UWISE OBGYN EXAM QUESTIONS AND
WELL VERIFIED ANSWERS
What is characterized by very painful periods and painful intercourse, lower
gaudrant tenderness, and tender palpable adnexal mass and may be a/w
infertility? - ANSWER>>endometriosis
What is ch by unilateral lower quadrant pain a/q nausea. Pelvi u/s reveals ovarian
mass Next step surgical exploration - ANSWER>>ovarian torsion
ovarian stimulation with what helps people with endometriosis to conceive? -
ANSWER>>clomiphene citrate
hemorrhagic cyst that has no presenting symptoms and premenopausal -
ANSWER>>complex ovarian cyst
definitive diagnosis of endometriosis is based on? - ANSWER>>exploratory
surgery and biopsies via ex lap
complex ovarian mass in postmenopausal patient needs to be -
ANSWER>>explored
how do you maange endometriosis that isnt controlled by NSAIDS? -
ANSWER>>OCPS
how to treat hemorrhagic cysts - ANSWER>>most likely resolves on own. repeat
ultrasound in two months
signs of endometriosis? - ANSWER>>dysmenorrhea and dyspareunia. also
nodularity in back of uterus
,normal sequence of sexual maturation - ANSWER>>thelarche then adrenarche
(hair) then growth spurh, then menarche
TAM
critical elemnets for secondary sex ch are - ANSWER>>adequate body weight,
sleep, and optic exposure
short statue webbed neck, heart defect, abnormal facies, delayed pubery, normal
karyotype - ANSWER>>NOONANS
olfactory tract hypoplasia and arcuate nucleus doesnt secrete gnrh -
ANSWER>>kallman
increased DHEAS is ch of - ANSWER>>adrenal pathology
____ anomalise ocur in thirty percent of female with mullerian agenesis -
ANSWER>>renal
most appropriate treatment for PCOS is - ANSWER>>OCPS
initial lab assessment for pt with amenorrhea with no other symptoms? -
ANSWER>>hcg, tsh, prl
painful sex in young female is cause by vaginal dryness with is a/q estrogen
deficiency in - ANSWER>>premature ovarian failure
next step in dx of amenorrhea after hcg tsh and prl if they are normal is to get -
ANSWER>>FSH and LH
MCC amenorrhea - ANSWER>>pregnancy
cyclical abdominal pain - ANSWER>>anatomical cause
,post pill amenorrhea - ANSWER>>irregular cycles prior to pill use
intrauterine synechlae or adhesions result from trauma to the basal layer of the
endometrium-->causing amenorhea. commonly follows curetage or endometritis
- ANSWER>>ASHERMANS SYNDROME
acute increase of DHEAS points toward what kind of tumor as the etiology for
hirsutism - ANSWER>>adrenal tumor
when tsh, prl, test, dheas levels are normal in pt with hirsutism what do you
check? - ANSWER>>17 hydroxyprogesterone levels for 21 hydroxylase deficiency
idiopathic hirsutism is ch by normal lab values accompanry - ANSWER>>hirsutism
dx cushings syndrome is done by - ANSWER>>dexamethasone suppresion test or
24 hour urinary measurement for cortisol
acanthosis nigricans is a/q increase androgen levels with -
ANSWER>>hyperinsulinemia
high estrogen levels in pregnancy which cause increase syndchrony in hair growth
which means hair grows in same phase and is shed in same time. this leads to -
ANSWER>>postpartum hair loss
rapid onset hirsutism and virilization are ch of - ANSWER>>androgen secreting
tumors
what is the most severe form of PCOS a/q virilization d/t high androstenedione
production and testosterone levels? - ANSWER>>hyperthecosis
what can be used in addition to OCPS to tx hirsutism? - ANSWER>>spironolactone
(aldosterone antagonist)
, patients with anovulatory bleeding have predominalty proliferative
endomedtrium by unopposed estrogen. so how do you convert the proliferating
to secretory endometrium? - ANSWER>>PROGESTINS
pelvic u/s is used to assess endometrial pathology such as _______ which present
as bleeding - ANSWER>>polyps or submucosal fibroids
dirosder of clotting that present with menstrual symptoms in young women most
commonly involve - ANSWER>>von willebrand disease
observation of endometrial poly is not recommended if it is bigger than what size
- ANSWER>>>1.5 cm. for a women with infertility, polypectomy via hysteroscopy
is a tx of choice. hysterctomy is reseved for malignant changes
irregular bleeding and obse patients should be check with an endometrial biopsy
why - ANSWER>>to rule out endometrial hyperplasia or carcinoma
*******pt with pcos have testosterone levels low or high? - ANSWER>>upper
limit of normal or high because free testosterone is increase because SBG is
decreased by the increase in androgen in PCOS
in a pt with abnormal uterine bleeding, important to rule out -
ANSWER>>pregnancy
how do you remove a submucusal leiomyoma but also preserving the uterus? -
ANSWER>>hysteroscopic myomectomy.
