3/26/26, 8:10 AM Saem m4 curriculum 2 EXAM Questions with 100% Correct Answers | Verified || ACTUAL EXAM 2026 TEST!! Graded A+ | 2025|20…
Saem m4 curriculum 2 EXAM Questions with
100% Correct Answers | Verified || ACTUAL EXAM
2026 TEST!! Graded A+ | 2025|2026 EXAM
UPDATE
Save
Terms in this set (362)
PID cause 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 -lower abd pain
-purulent vag d/c
-vag bleed
when getPID sx 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 more likely to appear toxic (fever, N/V)
dont forget one risk factor pid -recent instrumentation of uterus
https://quizlet.com/1160644890/saem-m4-curriculum-2-exam-questions-with-100-correct-answers-verified-actual-exam-2026-test-graded-a-20252026… 1/41
,3/26/26, 8:10 AM Saem m4 curriculum 2 EXAM Questions with 100% Correct Answers | Verified || ACTUAL EXAM 2026 TEST!! Graded A+ | 2025|20…
common exam findings pid -b/l adenexal tenderness
-cervical d/c
cervical motion tenderness
-uterine tender
-lower abd tenderness
if pain is u/l think more TOA
if RUQ tender think Fitz-Hugh Curtis (perihepatitis, inflamation of liver
capsule)
best test for gonorrohea and NAAT with PCR or DNA probes (either urine or
chlaymida cervical secretions)
if suspect TOA get US
ruptured ovarian cyst shows free fluid in pouch of douglas
ovarian torsion shows absence of blood flow to one ovary on pelvic
ultrasound with doppler
why US>CT CT cannot eval for torsion bc there is no doppler
who gets abx for PID -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
complications of pid -chronic pelvic pain
-infertility
-ectopic
-toa
-fitz-hiugh curtis
https://quizlet.com/1160644890/saem-m4-curriculum-2-exam-questions-with-100-correct-answers-verified-actual-exam-2026-test-graded-a-20252026… 2/41
,3/26/26, 8:10 AM Saem m4 curriculum 2 EXAM Questions with 100% Correct Answers | Verified || ACTUAL EXAM 2026 TEST!! Graded A+ | 2025|20…
toa process walled-off abscess that originates in the infected
fallopian tube and extends to involve the ovary
how confirm dx of Fitz hugh curtis elevated liver fxn tests
inpatient abx pid -cefoxitin + doxy
or
-cefotentan + doxy
or
clinda+gentamycin
outpatient abx pid? add _____ if 2 -ceftriaxone
-doxy
-add metro if severe infection or hx of uterine
instrumentation
who getsa dmitted -toa
-fitz hugh curtis
-septic
-peritontiis
-pre-pubertal kid
-iud (which needs to be removed)
-pregnant
d/c with PID need what testing test for other STD
describe whats going on in ovarian ovary, and often the fallopian tube as well (adnexal
torsion torsion) become twisted around their vascular
pedicle.
progression of torsion twisting initially obstructs venous flow, which
causes engorgement and edema. The
engorgement can progress until arterial flow is
compromised, leading to ischemia and infarction
https://quizlet.com/1160644890/saem-m4-curriculum-2-exam-questions-with-100-correct-answers-verified-actual-exam-2026-test-graded-a-20252026… 3/41
, 3/26/26, 8:10 AM Saem m4 curriculum 2 EXAM Questions with 100% Correct Answers | Verified || ACTUAL EXAM 2026 TEST!! Graded A+ | 2025|20…
risk factors for torsion ovary with a mass or cyst is more prone to twisting
by virtue of its asymmetry
classic present torsion 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 several episodes of pain over the course of hours,
days, or even weeks,
why does current pregnancy inc risk corpus lutem cyst on ovary
of torsion
tests for torsion There are no laboratory tests which are helpful in
establishing the diagnosis of adnexal torsion
best way to dx torsion US
careful with US: important to note that the presence of Doppler
blood flow does not exclude the diagnosis of
torsion
signs of torsion on US -enlargement/edema of ovary
-ovrian mass or cyst
-free pelvic fluid
what does CT torsion show finding an enlarged ovary or ovarian mass
-assocaited free fluid
-thick fallopian tube
-deviation of uterus to the affected side
https://quizlet.com/1160644890/saem-m4-curriculum-2-exam-questions-with-100-correct-answers-verified-actual-exam-2026-test-graded-a-20252026… 4/41
