OBGYN PAEA QUESTIONS WITH VERIFIED
ACCURATE ANSWERS
What is the management of hydadiform moles - Answers - Suction curettage with
dilation and curettage (D&C)
Hysterectomy if childbearing complete (do not need to follow up with beta)
Cycle length > 35 days - Answers - oligomenorrhea
Cycle length < 21 days - Answers - polymenorrhea
Scanty menstruation - Answers - hypomenorrhea
Absence of menses for 6 months - Answers - amenorrhea
Regular cycles; escessive flow, duration - Answers - menorrhagia
Irregular cycles - Answers - metrorrhagia
Irregular cycles; escessive flow, duration - Answers - menometorrhagia
The _________ phase of the menstrual cycle has a decrease in estradoil (FSH, LH) and
increase in progesterone - Answers - SECRETORY
What is AMENORRHEA definition - Answers - age 16 in a woman with apparently
normal sexual development
Age 14 in a woman with no secondary sexual characteristics
What is the definition of SECONDARY Amenorrhea - Answers - previously had menses,
but has not had it now for 6 months
What is the MC cause of DUB in patients < 16 years old - Answers - anovulation
What is the MC cause of DUB in patients 16-40 years old - Answers - pregnancy
What is the MC cause of DUB in patients >40 years old - Answers - endometrial cancer
What is the TX for AUB-ovulatory dysfunction - Answers - progestins: limit and stabilize
endometrial growth
What is the TX for menorrhagia AUB - Answers - NSAID-reduce blood loss
, What is the treatment for intractable heavy bleeding in a women with AUB - Answers -
gnrh agonist "Depot leuprolide"
If AUB is NOT controlled by hormonal TX what is the next step - Answers -
hysteroscopy with tissue sampling
How do you confirm the DX of menopause - Answers - elevated FSH and LOW
estradiol --FSH ASSAY
Pelvic exam reveals pale, smooth vaginal mucosa and small cervix & uterus - Answers -
Vaginal atrophy
What is the Treatment for Menopause
If mild
If moderate-severe - Answers - Mild--- lifestyle modifications (increase water, decreased
caffeine)
Moderate to Severe-- HRT: estrogen/progestin or estrogen (if prev. Hysterectomy)
What is the RISK of using Estrogen + progesterone - Answers - venous
thrmoboembolism
PE shows a pale, dry and shiny epithelium in postmenopausal women - Answers -
atrophic vaginitis
In what stage is PMS noted - Answers - luteal phase
What is the treatment plan for PMS
Always
First line
Second line
Third line - Answers - ALWAYS-- diet + exercise for MILD
First line-- SSRI: sertraline or fluoxetine + NSAID
Second line-- OCP
Third-line-- leuprolide (gnrh) and oral contraceptives
What is the etiology of PMDD - Answers - 5-HT
What is the TX for trichomonas - Answers - Metronidazole 2g PO Single dose
What is the TX for GC - Answers - Ceftriaxone IM + Azithromycin PO
What is the MC reported infectious disease in the US - Answers - Chlamydia
ACCURATE ANSWERS
What is the management of hydadiform moles - Answers - Suction curettage with
dilation and curettage (D&C)
Hysterectomy if childbearing complete (do not need to follow up with beta)
Cycle length > 35 days - Answers - oligomenorrhea
Cycle length < 21 days - Answers - polymenorrhea
Scanty menstruation - Answers - hypomenorrhea
Absence of menses for 6 months - Answers - amenorrhea
Regular cycles; escessive flow, duration - Answers - menorrhagia
Irregular cycles - Answers - metrorrhagia
Irregular cycles; escessive flow, duration - Answers - menometorrhagia
The _________ phase of the menstrual cycle has a decrease in estradoil (FSH, LH) and
increase in progesterone - Answers - SECRETORY
What is AMENORRHEA definition - Answers - age 16 in a woman with apparently
normal sexual development
Age 14 in a woman with no secondary sexual characteristics
What is the definition of SECONDARY Amenorrhea - Answers - previously had menses,
but has not had it now for 6 months
What is the MC cause of DUB in patients < 16 years old - Answers - anovulation
What is the MC cause of DUB in patients 16-40 years old - Answers - pregnancy
What is the MC cause of DUB in patients >40 years old - Answers - endometrial cancer
What is the TX for AUB-ovulatory dysfunction - Answers - progestins: limit and stabilize
endometrial growth
What is the TX for menorrhagia AUB - Answers - NSAID-reduce blood loss
, What is the treatment for intractable heavy bleeding in a women with AUB - Answers -
gnrh agonist "Depot leuprolide"
If AUB is NOT controlled by hormonal TX what is the next step - Answers -
hysteroscopy with tissue sampling
How do you confirm the DX of menopause - Answers - elevated FSH and LOW
estradiol --FSH ASSAY
Pelvic exam reveals pale, smooth vaginal mucosa and small cervix & uterus - Answers -
Vaginal atrophy
What is the Treatment for Menopause
If mild
If moderate-severe - Answers - Mild--- lifestyle modifications (increase water, decreased
caffeine)
Moderate to Severe-- HRT: estrogen/progestin or estrogen (if prev. Hysterectomy)
What is the RISK of using Estrogen + progesterone - Answers - venous
thrmoboembolism
PE shows a pale, dry and shiny epithelium in postmenopausal women - Answers -
atrophic vaginitis
In what stage is PMS noted - Answers - luteal phase
What is the treatment plan for PMS
Always
First line
Second line
Third line - Answers - ALWAYS-- diet + exercise for MILD
First line-- SSRI: sertraline or fluoxetine + NSAID
Second line-- OCP
Third-line-- leuprolide (gnrh) and oral contraceptives
What is the etiology of PMDD - Answers - 5-HT
What is the TX for trichomonas - Answers - Metronidazole 2g PO Single dose
What is the TX for GC - Answers - Ceftriaxone IM + Azithromycin PO
What is the MC reported infectious disease in the US - Answers - Chlamydia