tx for dysmenorrhea is - ANSWER>>OCPS
MOA of OCPS tx dysmenorhea is - ANSWER>>creating endometiral atrophy
blue black poweder burn leasion are characteristic of - ANSWER>>endometriosis
WELL VERIFIED ANSWERS
What is characterized by very painful periods and painful intercourse, lower
gaudrant tenderness, and tender palpable adnexal mass and may be a/w
infertility? - ANSWER>>endometriosis
What is ch by unilateral lower quadrant pain a/q nausea. Pelvi u/s reveals ovarian
mass Next step surgical exploration - ANSWER>>ovarian torsion
ovarian stimulation with what helps people with endometriosis to conceive? -
ANSWER>>clomiphene citrate
hemorrhagic cyst that has no presenting symptoms and premenopausal -
ANSWER>>complex ovarian cyst
definitive diagnosis of endometriosis is based on? - ANSWER>>exploratory
surgery and biopsies via ex lap
complex ovarian mass in postmenopausal patient needs to be -
ANSWER>>explored
how do you maange endometriosis that isnt controlled by NSAIDS? -
ANSWER>>OCPS
how to treat hemorrhagic cysts - ANSWER>>most likely resolves on own. repeat
ultrasound in two months
signs of endometriosis? - ANSWER>>dysmenorrhea and dyspareunia. also
nodularity in back of uterus
,normal sequence of sexual maturation - ANSWER>>thelarche then adrenarche
(hair) then growth spurh, then menarche
TAM
critical elemnets for secondary sex ch are - ANSWER>>adequate body weight,
sleep, and optic exposure
short statue webbed neck, heart defect, abnormal facies, delayed pubery, normal
karyotype - ANSWER>>NOONANS
olfactory tract hypoplasia and arcuate nucleus doesnt secrete gnrh -
ANSWER>>kallman
increased DHEAS is ch of - ANSWER>>adrenal pathology
____ anomalise ocur in thirty percent of female with mullerian agenesis -
ANSWER>>renal
most appropriate treatment for PCOS is - ANSWER>>OCPS
initial lab assessment for pt with amenorrhea with no other symptoms? -
ANSWER>>hcg, tsh, prl
painful sex in young female is cause by vaginal dryness with is a/q estrogen
deficiency in - ANSWER>>premature ovarian failure
next step in dx of amenorrhea after hcg tsh and prl if they are normal is to get -
ANSWER>>FSH and LH
MCC amenorrhea - ANSWER>>pregnancy
cyclical abdominal pain - ANSWER>>anatomical cause
,post pill amenorrhea - ANSWER>>irregular cycles prior to pill use
intrauterine synechlae or adhesions result from trauma to the basal layer of the
endometrium-->causing amenorhea. commonly follows curetage or endometritis
- ANSWER>>ASHERMANS SYNDROME
acute increase of DHEAS points toward what kind of tumor as the etiology for
hirsutism - ANSWER>>adrenal tumor
when tsh, prl, test, dheas levels are normal in pt with hirsutism what do you
check? - ANSWER>>17 hydroxyprogesterone levels for 21 hydroxylase deficiency
idiopathic hirsutism is ch by normal lab values accompanry - ANSWER>>hirsutism
dx cushings syndrome is done by - ANSWER>>dexamethasone suppresion test or
24 hour urinary measurement for cortisol
acanthosis nigricans is a/q increase androgen levels with -
ANSWER>>hyperinsulinemia
high estrogen levels in pregnancy which cause increase syndchrony in hair growth
which means hair grows in same phase and is shed in same time. this leads to -
ANSWER>>postpartum hair loss
rapid onset hirsutism and virilization are ch of - ANSWER>>androgen secreting
tumors
what is the most severe form of PCOS a/q virilization d/t high androstenedione
production and testosterone levels? - ANSWER>>hyperthecosis
what can be used in addition to OCPS to tx hirsutism? - ANSWER>>spironolactone
(aldosterone antagonist)
, patients with anovulatory bleeding have predominalty proliferative
endomedtrium by unopposed estrogen. so how do you convert the proliferating
to secretory endometrium? - ANSWER>>PROGESTINS
pelvic u/s is used to assess endometrial pathology such as _______ which present
as bleeding - ANSWER>>polyps or submucosal fibroids
dirosder of clotting that present with menstrual symptoms in young women most
commonly involve - ANSWER>>von willebrand disease
observation of endometrial poly is not recommended if it is bigger than what size
- ANSWER>>>1.5 cm. for a women with infertility, polypectomy via hysteroscopy
is a tx of choice. hysterctomy is reseved for malignant changes
irregular bleeding and obse patients should be check with an endometrial biopsy
why - ANSWER>>to rule out endometrial hyperplasia or carcinoma
*******pt with pcos have testosterone levels low or high? - ANSWER>>upper
limit of normal or high because free testosterone is increase because SBG is
decreased by the increase in androgen in PCOS
in a pt with abnormal uterine bleeding, important to rule out -
ANSWER>>pregnancy
how do you remove a submucusal leiomyoma but also preserving the uterus? -
ANSWER>>hysteroscopic myomectomy.
tx for dysmenorrhea is - ANSWER>>OCPS
MOA of OCPS tx dysmenorhea is - ANSWER>>creating endometiral atrophy
blue black poweder burn leasion are characteristic of - ANSWER>>endometriosis
