10/22/25, 5:23 PM saem m4 curriculum 2 Exam (2025) UPDATE Verified Questions And Answers | With 100% Correct Answers graded A+ Guarante…
saem m4 curriculum 2 Exam (2025) UPDATE
Verified Questions And Answers | With 100%
Correct Answers graded A+ Guaranteed Success!!
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Terms in this set (362)
originates as a cervical infection with Neisseria
gonorrheaand/or Chlamydia trachomatis, and
PID cause
becomes polymicrobial as it ascends into the uterus,
fallopian tubes and ovaries.
-lower abd pain
3 sx PID -purulent vag d/c
-vag bleed
Symptoms begin shortly after the start of the
when getPID sx menstrual cycle, when there are fewer defenses by
the cervical mucosal barrier to ascending infections.
PID with gonnoccal more likely to appear toxic (fever, N/V)
dont forget one risk factor -recent instrumentation of uterus
pid
-b/l adenexal tenderness
-cervical d/c
common exam findings
cervical motion tenderness
pid
-uterine tender
-lower abd tenderness
if pain is u/l think more TOA
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,10/22/25, 5:23 PM saem m4 curriculum 2 Exam (2025) UPDATE Verified Questions And Answers | With 100% Correct Answers graded A+ Guarante…
Fitz-Hugh Curtis (perihepatitis, inflamation of liver
if RUQ tender think
capsule)
best test for gonorrohea NAAT with PCR or DNA probes (either urine or
and chlaymida cervical secretions)
if suspect TOA get US
ruptured ovarian cyst free fluid in pouch of douglas
shows
absence of blood flow to one ovary on pelvic
ovarian torsion shows
ultrasound with doppler
why US>CT CT cannot eval for torsion bc there is no doppler
-lower abdominal or pelvic pain coupled with
adnexal, uterine or cervical motion tenderness on
who gets abx for PID
exam, in a patient at risk for STDs with no other
discernible cause for the illness identified
-chronic pelvic pain
-infertility
complications of pid -ectopic
-toa
-fitz-hiugh curtis
walled-off abscess that originates in the infected
toa process
fallopian tube and extends to involve the ovary
how confirm dx of Fitz elevated liver fxn tests
hugh curtis
-cefoxitin + doxy
or
inpatient abx pid -cefotentan + doxy
or
clinda+gentamycin
-ceftriaxone
outpatient abx pid? add -doxy
_____ if 2 -add metro if severe infection or hx of uterine
instrumentation
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-toa
-fitz hugh curtis
-septic
who getsa dmitted -peritontiis
-pre-pubertal kid
-iud (which needs to be removed)
-pregnant
d/c with PID need what test for other STD
testing
ovary, and often the fallopian tube as well (adnexal
describe whats going on
torsion) become twisted around their vascular
in ovarian torsion
pedicle.
twisting initially obstructs venous flow, which causes
engorgement and edema. The engorgement can
progression of torsion
progress until arterial flow is compromised, leading to
ischemia and infarction
ovary with a mass or cyst is more prone to twisting by
risk factors for torsion
virtue of its asymmetry
sudden onset of unilateral lower abdominal pain
which is initially visceral in character (ie, vague and
classic present torsion poorly localized) and may be accompanied by
nausea and vomiting. It may radiate to the groin or
flank.
several episodes of pain over the course of hours,
intermittent torsion
days, or even weeks,
why does current corpus lutem cyst on ovary
pregnancy inc risk of
torsion
There are no laboratory tests which are helpful in
tests for torsion
establishing the diagnosis of adnexal torsion
best way to dx torsion US
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important to note that the presence of Doppler blood
careful with US:
flow does not exclude the diagnosis of torsion
-enlargement/edema of ovary
signs of torsion on US -ovrian mass or cyst
-free pelvic fluid
finding an enlarged ovary or ovarian mass
what does CT torsion -assocaited free fluid
show -thick fallopian tube
-deviation of uterus to the affected side
definitively dx torsion OR
or (try and salvage ovary but testicle just gets
tx torsion
removed)
torsion sotry often sounds kidney story
like
twisting of the testis and spermatic cord within the
scrotum, with resulting in occlusion of venous return
testicular torsion is
and and edema which can progress to arterial
occlusion and ischemia
anchored within the scrotum by the tunica vaginalis,
which surrounds the testicle and attaches posteriorly
to the scrotal wall and epididymis. The tunica vaginalis
normal testicle anatomy consists of a visceral and parietal layer with an
and issue with torsion interposed potential space. This potential space
allows the testicle to rotate about the spermatic cord
within the tunica vaginalis if a firm posterior scrotal
attachment is lacking.
When the tunica vaginalis attaches higher up on the
bell clapper deformity spermatic cord, the testicle can move and twist within
the scrotum. inc risk of torsion
2 most common ages get 1st year of life and in puberty
torsion
https://quizlet.com/1096873338/saem-m4-curriculum-2-exam-2025-update-verified-questions-and-answers-with-100-correct-answers-graded-a-guara… 4/32
saem m4 curriculum 2 Exam (2025) UPDATE
Verified Questions And Answers | With 100%
Correct Answers graded A+ Guaranteed Success!!
Save
Terms in this set (362)
originates as a cervical infection with Neisseria
gonorrheaand/or Chlamydia trachomatis, and
PID cause
becomes polymicrobial as it ascends into the uterus,
fallopian tubes and ovaries.
