Answers
most common cause of infectious cervicitis Correct Answer-chlamydia,
gonorrhea, hsv, hpv, trich
untreated infectious cervicitis leads to Correct Answer-PID
Endometrioma Correct Answer-mass arising from growth of ectopic
endometrial tissue, complex mass on ultrasound. Presents with pelvic
pain, dysmenorrhea, dyspareunia "chocolate cyst"
Signs of PCOS Correct Answer-Menstrual dysfunction and irregularity
Hyperandrogenism and hirsutism
Obesity
Infertility
*Hyperinsulinemia or insulin resistant*
How is PCOS diagnosed? Correct Answer-Diagnosed with
ROTTERDAM CRITERIA - pt must have 2 of the 3:
1. oligo/anovulation
2. hyperandrogenism
- clinical (hirsutism or male pattern alopecia) or
- biochemical (raised FAI or free testosterone)
, 3. polycystic ovaries on ultrasound ('pearl necklace' - follicles that are
lined up on the ovaries)
PCOS treatment Correct Answer-1. Weight reduction
2. Oral contraceptives (hirsutism)
3. Clomiphene citrate (infertility)
metformin for insulin resistence
fibroma Correct Answer-tumor of fibrous tissue
before menopause
produce no hormones
mastitis Correct Answer-inflammation of the breast; most commonly
occurs in women who are breastfeeding. unilateral
treat; PCNs, feed, heat therapy. baby can still feed
does mastitis increase breast ca risk Correct Answer-no
mammary duct ectasia Correct Answer-Inflammation with dilation
(ectasia) of the subareolar ducts. firm stable mass under nipple. cheesy
discharge
common 50-60 yr olds
treat: abx, surgery