Reproductive CME - Sheet1

Question 1

What is the most common cause of secondary amenorrhea?

Answer 1

Pregnancy

Question 2

What are the two most common causes of secondary amenorrhea in patients with normal estrogen?

Answer 2

Asherman syndrome and polycystic ovarian syndrome

Question 3

What is another name for gonadal dysgenesis?

Answer 3

Turnerís syndrome

Question 4

What lab test is diagnostic for menopause?

Answer 4

FSH > 30mIU/mL

Question 5

What is the most common presentation of a leiomyomata (uterine fibroid)?

Answer 5

Vaginal bleeding

Question 6

What is recommended in most cases of a leiomyomata?

Answer 6

Observation

Question 7

What is the most common gynecological cancer?

Answer 7

Endometrial cancer (adenocarcinoma)

Question 8

What is the cardinal symptom of endometrial cancer?

Answer 8

Vaginal bleeding

Question 9

What patient population is most common in endometriosis?

Answer 9

Nulliparous 30 years old

Question 10

What are the most common ovarian growths?

Answer 10

Cysts

Question 11

What is the most common cause of androgen excess and hirsutism?

Answer 11

Polycystic ovarian syndrome

Question 12

Bilateral enlarged cystic ovaries, amenorrhea and infertility are the key features of this disease?

Answer 12

Polycystic Ovarian Syndrome

Question 13

How will the ultrasound appear in a patient with Polycystic ovarian syndrome?

Answer 13

Sting of pearls or oyster ovaries

Question 14

How is infertility of polycystic ovarian syndrome treated?

Answer 14

Clomiphene

Question 15

When is Cervical itraepithelial neoplasia (CIN) most common to occur?

Answer 15

Women in their 20s

Question 16

When has the CDC recommend patients receive the HPV vaccine?

Answer 16

Boys and girls age 11-12. Three injections over 5 months.

Question 17

What kind of cancer are women exposed to diethylstilbestrol (DES) at increased risk for?

Answer 17

Clear cell adenocarcinoma

Question 18

What bug most commonly causes mastitis?

Answer 18

S. Aureus

Question 19

What is the antibiotic of choice for mastitis?

Answer 19

Penicillinase resistance antibiotics (dicloxacillin)

Question 20

What is the most frequent benign condition of the breast?

Answer 20

Fibrocystic Breast Disease

Question 21

What benign breast lesion is more common in black woman?

Answer 21

Fibroadenoma

Question 22

What is the most common cancer in woman and what kind is the most common?

Answer 22

Breast, Infiltrating ductal carcinoma

Question 23

What ductal carcinoma presents with eczematous lesions of the nipple?

Answer 23

Paget disease

Question 24

What is the best screen test for breast neoplasms?

Answer 24

Mammography

Question 25

What is the most effective form of contraception?

Answer 25

Oral contraception

Question 26

What is the black box warning for IM depo injections?

Answer 26

Osteoporosis ñ thus only to be used for 2 years

Question 27

What is the most common cause of infertility?

Answer 27

Ovulatory disorders

Question 28

What is the physical exam finding of pelvic inflammatory disease (PID)?

Answer 28

Chandelier sign

Question 29

Where should the uterus be at 20 weeks of gestation?

Answer 29

Umbilicus

Question 30

When should we hear fetal heart tones (FHT)?

Answer 30

10 weeks

Question 31

What is bluish discoloration of the vagina and cervix called that is seen in pregnancy?

Answer 31

Chadwick sign

Question 32

Where are most ectopic pregnancies located?

Answer 32

Fallopian tube

Question 33

What is the most common cause of ectopic pregnancy?

Answer 33

Adhesions

Question 34

What is the classic triad of ectopic pregnancy?

Answer 34

Unilateral ABD pain, amenorrhea and tenderness/mass on exam

Question 35

What hCG level should show evidence of an IUP?

Answer 35

1,500 mU/mL

Question 36

What patients should receive RhoGam with an abortion?

Answer 36

Rh-negative woman

Question 37

How does a hydatiform mole present on ultrasound?

Answer 37

ìgrapelike vesiclesî or a ìsnow storm patternî

Question 38

What is the most common cause of non-congenital malformation deaths in a neonate?

Answer 38

Preterm delivery

Question 39

What is a major risk factor of premature rupture of membranes?

Answer 39

Infection

Question 40

What test can confirm rupture or membranes and spilling of amniotic fluid?

Answer 40

Nitrazine paper and the fern test

Question 41

What is administered to enhance fetal lung maturity if under 34 weeks gestation?

Answer 41

Betamethasone

Question 42

What is the classic triad of preeclampsia?

Answer 42

HTN, edema and proteinuria

Question 43

What is HELLP syndrome?

Answer 43

Hemolysis, elevated liver function and low platelets

Question 44

What is the most common risk factor for pre-eclampsia?

Answer 44

Nulliparity

Question 45

What is the first line medication to decrease the risk of seizure in mild pre- eclampsia?

Answer 45

magnesium sulfate (MGSO4)

Question 46

What BP medication should be given to decrease the BP in a pregnant woman?

Answer 46

Hydralazine or labetalol

Question 47

What is administered to Rh-negative Moms at 28 weeks?

Answer 47

Rho-Gam

Question 48

What is the test to measure fetomaternal hemorrhage?

Answer 48

Kleihauer-Betke (KB) stain

Question 49

What is the condition that develops if Rh-incompatibility leads to severe fetal anemia and death?

Answer 49

Fetal hydrops

Question 50

What is the most common cause of third trimester bleeding and when does it occur?

Answer 50

Abruptio placenta, after 20 weeks

Question 51

What is the major symptom in abruptio placenta?

Answer 51

Painful vaginal bleeding

Question 52

What is contraindicated in a patient with placenta previa?

Answer 52

Digital exam

Question 53

What is the key differentiating feature of placenta previa from abruption?

Answer 53

Previa is painless

Question 54

At what time interval is the APGAR assessed?

Answer 54

1 and 5 minutes

Question 55

What medication decreases blood loss by stimulating contractions?

Answer 55

Oxytocin

Question 56

What is the leading indication for cesarean section?

Answer 56

Dystonia

Question 57

When is endometritis most common?

Answer 57

After C-section or PROM for more than 24 hours before delivery

Question 58

What is the first line treatment for endometritis?

Answer 58

Clindamycin + gentamycin