saem m4 curriculum 2 Exam Newest 2026
Questions and Correct Detailed Answers
Already Graded A+
risk factors for torsion - CORRECT ANSWER-ovary with a mass or cyst is more
prone to twisting by virtue of its asymmetry
classic present torsion - CORRECT ANSWER-sudden onset of unilateral lower
abdominal pain which is initially visceral in character (ie, vague and poorly
localized) and may be accompanied by nausea and vomiting. It may radiate to the
groin or flank.
intermittent torsion - CORRECT ANSWER-several episodes of pain over the
course of hours, days, or even weeks,
why does current pregnancy inc risk of torsion - CORRECT ANSWER-corpus
lutem cyst on ovary
tests for torsion - CORRECT ANSWER-There are no laboratory tests which are
helpful in establishing the diagnosis of adnexal torsion
,best way to dx torsion - CORRECT ANSWER-US
careful with US: - CORRECT ANSWER-important to note that the presence of
Doppler blood flow does not exclude the diagnosis of torsion
signs of torsion on US - CORRECT ANSWER--enlargement/edema of ovary
-ovrian mass or cyst
-free pelvic fluid
what does CT torsion show - CORRECT ANSWER-finding an enlarged ovary or
ovarian mass
-assocaited free fluid
-thick fallopian tube
-deviation of uterus to the affected side
PID cause - CORRECT ANSWER-originates as a cervical infection with Neisseria
gonorrheaand/or Chlamydia trachomatis, and becomes polymicrobial as it
ascends into the uterus, fallopian tubes and ovaries.
3 sx PID - CORRECT ANSWER--lower abd pain
,-purulent vag d/c
-vag bleed
when getPID sx - CORRECT ANSWER-Symptoms begin shortly after the start of
the menstrual cycle, when there are fewer defenses by the cervical mucosal
barrier to ascending infections.
PID with gonnoccal - CORRECT ANSWER-more likely to appear toxic (fever,
N/V)
dont forget one risk factor pid - CORRECT ANSWER--recent instrumentation of
uterus
common exam findings pid - CORRECT ANSWER--b/l adenexal tenderness
-cervical d/c
cervical motion tenderness
-uterine tender
-lower abd tenderness
if pain is u/l think more - CORRECT ANSWER-TOA
, if RUQ tender think - CORRECT ANSWER-Fitz-Hugh Curtis (perihepatitis,
inflamation of liver capsule)
best test for gonorrohea and chlaymida - CORRECT ANSWER-NAAT with PCR
or DNA probes (either urine or cervical secretions)
if suspect TOA get - CORRECT ANSWER-US
ruptured ovarian cyst shows - CORRECT ANSWER-free fluid in pouch of
douglas
ovarian torsion shows - CORRECT ANSWER-absence of blood flow to one ovary
on pelvic ultrasound with doppler
why US>CT - CORRECT ANSWER-CT cannot eval for torsion bc there is no
doppler
who gets abx for PID - CORRECT ANSWER--lower abdominal or pelvic pain
coupled with adnexal, uterine or cervical motion tenderness on exam, in a patient
at risk for STDs with no other discernible cause for the illness identified
Questions and Correct Detailed Answers
Already Graded A+
risk factors for torsion - CORRECT ANSWER-ovary with a mass or cyst is more
prone to twisting by virtue of its asymmetry
classic present torsion - CORRECT ANSWER-sudden onset of unilateral lower
abdominal pain which is initially visceral in character (ie, vague and poorly
localized) and may be accompanied by nausea and vomiting. It may radiate to the
groin or flank.
intermittent torsion - CORRECT ANSWER-several episodes of pain over the
course of hours, days, or even weeks,
why does current pregnancy inc risk of torsion - CORRECT ANSWER-corpus
lutem cyst on ovary
tests for torsion - CORRECT ANSWER-There are no laboratory tests which are
helpful in establishing the diagnosis of adnexal torsion
,best way to dx torsion - CORRECT ANSWER-US
careful with US: - CORRECT ANSWER-important to note that the presence of
Doppler blood flow does not exclude the diagnosis of torsion
signs of torsion on US - CORRECT ANSWER--enlargement/edema of ovary
-ovrian mass or cyst
-free pelvic fluid
what does CT torsion show - CORRECT ANSWER-finding an enlarged ovary or
ovarian mass
-assocaited free fluid
-thick fallopian tube
-deviation of uterus to the affected side
PID cause - CORRECT ANSWER-originates as a cervical infection with Neisseria
gonorrheaand/or Chlamydia trachomatis, and becomes polymicrobial as it
ascends into the uterus, fallopian tubes and ovaries.
3 sx PID - CORRECT ANSWER--lower abd pain
,-purulent vag d/c
-vag bleed
when getPID sx - CORRECT ANSWER-Symptoms begin shortly after the start of
the menstrual cycle, when there are fewer defenses by the cervical mucosal
barrier to ascending infections.
PID with gonnoccal - CORRECT ANSWER-more likely to appear toxic (fever,
N/V)
dont forget one risk factor pid - CORRECT ANSWER--recent instrumentation of
uterus
common exam findings pid - CORRECT ANSWER--b/l adenexal tenderness
-cervical d/c
cervical motion tenderness
-uterine tender
-lower abd tenderness
if pain is u/l think more - CORRECT ANSWER-TOA
, if RUQ tender think - CORRECT ANSWER-Fitz-Hugh Curtis (perihepatitis,
inflamation of liver capsule)
best test for gonorrohea and chlaymida - CORRECT ANSWER-NAAT with PCR
or DNA probes (either urine or cervical secretions)
if suspect TOA get - CORRECT ANSWER-US
ruptured ovarian cyst shows - CORRECT ANSWER-free fluid in pouch of
douglas
ovarian torsion shows - CORRECT ANSWER-absence of blood flow to one ovary
on pelvic ultrasound with doppler
why US>CT - CORRECT ANSWER-CT cannot eval for torsion bc there is no
doppler
who gets abx for PID - CORRECT ANSWER--lower abdominal or pelvic pain
coupled with adnexal, uterine or cervical motion tenderness on exam, in a patient
at risk for STDs with no other discernible cause for the illness identified
