Kobgyn 1100-1150

Front 1

Q1100. Diff Dx for Menorrhagia; (6)*

Back 1

A1100. LACE-UP:; Leiomyoma,; Adenomyosis,; Coagulopathy,; Endometrial Hyperplasia,; Uterine (Endometrial) or Cervical CA,; Polyps of endometrium

Front 2

Q1101. Diff Dx for postcoital bleeding; (3)

Back 2

A1101. Trauma,; Infection,; Cervical cancer

Front 3

Q1102. Definition:; pelvic pain assoc with ovulation

Back 3

A1102. Mittelschmerz

Front 4

Q1103. MCC of acute pelvic pain

Back 4

A1103. Ruptured ovarian cyst

Front 5

Q1104. Dx:; premenopausal patient complains of hemoptysis with each period

Back 5

A1104. Endometriosis of nasopharynx or lung

Front 6

Q1105. what must be completely visualized for adequate colposcopic evaluation?

Back 6

A1105. Transformation zone

Front 7

Q1106. what (4)* cancers metastasize to cervix by direct extension?

Back 7

A1106. RIB-Eye steak:; Rectal,; Intra-abdominal,; Bladder,; Endometrial

Front 8

Q1107. which cervical cancer is susceptable to radiation therapy?; which is not?

Back 8

A1107. Radiation: SCC of cervix; not: Adenocarcinoma of cervix

Front 9

Q1108. what are the 4 basic stages of endometrial CA?

Back 9

A1108. I: only uterine involvement; II: includes cervical involvement; III: includes local spread; IV: includes distant spread

Front 10

Q1109. what is the most important prognostic indicator of endometrial CA?

Back 10

A1109. Grade; G1 = Well differentiated; < 5% solid; G2 = Moderate differentiation; 5 - 50% solid; G3 = Poor differentiation; > 50% solid

Front 11

Q1110. Dx:; postmenopausal woman with a widening girth notices she can no longer button her pants

Back 11

A1110. Ovarian cancer

Front 12

Q1111. Definition:; a fixed pelvic and upper abdominal mass with ascites; what is it a sign of?

Back 12

A1111. Omental caking; sign: Ovarian cancer

Front 13

Q1112. what GYN cancers are staged Surgically?; Clinically?

Back 13

A1112. Surgically:; Ovarian,; Endometrial; Clinically:; Cervical

Front 14

Q1113. In addition to a TAH/BSO for epithelial cell ovarian cancer, what is the Tx in stages I-IV?

Back 14

A1113. Stage I and II: Only chemotherapy (Taxol and Cisplatin); Stage III and IV: Chemotherapy plus... 1. Radiation if tumor < 2 cm; 2. Interval Debulking (more surgery) if > 2 cm

Front 15

Q1114. what is the tumor marker for a Granulosa-Theca cell tumor?

Back 15

A1114. Inhibin (and high estrogen)

Front 16

Q1115. what is the tumor marker for a Sertoli-Leydig ovarian tumor?

Back 16

A1115. Testosterone

Front 17

Q1116. what class of female cancers secrete hCG, Lactogen and Thyrotropin?

Back 17

A1116. Gestational Trophoblastic Neoplasias (GTN)

Front 18

Q1117. what is the criteria for hospitalization for PID?; (5)*

Back 18

A1117. GU PAP:; GI symptoms,; Unknown Dx,; Peritonitis,; Abscess,; Pregnancy

Front 19

Q1118. what is the diagnostic test for Gonorrhea?

Back 19

A1118. culture on Thayer-Martin agar

Front 20

Q1119. what is the diagnostic test for chlamydia?

Back 20

A1119. Microimmunofluorescence test (MIF)

Front 21

Q1120. Dx:; painless papule on genitals, lymphadenitis, rectovaginal fistula

Back 21

A1120. Lymphogranuloma Venereum (LGV); [serotype L1-L3 of chlamydia]

Front 22

Q1121. what is the level of Vaginal Prolapse with each Grade I-IV?

Back 22

A1121. I: to level of Ischial spines; II: b/t Ischial spines and Introitus; III: within Introitus; IV: past Introitus

Front 23

Q1122. what type of incontinence does the Q-tip test measure?

Back 23

A1122. Stress incontinence

Front 24

Q1123. Common COD for Ovarian CA patient?

