PAEA WOMENS HEALTH EOR - GYN QUESTIONS
WITH VERIFIED ACCURATE ANSWERS
What is GTPAL? - Answers - Gravidy ( # of pregnancies, including current)
Term births ( 37 weeks +)
Preterm births (20-36 weeks)
Abortions/miscarriages
Living children
A 32-year-old woman comes to the clinic for a routine visit. She reports that she is
currently pregnant and is in her second trimester. She provides the following
information:
She has had 2 previous pregnancies: one resulted in a full-term delivery and one ended
in a miscarriage at 10 weeks of gestation.
She has 1 living child from her previous full-term pregnancy.
Use GTPAL naming. - Answers - G3 T1 P0 A1 L1
What are USPSTF cervical cancer screening guidelines? - Answers - Start at age 21-
65
Ages 21-29: pap every 3 years
Ages 30-65: Pap + HPV every 5 years or pap every 3 years
Age >65: stop screening if...
-no hx of moderate/severe
dysplasia or cancer AND 3 (-) paps in a row or 2 (-) PAP +HPV results in a row in past
10 yrs
Menstruation - Answers -
When does the follicular( proliferative) phase occur and what occurs during it? -
Answers - Days 0-14
GnRH (hypothalamus) stimulates FSH and LH release (anterior pituitary)
Follicle grows, secretes estrogen giving negative feedback initially
What does discharge look like during the follicular phase? What hormones are
predominant? - Answers - Discharge is raw egg white
High estrogen, low progesterone
What happens when estrogen is high enough? - Answers - FSH/LH surge leads to
ovulation - the release of the oocyte from the ovary, 14 days before menstruation
When does the luteal (secretory) phase occur and what occurs during it? - Answers -
Days 15-28
Corpus luteum which secretes progesterone → negative feedback on FSH/LH
, No pregnancy → Corpus albicans which no longer secretes estrogen and progesterone
Decrease in hormones → endometrial sloughing (menses)
What is primary amenorrhea? - Answers - Failure of menses to occur at 15 with
secondary sex characteristics
or at 13 without secondary sex characteristics
What are Hypothalamic-Pituitary Dysfunction causes of amenorrhea? - Answers -
•GnRH deficiency, pituitary dysfunction
•hyperprolactinemia
What is the most common cause of abnormal uterine bleeding in adolescent women? -
Answers - An immature hypothalamic-pituitary axis
What is treatment for prolactinoma? - Answers - Dopamine agonists (Cabergoline** or
Bromocriptine)
What is sheehan syndrome? - Answers - Postpartum pituitary necrosis due to
hypovolemia
What are OVARIAN causes of amenorrhea? - Answers - •Gonadal dysgenesis
(TURNERS)
•Ovarian failure
• PCOS
• Abnormal steroids, abnormal hormones
How does turner syndrome present? - Answers - Short stature, shield chest, widely
spaced nipples, and webbed neck.
Primary hypogonadism and primary ovarian insufficiency
What are ANATOMIC causes of primary amenorrhea? - Answers - Mullerian
Dysgenesis
Ashermans syndrome
What is mullerian dysgenesis? - Answers - Congenital absence of the uterus and upper
2/3 of the vagina, normal ovarian function and secondary sex characteristics
What is asherman syndrome? - Answers - Uterine adhesions secondary to postpartum
hemorrhage
What is secondary amenorrhea? - Answers - Absence of menses for 3 months in a
woman who has previously menstruated. If a woman has an irregular period, then 6
months
What is MCC of secondary amenorrhea? - Answers - Pregnancy
WITH VERIFIED ACCURATE ANSWERS
What is GTPAL? - Answers - Gravidy ( # of pregnancies, including current)
Term births ( 37 weeks +)
Preterm births (20-36 weeks)
Abortions/miscarriages
Living children
A 32-year-old woman comes to the clinic for a routine visit. She reports that she is
currently pregnant and is in her second trimester. She provides the following
information:
She has had 2 previous pregnancies: one resulted in a full-term delivery and one ended
in a miscarriage at 10 weeks of gestation.
She has 1 living child from her previous full-term pregnancy.
Use GTPAL naming. - Answers - G3 T1 P0 A1 L1
What are USPSTF cervical cancer screening guidelines? - Answers - Start at age 21-
65
Ages 21-29: pap every 3 years
Ages 30-65: Pap + HPV every 5 years or pap every 3 years
Age >65: stop screening if...
-no hx of moderate/severe
dysplasia or cancer AND 3 (-) paps in a row or 2 (-) PAP +HPV results in a row in past
10 yrs
Menstruation - Answers -
When does the follicular( proliferative) phase occur and what occurs during it? -
Answers - Days 0-14
GnRH (hypothalamus) stimulates FSH and LH release (anterior pituitary)
Follicle grows, secretes estrogen giving negative feedback initially
What does discharge look like during the follicular phase? What hormones are
predominant? - Answers - Discharge is raw egg white
High estrogen, low progesterone
What happens when estrogen is high enough? - Answers - FSH/LH surge leads to
ovulation - the release of the oocyte from the ovary, 14 days before menstruation
When does the luteal (secretory) phase occur and what occurs during it? - Answers -
Days 15-28
Corpus luteum which secretes progesterone → negative feedback on FSH/LH
, No pregnancy → Corpus albicans which no longer secretes estrogen and progesterone
Decrease in hormones → endometrial sloughing (menses)
What is primary amenorrhea? - Answers - Failure of menses to occur at 15 with
secondary sex characteristics
or at 13 without secondary sex characteristics
What are Hypothalamic-Pituitary Dysfunction causes of amenorrhea? - Answers -
•GnRH deficiency, pituitary dysfunction
•hyperprolactinemia
What is the most common cause of abnormal uterine bleeding in adolescent women? -
Answers - An immature hypothalamic-pituitary axis
What is treatment for prolactinoma? - Answers - Dopamine agonists (Cabergoline** or
Bromocriptine)
What is sheehan syndrome? - Answers - Postpartum pituitary necrosis due to
hypovolemia
What are OVARIAN causes of amenorrhea? - Answers - •Gonadal dysgenesis
(TURNERS)
•Ovarian failure
• PCOS
• Abnormal steroids, abnormal hormones
How does turner syndrome present? - Answers - Short stature, shield chest, widely
spaced nipples, and webbed neck.
Primary hypogonadism and primary ovarian insufficiency
What are ANATOMIC causes of primary amenorrhea? - Answers - Mullerian
Dysgenesis
Ashermans syndrome
What is mullerian dysgenesis? - Answers - Congenital absence of the uterus and upper
2/3 of the vagina, normal ovarian function and secondary sex characteristics
What is asherman syndrome? - Answers - Uterine adhesions secondary to postpartum
hemorrhage
What is secondary amenorrhea? - Answers - Absence of menses for 3 months in a
woman who has previously menstruated. If a woman has an irregular period, then 6
months
What is MCC of secondary amenorrhea? - Answers - Pregnancy
