OB/gyn u world

Question 1

Bartholin duct cyst-

• age
• presentation
• pathology
• Tx

Answer 1

• usually women under 30
• soft, mobile, nontender CYSTIC MASS usually asymptomatic at the 4 or 8oclock position.
• Duct obstruction due to dired mucoid glandular distention
• Tx- observation if asymptomatic. If symptomatic then I&D

Question 2

Gartner cyst

Etiology

Answer 2

Incomplete regression of the wolffian duct during fetal development.

Question 3

DES complications

Answer 3

• clear cell adeno of vagina and cervix
• structural anomalies of the reproductive tract (hooded cervix, t-shaped uterus, vaginal adenosis)
• Infertility

Question 4

Uterine INversion
Pathophys
Presentation
Management

Answer 4

Pathophys- excessive traction of cord and/or fundal pressure
Presentation- loss of uterus on transabdmominal US, lower abdominal pain, hemorrhage shock
Management- aggresive fluids, manual replacement of the uterus, placental remove/uterotonic drugs after uterus replaced

Question 5

Preterm labor mamagement

Answer 5

<32- Mag, GBS status, tocolytics, , beta

32-336/7- GBS, beta, Mag

34 0/7-36 6/7- GBS and Beta

Question 6

Dangers of different tocolytics

Answer 6

Indomethcin- oligo and closure of the ductus arteriosus

Nifedipine- materanal hypotension/tahcy

Question 7

Ovarian Torsion

Answer 7

Risk Factors- Ovarian mass in reproductive age woman often in the setting of exercise

CP- ACUTE unilateral pelvic pain, N/V, +/- palpable adnexal mass

US- adnexal mass with absent doppler flow to ovary

Tx- Lap with detorsion, ovarian cytectomy, oophorectomy if necrosis

U

Question 8

Secondary Amenorrhea
define it
-work up

Answer 8

• Define no menses for > 3 cycles or >6 months
  1. hcg
  2. Hcg negative
• TSH (high hypothyroidism)/FSH(high premature ovarian failure)/prolactin (brain MRI)
• Prior uterine procedure/infection= hysterectomy

Question 9

first line tx of asymptomatic bacteriuria in pregnancy

Answer 9

• Cephalexin
• Amox-calv
• nitrofurantoin
• fosfomycin