Pedia Gyne & Menstrual Abnormalities

Question 1

Age in precocious puberty in boys

Answer 1

10 y/o

Question 2

Physiologic discharge of puberty occurs

Answer 2

6-12 mos before menarche

Question 3

Types of complete precocious puberty

Answer 3

central and peripheral precocious puberty

Question 4

Type of complete precocious puberty that results in an inc in FSH and LH on GnRH stimulation test

Answer 4

Central

Question 5

Type of complete precocious puberty that can be caused by granulosa cell tumor

Answer 5

Peripheral

Question 6

Tx for precocious puberty

Answer 6

GnRH

Question 7

Group of symptoms, both physical and behavioral that occur on the second half of menstrual cycle

Answer 7

PMS

Question 8

More severe type of PMS

Answer 8

Premenstrual dysmorphic d/o

Question 9

Usual cause of AUB at irreg intervals

Answer 9

Polyps

Question 10

Intermenstrual bleeding

Answer 10

metrorrhagia

Question 11

Excessive menses

Answer 11

Menorrhagia

Question 12

Irregular and prolonged menses

Answer 12

Menometrorrhagia

Question 13

Indications for endometrial biopsy for AUB

Answer 13

In reproductive yrs and >35 y/o, obese, HPN, DM
All post menopausal women
(to r/o endometrial carcinoma)

Question 14

Most impt thing to r/o when a reproductive age woman presents with AUB

Answer 14

Pregnancy

Question 15

DUB that is harder to control

Answer 15

Ovulatory

Question 16

Finding in endometrial biopsy in ovulatory DUB

Answer 16

Secretory changes

Question 17

Finding in endometrial biopsy in anovulatory DUB

Answer 17

Proliferative

Question 18

Type of DUB usually occuring among postmenarcheal and perimenopausal life

Answer 18

Anovulatory DUB

Question 19

DUB that is self-limited and with midcycle rise in temp

Answer 19

Ovulatory DUB

Question 20

DOC for anovulatory DUB

Answer 20

Progestin

Question 21

DOC for acute DUB

Answer 21

Estrogen

Question 22

Androgenic steroid used prior to surgery to induce endometrial atrophy

Answer 22

Danazol 200-400mg/ day

Question 23

Irreversible SE of Danazol

Answer 23

Deepening of voice

Question 24

Preop drug used to inhibit ovarain steroid production

Answer 24

GnRH agonist (Leuprolide)

Question 25

Definitive management for AUB

Answer 25

Hysterectomy

Question 26

Normal menstrual cycle frequency

Answer 26

28 +/- 7 days

Question 27

Normal menstrual duration

Answer 27

4-7 days

Question 28

Normal menstrual cycle volume

Answer 28

30-80 mL

Question 29

Tx for hemodynamically unstable pts with acute excessive bleeding

Answer 29

IV estrogen | 24 mg conjugated equine estrogen q4h for 24 hrs

Question 30

Tx for hemodynamically stable pts with acute excessive bleeding

Answer 30

CEE for 14-21 days ff by medroxyPROGESTERONE for 7-10 days

Question 31

Age in precocious puberty in girls

Answer 31

9 y/o