Female Gyn

Front 1

Patient presents with edema, heachache, weight gain, irritability, nervousness, dysphoria, and lack of coordination. Symptoms started 5 days before menstration and subsided with the onset of menses. What is the syndrome?

Back 1

Premenstrual syndrome

Front 2

What is the definition of infertility?

Back 2

Inability to conceive over a period of 1 year.

Front 3

The presence and growth of endometrial tissue outside the uterus that causes pelvic pain, dysmenorrhea and heavy or prolonged menstrual flow is called what?

Back 3

endometriosis

Front 4

Endometriosis
What are the findings on bimanual examination?
How do you confirm the diagnosis of endometriosis?

Back 4

1. Tender nodules may be palpable along the uterosacral ligaments
2. Laparoscopy

Front 5

Patient presents with warty, cauliflower-like lesions on the labia, within the vestibule or in the perianal region.
What is the dx and the implicated virus?

Back 5

Condylomata acuminatum
HPV

Front 6

Patient presents with whit or flesh colored, dome shaped papules that has a characteristic central umblication from which a thick creamy core can be expressed. What is the dx and the implicated virus?

Back 6

Molluscum contagiosum
Poxvirus

Front 7

Patient presents 6 weeks after an infection with syphillis, with flat, round or oval papules covered by a gray exudate. What is the diagnosis?

Back 7

condyloma latum
Secondary syphilis

Front 8

Patient presents with a firm, painless ulcer. What is the diagnosis?

Back 8

Syphilitic chancre (primary syphilis)

Front 9

Patient presents with small red vesicles that may itch, and are painful on the vulva. What is the diagnosis?

Back 9

Herpes lesions

Front 10

What are signs of acute inflammed bartholin gland?

Back 10

Produces a hot, red tender, fluctuant swelling that may drain pus

Front 11

Patient presents with edema, heachache, weight gain, irritability, nervousness, dysphoria, and lack of coordination. Symptoms started 5 days before menstration and subsided with the onset of menses. What is the syndrome?

Back 11

Premenstrual syndrome

Front 12

What is the definition of infertility?

Back 12

Inability to conceive over a period of 1 year.

Front 13

The presence and growth of endometrial tissue outside the uterus that causes pelvic pain, dysmenorrhea and heavy or prolonged menstrual flow is called what?

Back 13

endometriosis

Front 14

Endometriosis
What are the findings on bimanual examination?
How do you confirm the diagnosis of endometriosis?

Back 14

1. Tender nodules may be palpable along the uterosacral ligaments
2. Laparoscopy

Front 15

Patient presents with warty, cauliflower-like lesions on the labia, within the vestibule or in the perianal region.
What is the dx and the implicated virus?

Back 15

Condylomata acuminatum
HPV

Front 16

Patient presents with whit or flesh colored, dome shaped papules that has a characteristic central umblication from which a thick creamy core can be expressed. What is the dx and the implicated virus?

Back 16

Molluscum contagiosum
Poxvirus

Front 17

Patient presents 6 weeks after an infection with syphillis, with flat, round or oval papules covered by a gray exudate. What is the diagnosis?

Back 17

condyloma latum
Secondary syphilis

Front 18

Patient presents with a firm, painless ulcer. What is the diagnosis?

Back 18

Syphilitic chancre (primary syphilis)

Front 19

Patient presents with small red vesicles that may itch, and are painful on the vulva. What is the diagnosis?

Back 19

Herpes lesions

Front 20

What are signs of acute inflammed bartholin gland?

Back 20

Produces a hot, red tender, fluctuant swelling that may drain pus

Front 21

What are signs of chronic inflammed bartholin glands?

Back 21

Results in a nontender cyst on the labium

Front 22

What infection is usually implicated in the inflammation of bartholin glands?

Back 22

Gonococcal infections

Front 23

What is a cystocele?

Back 23

A hernial protrusion of the urinary bladder through the anterior wall of the vagina, sometimes even exiting the introitus

Front 24

What is a rectocele?

Back 24

A hernial protrusion of the rectum through the posterior wall of the vagina

Front 25

Patient presents with vaginal discharge, lesions, and masses. Patient has a history of spotting, pain and changes in urinary habits. The patient was exposed to DES in utero. What is the diagnosis?

