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This document contains multiple clinical vignettes and questions. It provides guidance on various topics in women's health including:
- Cervical cancer screening guidelines and sexually transmitted infection testing recommendations.
- Common gynecologic conditions seen in teens such as dysmenorrhea and vaginal infections.
- Pregnancy complications including hyperemesis gravidarum and preterm labor.
- Normal postpartum changes and potential issues after cesarean delivery.
- Menopausal symptoms and treatment.
- Evaluation and management of abnormal uterine bleeding and pelvic masses in women.
This document contains multiple clinical vignettes and questions. It provides guidance on various topics in women's health including:
- Cervical cancer screening guidelines and sexually transmitted infection testing recommendations.
- Common gynecologic conditions seen in teens such as dysmenorrhea and vaginal infections.
- Pregnancy complications including hyperemesis gravidarum and preterm labor.
- Normal postpartum changes and potential issues after cesarean delivery.
- Menopausal symptoms and treatment.
- Evaluation and management of abnormal uterine bleeding and pelvic masses in women.
This document contains multiple clinical vignettes and questions. It provides guidance on various topics in women's health including:
- Cervical cancer screening guidelines and sexually transmitted infection testing recommendations.
- Common gynecologic conditions seen in teens such as dysmenorrhea and vaginal infections.
- Pregnancy complications including hyperemesis gravidarum and preterm labor.
- Normal postpartum changes and potential issues after cesarean delivery.
- Menopausal symptoms and treatment.
- Evaluation and management of abnormal uterine bleeding and pelvic masses in women.
Colposcopy is indicated for all If negative, then co-testing with
abnormal Pap test cytology and HPV can be
repeated in three years Sex active teen Initiate Doxycycline & Ceftriaxone (counsel/screen for STD = best) h/o hysterectomy = don't need 65-70yo can stop cervical cancer pap test screening/pap if had 3 negatives, or 2 neg cotesting in last 10yrs Still need bimanual & rectovag exam.
Mammograms YEARLY
50yo = Colon CA screen
Agree with her decision after
proper counseling and perform a Cesarean section at 39 weeks gestation
18yo still not had period for 1 yr. Teen, pelvic pain n/v during Primary Dysmenorrhea menses since 13yr. Now 17yo. Menses occur at regular 26- 28days. Diagnosis?
teen 1day h/o fever, n/v/diarrhea + STAPH aureus (NOT Chlamydia or
trimester abortions. IV pyelogram shows single kidney. PE pal uterus, and easy palp left ovary. Diag?
10wks gestion, 5day h/o Admit for IV hydration &
n/vomiting/decreased appetite. parenteral anti-emetic therapy Uterus consisisten with size 10wks. TSH & free thyroxin pending. NEXT STEP?
Post-menopause + blood stians on Hypoestrogenic state (not
underwear. Atrophy, friable vag endometrial hyperplasia) mucosa. Likely cause of symptoms? Stress/cough/sneeze urinary Decreased EXTERNAL urethra incontinencye Likely cause of sx? SPHINCTER tone MOA: 3 days post C-section. Fever, Breast Engorgement (not breasts tense, red, tender. endometritis or mastitis) Diagnosis? 4 weeks after c-delivery. Pulling Normal Postoperative course feeling to right of incisiontender to deep palp lateral to & right & left of incisions. Likely explained?
11yo girl. Mom concerned Menarche is imminent (not
daughter periods will start soon. precocious puberty) Mom's menarch at 14yo. Pt is 90th % for wt, 75% for height. She's had recent mood changes. Breast & pubic hair, tanner 3. Recent pubic hair is most predictive of which?
42yo g3p3 menses irreg 2-3 month ANOVULATION (not multiparity, or
intervals, lasted 7-21days. Enlarged age) uterus, Endometrial biopsy atypical complex hyperplasia. DM2, BM 32. Which is strongest predisposing factor for pt's condition?
15yo 10 episodes of cramps Hematocolpos??
tanner breast 5. Mass palpated in suprpubic region at midline. Cervix can't be visualized bc of bluish bulging vaginal tissue obscures upper vagina. Diagnosis?
mobile uterus, heavy periods. US shos leiomya uteri. Which is likely TYPE of leiomyoma? 33wks. US shows Olighydramnios Uteroplacental insufficiency (NOT & fetus consistent in size fetal renal agenesis) w/30wks. Which is most likely cause of oligohydramnios?
22yo comes bc of second episode Spontaneous disappearance of
of painful vesicular genital lesions. lesions within 1 week (herpes) Nex sex parter has similar lesions on penis. Most likely CLINICAL course?
17yo, never had menstrual period Follicle-stimulating hormone FSH
& has not had breast development. (NOT GnRH) BMI 31. Tanner stage breast 1. Should check serum concentration sof which?
24yo 3ows, bright red vaginal Cervical Trauma (not previa or
bleeding noticed as spotting on preterm labor or abruption) underwhear first 12hrs after sex intercourse. Bleeding has increased. External fetal monitoring shows 2 contractions during next hour. Which is likely Cause of pt's bleeding?
2mo h/o dull right-sided pelvic Oral Contraceptive therapy and a
pain. Pain most severe during second pelvic exam in 6 wks. menses. U/S shows 5cm simple cyst. She's anxious about paying for (NOT: Reassurance & schedule f/u tx bc insurance expires in 2 wks. in 1 yr, NOT: Ultrasound guided Which is next step? drainage of cyst)
18hrs post c-section. Pt has FEVER. Atelectasis (not endometritis)
67yo vulva itching for 2 years., PE: Punch biopsy of affected areas shows 3 1cm areas of white epithelium over left labium majus. (NOT application of corticosteroid Which is next step? cream)
Prior to DC, pt likes to resume Decreased protein content in
combination OCP + breast feed, Dr breast milk should warn about potential problems? (not "decrased effectiveness in preventing pregnancy", or "Increased incidence of mastitis")
Third UTI.Daily administration of Trimethoprim-sulfamethoxazole
which is most appropriate (daily is ok. NOT: "Penicillin") prophylaxis against recurrence? 32wks, irreg uterine contractions Abruption placenta (NOT for 3 hrs. Watery vag DC that tests "idiopathic preterm labor") positive to Nitrazine. Likely cause of findings?
2oyo, hair grows on face. Likely INCREASED 5alpha-reductase
cause of pt's hair growth? activity
(NOT "Increased estrogen
concentration")
Yellow-gray frothy DC with fishy Flagellated Protozoa (Trich)
odor. A wet mount prep of DC likely show which? NOT"Multinucleated giant cells = BV")