SAEM M4 EXAM QQUESTIONS WITH
CORRECT DETAILED SOLUTIONS GRADED
A+ NEW MODIFIED LATEST EXAM
who getsa dmitted - CORRECT ANSWER -toa
-fitz hugh curtis
-septic
-peritontiis
-pre-pubertal kid
-iud (which needs to be removed)
-pregnant
d/c with PID need what testing - CORRECT ANSWER test for
other STD
describe whats going on in ovarian torsion - CORRECT ANSWER ovary,
and often the fallopian tube as well (adnexal torsion) become twisted around
their vascular pedicle.
Page 1 of 119
,progression of torsion - CORRECT ANSWER twisting initially obstructs
venous flow, which causes engorgement and edema. The engorgement can
progress until arterial flow is compromised, leading to ischemia and infarction
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
Page 2 of 119
,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
definitively dx torsion - CORRECT ANSWER OR
tx torsion - CORRECT ANSWER or (try and salvage ovary but
testicle just gets
removed)
Page 3 of 119
, torsion sotry often sounds like - CORRECT ANSWER kidney
story
testicular torsion is - CORRECT ANSWER twisting of the testis
and spermatic
cord within the scrotum, with resulting in occlusion of venous return and and
edema which can progress to arterial occlusion and ischemia
normal testicle anatomy and issue with torsion - CORRECT ANSWER
anchored
within the scrotum by the tunica vaginalis, which surrounds the testicle and
attaches posteriorly to the scrotal wall and epididymis. The tunica vaginalis
consists of a visceral and parietal layer with an interposed potential space. This
potential space allows the testicle to rotate about the spermatic cord within the
tunica vaginalis if a firm posterior scrotal attachment is lacking.
bell clapper deformity - CORRECT ANSWER When the tunica
vaginalis attaches
higher up on the spermatic cord, the testicle can move and twist within the
scrotum. inc risk of torsion
2 most common ages get torsion - CORRECT ANSWER 1st year
of life and in
Page 4 of 119
CORRECT DETAILED SOLUTIONS GRADED
A+ NEW MODIFIED LATEST EXAM
who getsa dmitted - CORRECT ANSWER -toa
-fitz hugh curtis
-septic
-peritontiis
-pre-pubertal kid
-iud (which needs to be removed)
-pregnant
d/c with PID need what testing - CORRECT ANSWER test for
other STD
describe whats going on in ovarian torsion - CORRECT ANSWER ovary,
and often the fallopian tube as well (adnexal torsion) become twisted around
their vascular pedicle.
Page 1 of 119
,progression of torsion - CORRECT ANSWER twisting initially obstructs
venous flow, which causes engorgement and edema. The engorgement can
progress until arterial flow is compromised, leading to ischemia and infarction
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
Page 2 of 119
,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
definitively dx torsion - CORRECT ANSWER OR
tx torsion - CORRECT ANSWER or (try and salvage ovary but
testicle just gets
removed)
Page 3 of 119
, torsion sotry often sounds like - CORRECT ANSWER kidney
story
testicular torsion is - CORRECT ANSWER twisting of the testis
and spermatic
cord within the scrotum, with resulting in occlusion of venous return and and
edema which can progress to arterial occlusion and ischemia
normal testicle anatomy and issue with torsion - CORRECT ANSWER
anchored
within the scrotum by the tunica vaginalis, which surrounds the testicle and
attaches posteriorly to the scrotal wall and epididymis. The tunica vaginalis
consists of a visceral and parietal layer with an interposed potential space. This
potential space allows the testicle to rotate about the spermatic cord within the
tunica vaginalis if a firm posterior scrotal attachment is lacking.
bell clapper deformity - CORRECT ANSWER When the tunica
vaginalis attaches
higher up on the spermatic cord, the testicle can move and twist within the
scrotum. inc risk of torsion
2 most common ages get torsion - CORRECT ANSWER 1st year
of life and in
Page 4 of 119