Back 25

Carcinoma of the vulva and vagina

Front 26

Patient presents with a bright red polyoid growth that protrudes from the urethral meatus with no other symptoms. What is the diagnosis?

Back 26

Urethral caruncle

Front 27

Patient presents with increase in discharge, clear or mucoid discharge. Wet mount: 3-5 WBCs; epithelial cells. What is the condition?

Back 27

Physiologic vaginitis

Front 28

Patient presents with foul-smelling discharge; complains of fishy odor. There is a homogenous thin, white/grey discharge. Wet mount: + for clue cells. What is the condition?

Back 28

Bacterial vaginosis
(Gardnerella vaginalis)

Front 29

Patient presents with pruritic discharge; itching may extend to thighs, white, curdy discharge. KOH prep: budding, branching yeast, pseudohypha.What is condition?

Back 29

Candida vulvovaginitis
(Candida albicans)

Front 30

Patient present with watery discharge; foul odor; dysuria and dyspareunia iwth severe infection. Discharge is profuse, greenish, discharge; strawberry cervix. Wet mount: round/pearshaped protozoa, motile "gyrating" flagella. What is the conditon?

Back 30

Trichomoniasis
(Trichomonas vaginalis)

Front 31

Patient presents with purulent discharge from cervix; Skene/Bartholin inflammation. Patient has a partner with STI, What is the condition?

Back 31

Gonorrhea
(Neisseria gonorrhea)

Front 32

Patient complains of spotting after intercourse or urethritis, may have purulent discharge. Patient's partner has nongonococcal urethritis. What is the condition?

Back 32

Chlamydia
(Chlamydia trachomatis)

Front 33

Patient presents with dyspareunia; vaginal dryness; maybe perimenopausal or postmenopausal. Patient has pale, thin vaginal mucosa; wet mount: folded, clumped epithelial cells. What is the condition?

Back 33

Atrophic vaginitis

Front 34

Patient has a fowl smelling; Wet mount: WBCs. Patient history is positive for new bubble bath, soap, douche, or other hygiene products. What is the condition?

Back 34

Allergic vaginitis

Front 35

Patient presents with red and swollen vulva; vaginal discharge that is bloody/foul-smelling. History of tampon, condom or diaphragm use. What is the condition?

Back 35

Foreign body

Front 36

What is cervical lacerations caused by?

Back 36

Trauma, most often childbirth

Front 37

Lacerations can produce what?

Back 37

Lateral transverse, bilateral transverse, or stellate scarring

Front 38

Enlarged fluid-filled retention cysts often distord the shape of the cervix. They vary in size and may occur singly or multiples. What is the disorder?

Back 38

Infected nabothian cysts

Front 39

This disorder usually arises from the endocervical canal. They appear bright red, soft and fragile. What is the disorder?

Back 39

Cerival polyps

Front 40

This disorder produces a hard granular surface at or near the cerival os. The lesion can evolve to form an extensive irregular cauliflower growth that bleeds easily. It is detected by Pap smear. What is the disorder?

Back 40

Cervical carcinoma

Front 41

Patient presents with columnar epithelium from the cervical canal that appears as shiny red tissue around the os that may bleed easily. This is not abnormal. What is the disorder?

Back 41

Ectropion

Front 42

Can you differentiate cervical carcinoma from ectropion?

Back 42

No

Front 43

Uterus prolapse results from?

Back 43

The weakening of the supporting structures of the pelvic floor

Front 44

Uterine prolapse:
The cervix remains within the vagina.
What is the degree of prolapse?

Back 44

First degree prolapse

Front 45

Uterine prolapse:
The cervix is at the introitus.
What is the degree of prolapse?

Back 45

Second degree prolapse

Front 46

Uterine prolapse:
The cervix and vagina drop outside the introitus.
What is the degree of prolapse?

Back 46

Third degree prolapse

Front 47

Types of Uterine Bleeding:
Midcyle spotting.
What is its common causes?

Back 47

Midcycle estradiol fluctuation associated with ovulation

Front 48

Types of Uterine Bleeding:
Delayed menstruation.
What is its common causes?

Back 48

Anovulation or threatened abortion with excessive bleeding

Front 49

Types of Uterine Bleeding:
Frequent bleeding.
What is its common causes?

