QUIZ 3 MASTER STUDY GUIDE
🔶GYN,MODULE
Modules 6, 7, and 8 — High-Yield Clinical Depth
6 — WOMEN’S HEALTH,
STIs, HIV, PREGNANCY
1. Preconception Planning
Required Supplement
Folic acid 400–800 mcg daily → Prevents neural tube defects (spina bifida,
anencephaly).
Key Components
Medical history: diabetes, HTN, thyroid disease, seizure disorders.
Medication review: avoid teratogens (ACE inhibitors, isotretinoin, valproate).
Immunizations: MMR, varicella, Tdap, Hep B.
Lifestyle: stop smoking, alcohol, drugs; optimize weight.
Genetic counseling: family history of inherited disorders.
Mental health screening.
Reproductive planning: fertility awareness, contraception if delaying pregnancy.
2. Pregnancy Diagnosis
Labs
Urine hCG (qualitative)
Serum hCG (quantitative) → Should double every 48–72 hours in early normal
pregnancy.
Imaging
Transvaginal ultrasound → Confirms intrauterine pregnancy.
3. Ectopic Pregnancy
Definition
Implantation outside uterus, most commonly fallopian tube.
, Risk Factors
Prior ectopic
PID
Tubal surgery
IUD use
Assisted reproductive technology
Presentation
Unilateral pelvic pain
Vaginal bleeding
Shoulder pain (diaphragmatic irritation)
Dizziness, syncope if ruptured
Diagnosis
Pelvic ultrasound
Serial hCG (abnormal rise or plateau)
Management
Methotrexate if stable, unruptured
Surgical referral if unstable or ruptured
4. Emergency Contraception
Plan B (Levonorgestrel)
Use within 72 hours
Prevents ovulation
Does NOT affect implanted pregnancy
Other Options
Ulipristal acetate (up to 5 days)
Copper IUD (up to 5 days; most effective)
5. Contraception
Long-Term (LARC)
IUDs: Mirena, Skyla, Kyleena, Liletta, Copper IUD
Implant: Nexplanon Effectiveness: >99%
🔶GYN,MODULE
Modules 6, 7, and 8 — High-Yield Clinical Depth
6 — WOMEN’S HEALTH,
STIs, HIV, PREGNANCY
1. Preconception Planning
Required Supplement
Folic acid 400–800 mcg daily → Prevents neural tube defects (spina bifida,
anencephaly).
Key Components
Medical history: diabetes, HTN, thyroid disease, seizure disorders.
Medication review: avoid teratogens (ACE inhibitors, isotretinoin, valproate).
Immunizations: MMR, varicella, Tdap, Hep B.
Lifestyle: stop smoking, alcohol, drugs; optimize weight.
Genetic counseling: family history of inherited disorders.
Mental health screening.
Reproductive planning: fertility awareness, contraception if delaying pregnancy.
2. Pregnancy Diagnosis
Labs
Urine hCG (qualitative)
Serum hCG (quantitative) → Should double every 48–72 hours in early normal
pregnancy.
Imaging
Transvaginal ultrasound → Confirms intrauterine pregnancy.
3. Ectopic Pregnancy
Definition
Implantation outside uterus, most commonly fallopian tube.
, Risk Factors
Prior ectopic
PID
Tubal surgery
IUD use
Assisted reproductive technology
Presentation
Unilateral pelvic pain
Vaginal bleeding
Shoulder pain (diaphragmatic irritation)
Dizziness, syncope if ruptured
Diagnosis
Pelvic ultrasound
Serial hCG (abnormal rise or plateau)
Management
Methotrexate if stable, unruptured
Surgical referral if unstable or ruptured
4. Emergency Contraception
Plan B (Levonorgestrel)
Use within 72 hours
Prevents ovulation
Does NOT affect implanted pregnancy
Other Options
Ulipristal acetate (up to 5 days)
Copper IUD (up to 5 days; most effective)
5. Contraception
Long-Term (LARC)
IUDs: Mirena, Skyla, Kyleena, Liletta, Copper IUD
Implant: Nexplanon Effectiveness: >99%