Saem m4 curriculum 2 EXAM Questions with
100% Correct Answers | Verified || ACTUAL EXAM
2026 TEST!! Graded A+ | 2025|2026 EXAM
UPDATE
Save
Terms in this set (362)
PID cause 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 -lower abd pain
-purulent vag d/c
-vag bleed
when getPID sx 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 more likely to appear toxic (fever, N/V)
dont forget one risk factor pid -recent instrumentation of uterus
https://quizlet.com/1160644890/saem-m4-curriculum-2-exam-questions-with-100-correct-answers-verified-actual-exam-2026-test-graded-a-20252026… 1/41
,3/26/26, 8:10 AM Saem m4 curriculum 2 EXAM Questions with 100% Correct Answers | Verified || ACTUAL EXAM 2026 TEST!! Graded A+ | 2025|20…
common exam findings pid -b/l adenexal tenderness
-cervical d/c
cervical motion tenderness
-uterine tender
-lower abd tenderness
if pain is u/l think more TOA
if RUQ tender think Fitz-Hugh Curtis (perihepatitis, inflamation of liver
capsule)
best test for gonorrohea and NAAT with PCR or DNA probes (either urine or
chlaymida cervical secretions)
if suspect TOA get US
ruptured ovarian cyst shows free fluid in pouch of douglas
ovarian torsion shows absence of blood flow to one ovary on pelvic
ultrasound with doppler
why US>CT CT cannot eval for torsion bc there is no doppler
who gets abx for PID -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
complications of pid -chronic pelvic pain
-infertility
-ectopic
-toa
-fitz-hiugh curtis
https://quizlet.com/1160644890/saem-m4-curriculum-2-exam-questions-with-100-correct-answers-verified-actual-exam-2026-test-graded-a-20252026… 2/41
,3/26/26, 8:10 AM Saem m4 curriculum 2 EXAM Questions with 100% Correct Answers | Verified || ACTUAL EXAM 2026 TEST!! Graded A+ | 2025|20…
toa process walled-off abscess that originates in the infected
fallopian tube and extends to involve the ovary
how confirm dx of Fitz hugh curtis elevated liver fxn tests
inpatient abx pid -cefoxitin + doxy
or
-cefotentan + doxy
or
clinda+gentamycin
outpatient abx pid? add _____ if 2 -ceftriaxone
-doxy
-add metro if severe infection or hx of uterine
instrumentation
who getsa dmitted -toa
-fitz hugh curtis
-septic
-peritontiis
-pre-pubertal kid
-iud (which needs to be removed)
-pregnant
d/c with PID need what testing test for other STD
describe whats going on in ovarian ovary, and often the fallopian tube as well (adnexal
torsion torsion) become twisted around their vascular
pedicle.
progression of torsion twisting initially obstructs venous flow, which
causes engorgement and edema. The
engorgement can progress until arterial flow is
compromised, leading to ischemia and infarction
https://quizlet.com/1160644890/saem-m4-curriculum-2-exam-questions-with-100-correct-answers-verified-actual-exam-2026-test-graded-a-20252026… 3/41
, 3/26/26, 8:10 AM Saem m4 curriculum 2 EXAM Questions with 100% Correct Answers | Verified || ACTUAL EXAM 2026 TEST!! Graded A+ | 2025|20…
risk factors for torsion ovary with a mass or cyst is more prone to twisting
by virtue of its asymmetry
classic present torsion 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 several episodes of pain over the course of hours,
days, or even weeks,
why does current pregnancy inc risk corpus lutem cyst on ovary
of torsion
tests for torsion There are no laboratory tests which are helpful in
establishing the diagnosis of adnexal torsion
best way to dx torsion US
careful with US: important to note that the presence of Doppler
blood flow does not exclude the diagnosis of
torsion
signs of torsion on US -enlargement/edema of ovary
-ovrian mass or cyst
-free pelvic fluid
what does CT torsion show finding an enlarged ovary or ovarian mass
-assocaited free fluid
-thick fallopian tube
-deviation of uterus to the affected side
https://quizlet.com/1160644890/saem-m4-curriculum-2-exam-questions-with-100-correct-answers-verified-actual-exam-2026-test-graded-a-20252026… 4/41