Back 49

Chronic PID, endometriosis, DUB, anovulation

Front 50

Types of Uterine Bleeding:
Profuse menstrual.
What is its common causes?

Back 50

Endometrial polyps, DUB, adenoyosis, submucous bleding leiomyomas, IUD

Front 51

Types of Uterine Bleeding:
Intermenstrual or irregular bleeding.
What is its common causes?

Back 51

Endometrial polyps, DUB, uterine or cervical cancer, oral contraceptives

Front 52

Types of Uterine Bleeding:
Postmenopausal bleeding.
What is its common causes?

Back 52

Endometrial hyperplasia, estrogen therapy, endometrial cancer

Front 53

Patient presents with enlarged uterus. Examination reveals a benign uterine tumor that appear as firm, irregular nodules in the contour of the uterus. What is the disorder?

Back 53

Myomas (Leiomyomas, Fibroids)

Front 54

A postmenopausal woman presents with vaginal bleeding. Examination reveals cancerous glandular cells in the lining of the uterus. What is the diagnosis?

Back 54

Endometrial carcinoma

Front 55

What is the most known risk factors for endometrial cancer?

Back 55

It is linked to the balance between estrogen and progesterone

Front 56

What is the difference between an ovarian cyst and an ovarian tumor?

Back 56

Cysts tend to be smooth and sometimes compressible, whereas tumors feel more solid and nodular. Neither is tender

Front 57

When should you suspect ovarian cancer in a woman?

Back 57

In a woman older than 40 with persistent and unexplained vague GI symptoms such as discomfort, gas, indigestion, pressure, swelling, bloating, cramps, or feeling of fullness after a light meal.

Front 58

Patient presents with marked pelvic tenderness, with tenderness and rigidity of the lower abdomen. Motion of cervix produces pain. What is the disorder?

Back 58

Ruptured tubal pregnancy

Front 59

If a patient with a ruptured tubal pregnancy also present with tachycardia and shock what does that indicate?

Back 59

It reflects the hemorrhage into the peritoneal cavity and cardiovascular collapse

Front 60

What are the symptoms of acute PID?

Back 60

Very tender, bilateral adnexal areas; the patient guards and usually cannot tolerate bimanual examination.

Front 61

What are the symptoms of chronic PID?

Back 61

Bilateral, tender, and fairly fixed adnexal areas

Front 62

PID is often caused by what infections?

Back 62

Gonococcal and chlamydial infections

Front 63

What is salpingitis associated with?

Back 63

PID

Front 64

What are the symptoms of salingitis?

Back 64

It causes lower quadrant pain with tenderness on bimanual examination

Front 65

Ambiguous genitalia:
Partially fused labia suggest what?

Back 65

The presence of a scrotum

Front 66

Ambiguous genitalia:
A urinary meatus that is not located behind the clitoris indicates what?

Back 66

The presence of a penis

Front 67

What is hydrocolpos?

Back 67

Vaginal secretions can collect behind an imperforate hymen.

Front 68

Hydrocolpos may be manifested by?

Back 68

By a small midline lower abdominal mass or a small cystic mass between the labia

Front 69

Whati s vulvovaginitis?

Back 69

Vaginal discharge that is accompanied by warm, erythematous, and swollen vulvar tissue

Front 70

What are some causes of vulvovaginitis?

Back 70

Sexual abuse; trichomonal, monilial, or gonococcal infection; secondary infection from a foreign body, and nonspecific infections from bubble baths, diaper irritation, urethritis and injury

Front 71

How do you verify premature rupture of membranes (PROM)

Back 71

Should be verified with a with a sterile speculum exam to collect fluid for testing with Nitrazine.

Front 72

What is prolapse of the umbilical cord?

Back 72

When the presenting part of the fetus does not fill the pelvic inlet, a loop of cord may advance with the presenting part

Front 73

What are some predisposing factor for prolapse of the umbilical cord?

Back 73

Premature labor, a fetus in breech presentation or transverse position, hydramnios, a high or floating presenting part, and multiple pregnancy

Front 74

The presence of variable deceleration in fetal heart rate is associated with?

Back 74

Compression of the cord

Front 75

What causes atrophic vaginitis?

Back 75

Caused by lack of estrogen

Front 76

An older female presents with dry and pale vaginal mucosa that is accompanied with a vaginal discharge may have what?

Back 76

Atrophic vaginitis