with 100%Correct Verified Detailed Answers
latest update 2025
28yo female c/o breast tenderness, fatigue, abd bloating, fluid
retention, irritability 1wk before her menses onset. What is most
important info to obtain from this pt to determine if the pt has PMS?
a. Severity of symptoms
b. Occurrence of symptoms in menstrual cycle
c. Frequency and number of symptoms over past 4mo --- correct
answer ---b
35yo woman c/o 6mo h/o hypermenorrhea, backache, pelvic pressure.
On exam, you discover 12wk size uterus w/irregular contour. What
does this represent?
a. Uterine cancer
b. Dysfunctional uterine bleeding
c. Uterine fibroid
d. Fecal impaction --- correct answer ---c
,Female c/o vaginal itching and white discharge. Denies sexual activity
or douching. In good health except for recurrent strep throat. Pelvic
reveals tender vulvovag area w/edema and white patches. No odor.
What is the most likely cause?
a. Bacterial vaginosis
b. DM
c. Allergy to personal hygiene product
d. Candidiasis after abx treatment --- correct answer ---d
32yo woman c/o postcoital bleeding. Which would not be included in
the initial assessment?
a. Pap smear
b. Uterine biopsy
c. Pelvic ultrasound
d. CBC w/diff --- correct answer ---b
What phase of menstrual cycle begins with menses cessation and ends
w/ovulation?
,a. Ovulatory phase
b. Follicular phase
c. Proliferative phase
d. Luteal phase --- correct answer ---b
What phase of menstrual cycle begins with ovulation and ends
w/menstruation?
a. Ovulatory phase
b. Follicular phase
c. Proliferative phase
d. Luteal phase --- correct answer ---c
Name 4 structural abnormalities that are causes of dysfunctional
uterine bleeding. --- correct answer ---PALM:
Polyps
Adenomyosis
Leiomyoma
Malignancy
, Name 5 non-structural abnormalities that are causes of dysfunctional
uterine bleeding. --- correct answer ---COEIN:
Coagulopathy
Ovulatory disorders
Endometrial
Iatrogenic
Not classified
What is abnormal/dysfunctional uterine bleeding? --- correct answer -
--Acute or chronic bleeding from uterine corpus; abnormal in
regularity, volume, frequency, or duration; occurs in pregnancy
absence.
What is acute DUB? --- correct answer ---Episode of sufficient
quantity to require immediate intervention to prevent further blood
loss
What is chronic DUB? --- correct answer ---Present for the majority of
the last 6mo
What is the most common benign tumor of the genital tract? ---
correct answer ---Leiomyomas? (Hollier CPG p. 772)