Back 24

A1123. Mets to bowel causing obstruction

Front 25

Q1124. if a female patient has HIV, what cancer will progress the Dx to AIDS?

Back 25

A1124. Cervical CA; (HPV)

Front 26

Q1125. what is the next step if you cannot see the transformation zone on colposcopy?

Back 26

A1125. LEEP procedure

Front 27

Q1126. what is the only cancer you can slice through without taking all of it out?

Back 27

A1126. Ovarian CA

Front 28

Q1127. Definition:; Absence of spermatozoa

Back 28

A1127. Azoospermia

Front 29

Q1128. Definition:; Low concentration of spermatozoa

Back 29

A1128. Oligozoospermia

Front 30

Q1129. Definition:; Poor motility of sperm

Back 30

A1129. Asthenozoospermia

Front 31

Q1130. Definition:; Poor morphology of sperm

Back 31

A1130. Teratozoospermia

Front 32

Q1131. what is the difference in FSH levels of the Dx of Poor Oocyte Reserve versus Premature Ovarian Failure?; what are estrogen levels with each?

Back 32

A1131. Poor Oocyte Reserve:; FSH > 10; Estrogen = normal; Premature Ovarian Failure:; FSH > 25; Estrogen is Low (same as menopause)

Front 33

Q1132. Dx:; 35yo female with secondary amenorrhea, low estrogen and very high FSH and LH

Back 33

A1132. Premature Ovarian Failure; (menopause in female < 36 yo)

Front 34

Q1133. MCC of maternal death in the first trimester

Back 34

A1133. Ectopic pregnancy

Front 35

Q1134. what is the cause of vaginal lubrication during sex?

Back 35

A1134. Vaginal Transudation; (edema from engorged vaginal vessels)

Front 36

Q1135. Dx:; patient ovulates day 14 and starts bleeding day 22; low progesterone; Dx exam?

Back 36

A1135. Luteal Phase Defect (shortened luteal phase); Dx exam: Late Luteal Phase endometrial biopsy

Front 37

Q1136. (3) reasons to use a Sterile vaginal Speculum on assessing the Laboring patient

Back 37

A1136. 1. Suspect Rupture of Membranes; 2. Preterm Labor; 3. signs of Placenta Previa

Front 38

Q1137. Dx:; PID with Perihepatic inflammation and adhesions from liver to diaphragm

Back 38

A1137. Fitz-Hugh-Curtis syndrome

Front 39

Q1138. What is the next step in Tx for a patient with ASCUS?

Back 39

A1138. Repeat Pap smear in 3 months

Front 40

Q1139. Patient comes in with a suspected Fibroadenoma. Next step?

Back 40

A1139. Ultrasound (cannot send home without checking; this is sufficient to confirm Dx0

Front 41

Q1140. How long should HRT be used?

Back 41

A1140. 6 - 12 months; (then if Sx persist, switch to another method)

Front 42

Q1141. Most deaths from Cervical CA are due to what?

Back 42

A1141. Uremia; (and pyelonephritis)

Front 43

Q1142. Most common form of contraception in USA?

Back 43

A1142. Sterilization

Front 44

Q1143. Pregnant woman comes in with a gush of clear fluid from the vagina. First step?

Back 44

A1143. Sterile Vaginal Exam

Front 45

Q1144. Dx test for HSV

Back 45

A1144. Viral Culture (not Tzank smear)

Front 46

Q1145. Medicine to rapidly relax the Uterus if it is inverted?; (2)

Back 46

A1145. 1. Nitroglycerine; 2. Terbutaline

Front 47

Q1146. Most sensitive test to distinguish types of Incontinence

Back 47

A1146. Urethrocystometry

Front 48

Q1147. 50-yo patient with Breast CA presents with Lytic lesions of the spine. First step?

Back 48

A1147. Radiation

Front 49

Q1148. Greatest risk factor for Endometrial Hyperplasia

Back 49

A1148. Obesity; (50lbs overweight increases risks 10 times)

Front 50

Q1149. 3-yo develops breasts without vaginal bleeding or pubic hair; First step?; Dx?

Back 50

A1149. First: obtain Serum Estradiol level; Dx: Premature Thelarche; (MC before age 4 due to increase circulating E2; No Tx)

Front 51

Q1150. Ligament that contains the Ovarian artery and vein

Back 51

A1150. Infundibulopelvic ligament