uWISE ACOG – Gynecology Questions with Complete Solutions

uWISE ACOG – Gynecology Questions with
Complete Solutions

Diagnosis - extreme vulvar pruritus, vulvar burning, pain, introital dyspareunia with loss of labia

minor and resorption of the clitoris Lichen sclerosus




Diagnosis - diffuse, malodorous, yellow-green discharge with vulvar irritation

Trichomoniasis




Diagnosis - severe pain on vestibular touch or attempted vaginal entry, tenderness to pressure

and erythema Vulvar vestibulitis




Diagnosis - vulvar pruritus, thick, lichenified, enlarged and rugose labia Lichen simplex

chronicus




First step in tx of pelvic prolapse Pessary fitting




Findings in initial infection of herpes Viral-like symptoms and appearance of vesicular

genital lesions

, Tx for unvaccinated pt with exposure to HepB infected partner Administer HBIG and start

Hep B vaccine




Findings of acute salpingitis Abdominal tenderness, uterine/adnexal tenderness, and

mucopurulent cervicitis




Definition - urge incontinence Detrusor instability




Surgical tx for stress incontinence Retropubic urethropexy




Tx for intrinsic spinchteric deficiency Urethral bulking




Medical tx for detrusor instability (urge incontinence) Oxybutynin




Surgical tx for central and lateral cystoceles Fix defect in pubocervical fascia and

reattaching to sidewall