-lower abd pain
3 sx PID -purulent vag d/c
-vag bleed
Symptoms begin shortly after the start of the
when getPID sx menstrual cycle, when there are fewer defenses by
the cervical mucosal barrier to ascending infections.
PID with gonnoccal more likely to appear toxic (fever, N/V)
dont forget one risk factor -recent instrumentation of uterus
pid
-b/l adenexal tenderness
-cervical d/c
common exam findings
cervical motion tenderness
pid
-uterine tender
-lower abd tenderness
if pain is u/l think more TOA
https://quizlet.com/1096873338/saem-m4-curriculum-2-exam-2025-update-verified-questions-and-answers-with-100-correct-answers-graded-a-guara… 1/32
,10/22/25, 5:23 PM saem m4 curriculum 2 Exam (2025) UPDATE Verified Questions And Answers | With 100% Correct Answers graded A+ Guarante…
Fitz-Hugh Curtis (perihepatitis, inflamation of liver
if RUQ tender think
capsule)
best test for gonorrohea NAAT with PCR or DNA probes (either urine or
and chlaymida cervical secretions)
if suspect TOA get US
ruptured ovarian cyst free fluid in pouch of douglas
shows
absence of blood flow to one ovary on pelvic
ovarian torsion shows
ultrasound with doppler
why US>CT CT cannot eval for torsion bc there is no doppler
-lower abdominal or pelvic pain coupled with
adnexal, uterine or cervical motion tenderness on
who gets abx for PID
exam, in a patient at risk for STDs with no other
discernible cause for the illness identified
-chronic pelvic pain
-infertility
complications of pid -ectopic
-toa
-fitz-hiugh curtis
walled-off abscess that originates in the infected
toa process
fallopian tube and extends to involve the ovary
how confirm dx of Fitz elevated liver fxn tests
hugh curtis
-cefoxitin + doxy
or
inpatient abx pid -cefotentan + doxy
or
clinda+gentamycin
-ceftriaxone
outpatient abx pid? add -doxy
_____ if 2 -add metro if severe infection or hx of uterine
instrumentation
https://quizlet.com/1096873338/saem-m4-curriculum-2-exam-2025-update-verified-questions-and-answers-with-100-correct-answers-graded-a-guara… 2/32
,10/22/25, 5:23 PM saem m4 curriculum 2 Exam (2025) UPDATE Verified Questions And Answers | With 100% Correct Answers graded A+ Guarante…
-toa
-fitz hugh curtis
-septic
who getsa dmitted -peritontiis
-pre-pubertal kid
-iud (which needs to be removed)
-pregnant
d/c with PID need what test for other STD
testing
ovary, and often the fallopian tube as well (adnexal
describe whats going on
torsion) become twisted around their vascular
in ovarian torsion
pedicle.
twisting initially obstructs venous flow, which causes
engorgement and edema. The engorgement can
progression of torsion
progress until arterial flow is compromised, leading to
ischemia and infarction
ovary with a mass or cyst is more prone to twisting by
risk factors for torsion
virtue of its asymmetry
sudden onset of unilateral lower abdominal pain
which is initially visceral in character (ie, vague and
classic present torsion poorly localized) and may be accompanied by
nausea and vomiting. It may radiate to the groin or
flank.
several episodes of pain over the course of hours,
intermittent torsion
days, or even weeks,
why does current corpus lutem cyst on ovary
pregnancy inc risk of
torsion
There are no laboratory tests which are helpful in
tests for torsion
establishing the diagnosis of adnexal torsion
best way to dx torsion US
https://quizlet.com/1096873338/saem-m4-curriculum-2-exam-2025-update-verified-questions-and-answers-with-100-correct-answers-graded-a-guara… 3/32
, 10/22/25, 5:23 PM saem m4 curriculum 2 Exam (2025) UPDATE Verified Questions And Answers | With 100% Correct Answers graded A+ Guarante…
important to note that the presence of Doppler blood
careful with US:
flow does not exclude the diagnosis of torsion
-enlargement/edema of ovary
signs of torsion on US -ovrian mass or cyst
-free pelvic fluid
finding an enlarged ovary or ovarian mass
what does CT torsion -assocaited free fluid
show -thick fallopian tube
-deviation of uterus to the affected side
definitively dx torsion OR
or (try and salvage ovary but testicle just gets
tx torsion
removed)
torsion sotry often sounds kidney story
like
twisting of the testis and spermatic cord within the
scrotum, with resulting in occlusion of venous return
testicular torsion is
and and edema which can progress to arterial
occlusion and ischemia
anchored within the scrotum by the tunica vaginalis,
which surrounds the testicle and attaches posteriorly
to the scrotal wall and epididymis. The tunica vaginalis
normal testicle anatomy consists of a visceral and parietal layer with an
and issue with torsion interposed potential space. This potential space
allows the testicle to rotate about the spermatic cord
within the tunica vaginalis if a firm posterior scrotal
attachment is lacking.
When the tunica vaginalis attaches higher up on the
bell clapper deformity spermatic cord, the testicle can move and twist within
the scrotum. inc risk of torsion
2 most common ages get 1st year of life and in puberty
torsion
https://quizlet.com/1096873338/saem-m4-curriculum-2-exam-2025-update-verified-questions-and-answers-with-100-correct-answers-graded-a-guara… 4/32
