1. What are the two Follicular (proliferative) and luteal (secretory) phases
phases of the men-
strual cycle?
2. What hormones are GnRH from the hypothalamus ’FSH and LH release from anterior pituitary
secreted during the
follicular phase of
menstruation?
3. What hormones are Progesterone from corpus luteum
secreted during the
luteal phase of men-
struation?
4. How is primary amen- Failure of menses to occur by age 15 in the presence of normal growth
orrhea defined? and secondary sexual characteristics (breasts, axillary/pubic hair)
At age 13 if no menses has occurred and there is a complete absence of
secondary sexual characteristics ’evaluate for primary amenorrhea
5. What diagnostics Karyotype, serum FSH, LH, prolactin, total/free testosterone, TSH, T4, urine
should you consider in pregnancy test
working up amenor-
rhea?
6. What is the most com- Pregnancy MCC
mon cause of sec-
ondary amenorrhea? Hypothyroid, weight changes, prolactinoma
What are some other
causes?
7. How is menorrhagia >80 mL estimated blood loss OR menstruation >7 days
defined?
, Women's Health EOR Review
8. How is metrorrhagia Bleeding between periods
defined?
9. How is oligomenor- Bleeding >35 days apart
rhea defined?
10. How is polymenor- Bleeding <21 days apart
rhea defined?
11. What is the etiology Excess of prostaglandins
of primary dysmenor-
rhea?
12. When is the pain for Primary: days 1-3
primary vs. secondary
dysmenorrhea? Secondary: mid-cycle and increases in severity until end of cycle
13. How is menopause de- 12 months of amenorrhea
fined?
14. How does menopause Uterus: estrogen + progesterone
hormone replacement No uterus: estrogen only
therapy differ when a
patient has a uterus
vs. does not?
15. One year of amenor- 40
rhea at what age de-
fines premature ovari-
an failure?
16.
, Women's Health EOR Review
What are some treat- SSRIs: fluoxetine, sertraline
ment options for SNRIs: venlaxafine
PMDD? Birth control, low-dose estrogen, GnRH last line
17. What is the differ- PMDD has a marked disruption in functioning
ence between PMS
and PMDD?
18. What is the treatment Ceftriaxone 500 mg IM + azithromycin 1 g x 1 for chlamydia coinfection
for gonorrhea?
19. What is the treatment Azithromycin 1 g x 1, retest 3-4 weeks after treatment
for chlamydia?
Or doxycycline 100 mg BID x 1 week
20. What types of HPV are 16 and 18
the most oncologic?
21. What is the causative Haemophilus ducreyi
agent in chancroid?
22. What is the presenta- Painful genital ulcers
tion of chancroid? Foul smelling genital discharge
Inguinal lymphadenopathy
23. What is the treatment Ceftriaxone 250 mg IM x 1 dose or azithromycin 1 g PO x 1 dose
for chancroid?
Fluctuant lymphadenopathy ’needle aspiration
24. Unique strain of chlamydia trachomatis (L1, 2, 3)