PAEA Women’s Health EOR - GYN
Exam Questions & Answers (Grade
A+)
What is GTPAL? -
correct answer ✅Gravidy ( # of pregnancies, including current)
Term births ( 37 weeks +)
Preterm births (20-36 weeks)
Abortions/miscarriages
Living children
A 32-year-old woman comes to the clinic for a routine visit. She
reports that she is currently pregnant and is in her second
trimester. She provides the following information:
She has had 2 previous pregnancies: one resulted in a full-term
delivery and one ended in a miscarriage at 10 weeks of gestation.
She has 1 living child from her previous full-term pregnancy.
Use GTPAL naming. -
correct answer ✅G3 T1 P0 A1 L1
What are USPSTF cervical cancer screening guidelines? -
correct answer ✅Start at age 21- 65
Ages 21-29: pap every 3 years
Ages 30-65: Pap + HPV every 5 years or pap every 3 years
,PAEA Women’s Health EOR - GYN
Exam Questions & Answers (Grade
A+)
Age >65: stop screening if...
-no hx of moderate/severe
dysplasia or cancer AND 3 (-) paps in a row or 2 (-) PAP +HPV results
in a row in past 10 yrs
Menstruation -
correct answer ✅
When does the follicular( proliferative) phase occur and what
occurs during it? -
correct answer ✅Days 0-14
GnRH (hypothalamus) stimulates FSH and LH release (anterior
pituitary)
Follicle grows, secretes estrogen giving negative feedback initially
What does discharge look like during the follicular phase? What
hormones are predominant? -
correct answer ✅Discharge is raw egg white
High estrogen, low progesterone
,PAEA Women’s Health EOR - GYN
Exam Questions & Answers (Grade
A+)
What happens when estrogen is high enough? -
correct answer ✅FSH/LH surge leads to ovulation - the release of
the oocyte from the ovary, 14 days before menstruation
When does the luteal (secretory) phase occur and what occurs
during it? -
correct answer ✅Days 15-28
Corpus luteum which secretes progesterone → negative feedback
on FSH/LH
No pregnancy → Corpus albicans which no longer secretes estrogen
and progesterone
Decrease in hormones → endometrial sloughing (menses)
What is primary amenorrhea? -
correct answer ✅Failure of menses to occur at 15 with secondary
sex characteristics
or at 13 without secondary sex characteristics
What are Hypothalamic-Pituitary Dysfunction causes of
amenorrhea? -
correct answer ✅•GnRH deficiency, pituitary dysfunction
, PAEA Women’s Health EOR - GYN
Exam Questions & Answers (Grade
A+)
•hyperprolactinemia
What is the most common cause of abnormal uterine bleeding in
adolescent women? -
correct answer ✅An immature hypothalamic-pituitary axis
What is treatment for prolactinoma? -
correct answer ✅Dopamine agonists (Cabergoline** or
Bromocriptine)
What is sheehan syndrome? -
correct answer ✅Postpartum pituitary necrosis due to
hypovolemia
What are OVARIAN causes of amenorrhea? -
correct answer ✅•Gonadal dysgenesis (TURNERS)
•Ovarian failure
• PCOS
• Abnormal steroids, abnormal hormones
Exam Questions & Answers (Grade
A+)
What is GTPAL? -
correct answer ✅Gravidy ( # of pregnancies, including current)
Term births ( 37 weeks +)
Preterm births (20-36 weeks)
Abortions/miscarriages
Living children
A 32-year-old woman comes to the clinic for a routine visit. She
reports that she is currently pregnant and is in her second
trimester. She provides the following information:
She has had 2 previous pregnancies: one resulted in a full-term
delivery and one ended in a miscarriage at 10 weeks of gestation.
She has 1 living child from her previous full-term pregnancy.
Use GTPAL naming. -
correct answer ✅G3 T1 P0 A1 L1
What are USPSTF cervical cancer screening guidelines? -
correct answer ✅Start at age 21- 65
Ages 21-29: pap every 3 years
Ages 30-65: Pap + HPV every 5 years or pap every 3 years
,PAEA Women’s Health EOR - GYN
Exam Questions & Answers (Grade
A+)
Age >65: stop screening if...
-no hx of moderate/severe
dysplasia or cancer AND 3 (-) paps in a row or 2 (-) PAP +HPV results
in a row in past 10 yrs
Menstruation -
correct answer ✅
When does the follicular( proliferative) phase occur and what
occurs during it? -
correct answer ✅Days 0-14
GnRH (hypothalamus) stimulates FSH and LH release (anterior
pituitary)
Follicle grows, secretes estrogen giving negative feedback initially
What does discharge look like during the follicular phase? What
hormones are predominant? -
correct answer ✅Discharge is raw egg white
High estrogen, low progesterone
,PAEA Women’s Health EOR - GYN
Exam Questions & Answers (Grade
A+)
What happens when estrogen is high enough? -
correct answer ✅FSH/LH surge leads to ovulation - the release of
the oocyte from the ovary, 14 days before menstruation
When does the luteal (secretory) phase occur and what occurs
during it? -
correct answer ✅Days 15-28
Corpus luteum which secretes progesterone → negative feedback
on FSH/LH
No pregnancy → Corpus albicans which no longer secretes estrogen
and progesterone
Decrease in hormones → endometrial sloughing (menses)
What is primary amenorrhea? -
correct answer ✅Failure of menses to occur at 15 with secondary
sex characteristics
or at 13 without secondary sex characteristics
What are Hypothalamic-Pituitary Dysfunction causes of
amenorrhea? -
correct answer ✅•GnRH deficiency, pituitary dysfunction
, PAEA Women’s Health EOR - GYN
Exam Questions & Answers (Grade
A+)
•hyperprolactinemia
What is the most common cause of abnormal uterine bleeding in
adolescent women? -
correct answer ✅An immature hypothalamic-pituitary axis
What is treatment for prolactinoma? -
correct answer ✅Dopamine agonists (Cabergoline** or
Bromocriptine)
What is sheehan syndrome? -
correct answer ✅Postpartum pituitary necrosis due to
hypovolemia
What are OVARIAN causes of amenorrhea? -
correct answer ✅•Gonadal dysgenesis (TURNERS)
•Ovarian failure
• PCOS
• Abnormal steroids, abnormal hormones
