Quiz 1

Question 1

What is a “moliminal” symptom?

Answer 1

Symptoms associated with the menstrual cycle - acne, HA, bloating, negative moods, cramps, fatigue, breast tenderness, sleep concerns.

Question 2

What is a normal range for menstrual cycle length?

Answer 2

24-38 days frequency
4-7 days duration

Question 3

What is catamenia?

Answer 3

Another word for menstruation.

Question 4

What do these terms mean?
Parturient?
Puerpera?
Embryo
Fetus

Answer 4

Currently in labor
Within 6weeks of delivery
Through 8th week of pregnancy
9wk-delivery.

Question 5

Parity is pregnancies completed at/after ______ which is ______ or _______ grams.

Answer 5

Viability
20wks
500g

Question 6

A Grand multip has over ____ births

Answer 6

6

Question 7

Early term =
Full term
Late term
Post term

Answer 7

Early 37-38wks 6days
Full 39wks-40wks 6days
Late 41-41+6
Post after 42weeks

Question 8

TPAL stands for

Answer 8

Term (>37wks)
Preterm (<37wks)
Abortions (<20wks)
Living children

Question 9

Slide 22

Question 10

8 Ps of sexual history

Answer 10

Preferences
Partners
Practices
Protection from STI
Past STI
Pregnancy - desire of and prevention of
Pleasure
Partner Violence

Question 11

Cervical cancer screening guidelines - 21-29 = cytology w/reflex HPV q3yrs
30-65 = cytology with HPV testing q5yrs

Question 12

Breast cancer screening every ____ years from 40-74

Answer 12

1-2
ACOG - initiate between age 40-49, and every 1-2 yrs from 50-75

Question 13

DEXA scan starts at age _____ and no more than every _____ years.

Answer 13

65
2

Question 14

GC/CT screening age _______

Answer 14

14-24 and high risk 25+

Question 15

Screening for lipids every ____ years at age _____, yearly for age ______

Answer 15

5
18+
55-65

Question 16

Trans man with history of unsatisfactory cytology? Treat with _____ prior to obtaining next cervical sample.

Answer 16

2wks of vaginal estrogen.

Question 17

ACS does not recommend clinical breast exams but does offer initial screening mammography at 40-44 years, annual 45-54 and annual or every 2 years from 55 and older.

Question 18

Patients with BRCA, peutz-jeghers syndrome, Li-Fraumeni syndrome or Cobden syndrome may require ________ mammograms or _______

Answer 18

More frequent surveillance
Risk reducing mastectomy.

Question 19

ACS rec for lung cancer screening in women:

Answer 19

Annual low-dose CT chest scan for age 55-74 w/ >= 30pack-year Hx who currently smoke or quit within the past 15 years

Question 20

Women with lynch syndrome should initiate colorectal cancer screening ________. They should consider ______ for endometrial cancer prevention

Answer 20

At 20-25 or 10 years prior to the earliest dx of colorectal cancer in the family.
Endometrial sampling OR risk-reducing hysterectomy

Question 21

colorectal screening 45(50)-75

Question 22

Breast > Lung > Colorectal > Endometrial > skin > Ovarian > Cervical cancer in women.

Question 23

Screen for T2DM in ______

Answer 23

Asymptomatic adults who are overweight or obese age 40-70

Question 24

Review free form menstrual cycle

Question 25

Infertility is defined as____
In women 35 or older?

Answer 25

No pregnancy after 1 year of trying
Intervention after 6 months in the face of waning fertility.

Question 26

Average age of menopause?
Average age of menarche?

Answer 26

51
12

Question 27

What cells surround the Oocyte?

Answer 27

Granulosa cells surround the Oocyte and then the Thecal cells surround the Granulosa.
TGO

Question 28

What hormone stimulates the Granulosa cells to produce ________?

Answer 28

FSH
Produces aromatase to convert androgens into estrone/estrodiol.

Question 29

What hormone stimulates the Thecal cells to produce ________

Answer 29

LH
Produce androgens (testosterone/androstenedione)

Question 30

Day 1 of the menstrual cycle = 1st day of bleeding. Fertilization did not occur and so progesterone decreased which made blood supply to the endometrium disappear. Endometrium dies and sloughs off. Estrogen starts to rise slightly which promotes endometrial healing and cessation of menses. Low levels of Estrogen, progesterone and LH trigger more FSH release (it has been steadily rising throughout menses, so follicular development has already started). The rising estrogen levels have a positive feedback mechanism on LH and when the dominant follicle emerges and starts secreting large levels of estrogen, an LH SURGE occurs about 36 hours prior to ovulation, reaching its peak around 10-12 hours prior. After ovulation, FSH and LH (inhibited by rising progesterone), and progesterone (secreted by the corpus luteum) becomes the main player to prepare the endometrium for fertilization.

Question 31

What hormone makes the cervical mucus springy and easy for sperm to pass through?
Which one makes it thick to protect the uterus from infection in case of fertilization/implantation?

Answer 31

Estrogen.
Progesterone.