SAEM M4 CURRICULUM 2|2025 Update Actual exam|Complete
saem m4 curriculum 2
Frequently Tested Questions And Verified Answers With
Study online at https://quizlet.com/_6v4isv
Rationales|100% Accurate Answers | Already Graded A+
1. PID cause originates as a cervical infection with Neisseria gonorrheaand/or
Chlamydia trachomatis, and becomes polymicrobial as it ascends
into the uterus, fallopian tubes and ovaries.
2. 3 sx PID -lower abd pain
-purulent vag d/c
-vag bleed
3. when getPID sx Symptoms begin shortly after the start of the menstrual cycle, when
there are fewer defenses by the cervical mucosal barrier to ascend-
ing infections.
4. PID with gonnoccal more likely to appear toxic (fever, N/V)
5. dont forget one risk factor -recent instrumentation of uterus
pid
6. common exam findings -b/l adenexal tenderness
pid -cervical d/c
cervical motion tenderness
-uterine tender
-lower abd tenderness
7. if pain is u/l think more TOA
8. if RUQ tender think Fitz-Hugh Curtis (perihepatitis, inflamation of liver capsule)
9. best test for gonorrohea NAAT with PCR or DNA probes (either urine or cervical secretions)
and chlaymida
10. if suspect TOA get US
11. ruptured ovarian cyst free fluid in pouch of douglas
shows
, saem m4 curriculum 2
Study online at https://quizlet.com/_6v4isv
12. ovarian torsion shows absence of blood flow to one ovary on pelvic ultrasound with doppler
13. why US>CT CT cannot eval for torsion bc there is no doppler
14. who gets abx for PID -lower abdominal or pelvic pain coupled with adnexal, uterine or
cervical motion tenderness on exam, in a patient at risk for STDs with
no other discernible cause for the illness identified
15. complications of pid -chronic pelvic pain
-infertility
-ectopic
-toa
-fitz-hiugh curtis
16. toa process walled-off abscess that originates in the infected fallopian tube and
extends to involve the ovary
17. how confirm dx of Fitz elevated liver fxn tests
hugh curtis
18. inpatient abx pid -cefoxitin + doxy
or
-cefotentan + doxy
or
clinda+gentamycin
19. outpatient abx pid? add -ceftriaxone
_____ if 2 -doxy
-add metro if severe infection or hx of uterine instrumentation
20. who getsa dmitted -toa
-fitz hugh curtis
-septic
, saem m4 curriculum 2
Study online at https://quizlet.com/_6v4isv
-peritontiis
-pre-pubertal kid
-iud (which needs to be removed)
-pregnant
21. d/c with PID need what test for other STD
testing
22. describe whats going on ovary, and often the fallopian tube as well (adnexal torsion) become
in ovarian torsion twisted around their vascular pedicle.
23. progression of torsion twisting initially obstructs venous flow, which causes engorgement
and edema. The engorgement can progress until arterial flow is
compromised, leading to ischemia and infarction
24. risk factors for torsion ovary with a mass or cyst is more prone to twisting by virtue of its
asymmetry
25. classic present torsion sudden onset of unilateral lower abdominal pain which is initially
visceral in character (ie, vague and poorly localized) and may be
accompanied by nausea and vomiting. It may radiate to the groin
or flank.
26. intermittent torsion several episodes of pain over the course of hours, days, or even
weeks,
27. why does current preg- corpus lutem cyst on ovary
nancy inc risk of torsion
28. tests for torsion There are no laboratory tests which are helpful in establishing the
diagnosis of adnexal torsion
29. best way to dx torsion US
, saem m4 curriculum 2
Study online at https://quizlet.com/_6v4isv
30. careful with US: important to note that the presence of Doppler blood flow does not
exclude the diagnosis of torsion
31. signs of torsion on US -enlargement/edema of ovary
-ovrian mass or cyst
-free pelvic fluid
32. what does CT torsion finding an enlarged ovary or ovarian mass
show -assocaited free fluid
-thick fallopian tube
-deviation of uterus to the affected side
33. definitively dx torsion OR
34. tx torsion or (try and salvage ovary but testicle just gets removed)
35. torsion sotry often sounds kidney story
like
36. testicular torsion is twisting of the testis and spermatic cord within the scrotum, with
resulting in occlusion of venous return and and edema which can
progress to arterial occlusion and ischemia
37. normal testicle anatomy anchored within the scrotum by the tunica vaginalis, which sur-
and issue with torsion rounds the testicle and attaches posteriorly to the scrotal wall and
epididymis. The tunica vaginalis consists of a visceral and parietal
layer with an 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.
