

GDM cut offs

Answer 30

1 hour 50 g: >130
3 hour 100g: 95/180/155/140
2 hour 75g: >126 (fasting) or 200 (at 2 hour)
impaired tolerance PP if 100-125 or 140-200 or A1c 5.7-6.4

Question 31

stage I HTN

Answer 31

130-139/80-89

Question 32

elevated blood pressure

Answer 32

120-129/80

Question 33

stage II HTN

Answer 33

> 140/90

Question 34

irritable bowel syndrome

Answer 34

rome IV criteria: recurrent abdominal pain at least one day per week in the last three months, associated with two or more of
- relation to defection
-change in stool frequency
-change in stool form

Question 35

Postpartum depression

Answer 35

EDS >12 (max=30)
5+ symptoms present during the same two week period and represent a change from previous functioning, within 12mo of birth
sx: dysphoria, anhedonia, worthlessness, guild, impaired concentration, SI

Question 36

Postpartum blues

Answer 36

transient condition
several mild depressive symptoms such as sadness, crying, irritability, anxiety, insomnia, exhaustion, and decreased concentration
mood lability that may include elation
resolves within 2 weeks

Question 37

Bulimia nervosa

Answer 37

recurrent binge eating (2 meals or 2000 cals or until uncomfortably full within 2h) with inappropriate compensatory behavior at least 1/week for at least 3 months