other Female Reproductive Tract Disorders

Question 1

What is Gestational Trophoblastic Disease (GTD)?

Answer 1

Group of diseases that originate from placental tissue and have the ability to invade the uterus and metastasize

Question 2

What is a hydatidiform molar pregnancy?

Answer 2

premalignant disease that is characterized as partial or complete

Question 3

Are fetal parts present in a partial mole?

Answer 3

Present

Question 4

Wha karyotype is associated with partial mole?

Answer 4

69 XXX or 69 XXY

Question 5

is there villous edema in a partial mole?

Answer 5

mild

Question 6

What is the risk of persistent disease in a partial mole?

Answer 6

1-5%

Question 7

Are there fetal parts in a complete mole?

Answer 7

Absent

Question 8

What karyotype is associated with a complete mole?

Answer 8

46 XX or 46XY

Question 9

Is there villous edema in a complete mole?

Answer 9

Severe

Question 10

What is the risk of persistent disease in a complete mole?

Answer 10

15-20%

Question 11

What is Molar pregnancy the most likely diagnosis?

Answer 11

patient sounds like she has preeclampsia but <20weeks gestation

Question 12

What is the classic appearance of molar pregnancies on US?

Answer 12

Snowstorm appearance

Question 13

How do you treat molar pregnancies?

Answer 13

Uterine evacuation

Question 14

How do you further manage molar pregnancies?

Answer 14

Serial monitoring of beta-hCG

Question 15

What is Mullerian Agenesis?

Answer 15

There are no paremesonephric structures: patients have normal ovaries and an external female secondary sexual characteristics but the vagina ends in a blind pouch and there is no uterus

Question 16

What causes a Bicornuate uterus?

Answer 16

Partial failure of the paramesonephric ducts to fuse

Question 17

What causes a septate uterus?

Answer 17

Failure of the midline septum to resorb after fusion of the paramesonephric ducts

Question 18

What is the Hymenal membrane composed of?

Answer 18

Fibrous connective tissue attached to the vaginal wall

Question 19

What causes an imperforate hymen?

Answer 19

Incomplete degeneration of the hymen

Question 20

How do patients with an imperforate hymen present?

Answer 20

Primary amenorrhea and cyclical pelvic pain

Question 21

What is the treatment for an imperforate hymen?

Answer 21

Surgery

Question 22

What is Female Sexual Arousal Disorder?

Answer 22

Significantly reduced arousal or interest in sexual activity

Question 23

How do you treat female sexual arousal disorder?

Answer 23

Psychotherapy

Question 24

What is Genitopelvic pain/penetration disorder?

Answer 24

Persistent or recurrent difficulty and pain with vaginal penetration or intense fear in anticipation of vaginal pain prior to penetration

Question 25

How do you treat Genitopelvic pain/penetration disorder?

Answer 25

Psychotherapy and pelvic floor physical therapy

Question 26

What is Asherman Syndrome?

Answer 26

The endometrial lining is scraped below the basalis layer leading to scar tissue formation which caused secondary amenorrhea and infertility Often due to Dilation and Curettage

Question 27

What is pelvic organ prolapse?

Answer 27

pelvic organs herniate beyond the vaginal walls

Question 28

How does pelvic organ prolapse present?

Answer 28

sensations of a bulge or vaginal pressure or associated urinary, defecatory or sexual dysfunction

Question 29

How is pelvic organ prolapse treated?

Answer 29

Initially Conservative: Pessary and Pelvic Floor therapies