38. bell clapper deformity When the tunica vaginalis attaches higher up on the spermatic cord,
the testicle can move and twist within the scrotum. inc risk of torsion
39. 1st year of life and in puberty
saem m4 curriculum 2
Frequently Tested Questions And Verified Answers With
Study online at https://quizlet.com/_6v4isv
Rationales|100% Accurate Answers | Already Graded A+
1. PID cause originates as a cervical infection with Neisseria gonorrheaand/or
Chlamydia trachomatis, and becomes polymicrobial as it ascends
into the uterus, fallopian tubes and ovaries.
2. 3 sx PID -lower abd pain
-purulent vag d/c
-vag bleed
3. when getPID sx Symptoms begin shortly after the start of the menstrual cycle, when
there are fewer defenses by the cervical mucosal barrier to ascend-
ing infections.
4. PID with gonnoccal more likely to appear toxic (fever, N/V)
5. dont forget one risk factor -recent instrumentation of uterus
pid
6. common exam findings -b/l adenexal tenderness
pid -cervical d/c
cervical motion tenderness
-uterine tender
-lower abd tenderness
7. if pain is u/l think more TOA
8. if RUQ tender think Fitz-Hugh Curtis (perihepatitis, inflamation of liver capsule)
9. best test for gonorrohea NAAT with PCR or DNA probes (either urine or cervical secretions)
and chlaymida
10. if suspect TOA get US
11. ruptured ovarian cyst free fluid in pouch of douglas
shows
, saem m4 curriculum 2
Study online at https://quizlet.com/_6v4isv
12. ovarian torsion shows absence of blood flow to one ovary on pelvic ultrasound with doppler
13. why US>CT CT cannot eval for torsion bc there is no doppler
14. who gets abx for PID -lower abdominal or pelvic pain coupled with adnexal, uterine or
cervical motion tenderness on exam, in a patient at risk for STDs with
no other discernible cause for the illness identified
15. complications of pid -chronic pelvic pain
-infertility
-ectopic
-toa
-fitz-hiugh curtis
16. toa process walled-off abscess that originates in the infected fallopian tube and
extends to involve the ovary
17. how confirm dx of Fitz elevated liver fxn tests
hugh curtis
18. inpatient abx pid -cefoxitin + doxy
or
-cefotentan + doxy
or
clinda+gentamycin
19. outpatient abx pid? add -ceftriaxone
_____ if 2 -doxy
-add metro if severe infection or hx of uterine instrumentation
20. who getsa dmitted -toa
-fitz hugh curtis
-septic
, saem m4 curriculum 2
Study online at https://quizlet.com/_6v4isv
-peritontiis
-pre-pubertal kid
-iud (which needs to be removed)
-pregnant
21. d/c with PID need what test for other STD
testing
22. describe whats going on ovary, and often the fallopian tube as well (adnexal torsion) become
in ovarian torsion twisted around their vascular pedicle.
23. progression of torsion twisting initially obstructs venous flow, which causes engorgement
and edema. The engorgement can progress until arterial flow is
compromised, leading to ischemia and infarction
24. risk factors for torsion ovary with a mass or cyst is more prone to twisting by virtue of its
asymmetry
25. classic present torsion sudden onset of unilateral lower abdominal pain which is initially
visceral in character (ie, vague and poorly localized) and may be
accompanied by nausea and vomiting. It may radiate to the groin
or flank.
26. intermittent torsion several episodes of pain over the course of hours, days, or even
weeks,
27. why does current preg- corpus lutem cyst on ovary
nancy inc risk of torsion
28. tests for torsion There are no laboratory tests which are helpful in establishing the
diagnosis of adnexal torsion
29. best way to dx torsion US
, saem m4 curriculum 2
Study online at https://quizlet.com/_6v4isv
30. careful with US: important to note that the presence of Doppler blood flow does not
exclude the diagnosis of torsion
31. signs of torsion on US -enlargement/edema of ovary
-ovrian mass or cyst
-free pelvic fluid
32. what does CT torsion finding an enlarged ovary or ovarian mass
show -assocaited free fluid
-thick fallopian tube
-deviation of uterus to the affected side
33. definitively dx torsion OR
34. tx torsion or (try and salvage ovary but testicle just gets removed)
35. torsion sotry often sounds kidney story
like
36. testicular torsion is twisting of the testis and spermatic cord within the scrotum, with
resulting in occlusion of venous return and and edema which can
progress to arterial occlusion and ischemia
37. normal testicle anatomy anchored within the scrotum by the tunica vaginalis, which sur-
and issue with torsion rounds the testicle and attaches posteriorly to the scrotal wall and
epididymis. The tunica vaginalis consists of a visceral and parietal
layer with an 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.
38. bell clapper deformity When the tunica vaginalis attaches higher up on the spermatic cord,
the testicle can move and twist within the scrotum. inc risk of torsion
39. 1st year of life and in puberty
