SAEM M4 CURRICULUM 2 EXAM-ACTUAL EXAM-LATEST UPDATE 2025|
COMPLETE QUESTIONS WITH CORRECT DETAILED AND VERIFIED ANSWERS-
MOSTLY TESTED QUESTIONS | RATED 100% CORRECT!!GUARANTEED
PASS!!ALREADY GRADED A+
PID cause - (answers)originates as a cervical infection with Neisseria gonorrheaand/or
Chlamydia trachomatis, and becomes polymicrobial as it ascends into the uterus, fallopian tubes
and ovaries.
3 sx PID - (answers)-lower abd pain
-purulent vag d/c
-vag bleed
when getPID sx - (answers)Symptoms begin shortly after the start of the menstrual cycle, when
there are fewer defenses by the cervical mucosal barrier to ascending infections.
PID with gonnoccal - (answers)more likely to appear toxic (fever, N/V)
dont forget one risk factor pid - (answers)-recent instrumentation of uterus
common exam findings pid - (answers)-b/l adenexal tenderness
-cervical d/c
cervical motion tenderness
-uterine tender
-lower abd tenderness
if pain is u/l think more - (answers)TOA
if RUQ tender think - (answers)Fitz-Hugh Curtis (perihepatitis, inflamation of liver capsule)
,best test for gonorrohea and chlaymida - (answers)NAAT with PCR or DNA probes (either urine
or cervical secretions)
if suspect TOA get - (answers)US
ruptured ovarian cyst shows - (answers)free fluid in pouch of douglas
ovarian torsion shows - (answers)absence of blood flow to one ovary on pelvic ultrasound with
doppler
why US>CT - (answers)CT cannot eval for torsion bc there is no doppler
who gets abx for PID - (answers)-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
complications of pid - (answers)-chronic pelvic pain
-infertility
-ectopic
-toa
-fitz-hiugh curtis
toa process - (answers)walled-off abscess that originates in the infected fallopian tube and
extends to involve the ovary
how confirm dx of Fitz hugh curtis - (answers)elevated liver fxn tests
inpatient abx pid - (answers)-cefoxitin + doxy
or
,-cefotentan + doxy
or
clinda+gentamycin
outpatient abx pid? add _____ if 2 - (answers)-ceftriaxone
-doxy
-add metro if severe infection or hx of uterine instrumentation
who getsa dmitted - (answers)-toa
-fitz hugh curtis
-septic
-peritontiis
-pre-pubertal kid
-iud (which needs to be removed)
-pregnant
d/c with PID need what testing - (answers)test for other STD
describe whats going on in ovarian torsion - (answers)ovary, and often the fallopian tube as well
(adnexal torsion) become twisted around their vascular pedicle.
progression of torsion - (answers)twisting initially obstructs venous flow, which causes
engorgement and edema. The engorgement can progress until arterial flow is compromised,
leading to ischemia and infarction
risk factors for torsion - (answers)ovary with a mass or cyst is more prone to twisting by virtue of
its asymmetry
, classic present torsion - (answers)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.
intermittent torsion - (answers)several episodes of pain over the course of hours, days, or even
weeks,
why does current pregnancy inc risk of torsion - (answers)corpus lutem cyst on ovary
tests for torsion - (answers)There are no laboratory tests which are helpful in establishing the
diagnosis of adnexal torsion
best way to dx torsion - (answers)US
careful with US: - (answers)important to note that the presence of Doppler blood flow does not
exclude the diagnosis of torsion
signs of torsion on US - (answers)-enlargement/edema of ovary
-ovrian mass or cyst
-free pelvic fluid
what does CT torsion show - (answers)finding an enlarged ovary or ovarian mass
-assocaited free fluid
-thick fallopian tube
-deviation of uterus to the affected side
definitively dx torsion - (answers)OR
tx torsion - (answers)or (try and salvage ovary but testicle just gets removed)
COMPLETE QUESTIONS WITH CORRECT DETAILED AND VERIFIED ANSWERS-
MOSTLY TESTED QUESTIONS | RATED 100% CORRECT!!GUARANTEED
PASS!!ALREADY GRADED A+
PID cause - (answers)originates as a cervical infection with Neisseria gonorrheaand/or
Chlamydia trachomatis, and becomes polymicrobial as it ascends into the uterus, fallopian tubes
and ovaries.
3 sx PID - (answers)-lower abd pain
-purulent vag d/c
-vag bleed
when getPID sx - (answers)Symptoms begin shortly after the start of the menstrual cycle, when
there are fewer defenses by the cervical mucosal barrier to ascending infections.
PID with gonnoccal - (answers)more likely to appear toxic (fever, N/V)
dont forget one risk factor pid - (answers)-recent instrumentation of uterus
common exam findings pid - (answers)-b/l adenexal tenderness
-cervical d/c
cervical motion tenderness
-uterine tender
-lower abd tenderness
if pain is u/l think more - (answers)TOA
if RUQ tender think - (answers)Fitz-Hugh Curtis (perihepatitis, inflamation of liver capsule)
,best test for gonorrohea and chlaymida - (answers)NAAT with PCR or DNA probes (either urine
or cervical secretions)
if suspect TOA get - (answers)US
ruptured ovarian cyst shows - (answers)free fluid in pouch of douglas
ovarian torsion shows - (answers)absence of blood flow to one ovary on pelvic ultrasound with
doppler
why US>CT - (answers)CT cannot eval for torsion bc there is no doppler
who gets abx for PID - (answers)-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
complications of pid - (answers)-chronic pelvic pain
-infertility
-ectopic
-toa
-fitz-hiugh curtis
toa process - (answers)walled-off abscess that originates in the infected fallopian tube and
extends to involve the ovary
how confirm dx of Fitz hugh curtis - (answers)elevated liver fxn tests
inpatient abx pid - (answers)-cefoxitin + doxy
or
,-cefotentan + doxy
or
clinda+gentamycin
outpatient abx pid? add _____ if 2 - (answers)-ceftriaxone
-doxy
-add metro if severe infection or hx of uterine instrumentation
who getsa dmitted - (answers)-toa
-fitz hugh curtis
-septic
-peritontiis
-pre-pubertal kid
-iud (which needs to be removed)
-pregnant
d/c with PID need what testing - (answers)test for other STD
describe whats going on in ovarian torsion - (answers)ovary, and often the fallopian tube as well
(adnexal torsion) become twisted around their vascular pedicle.
progression of torsion - (answers)twisting initially obstructs venous flow, which causes
engorgement and edema. The engorgement can progress until arterial flow is compromised,
leading to ischemia and infarction
risk factors for torsion - (answers)ovary with a mass or cyst is more prone to twisting by virtue of
its asymmetry
, classic present torsion - (answers)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.
intermittent torsion - (answers)several episodes of pain over the course of hours, days, or even
weeks,
why does current pregnancy inc risk of torsion - (answers)corpus lutem cyst on ovary
tests for torsion - (answers)There are no laboratory tests which are helpful in establishing the
diagnosis of adnexal torsion
best way to dx torsion - (answers)US
careful with US: - (answers)important to note that the presence of Doppler blood flow does not
exclude the diagnosis of torsion
signs of torsion on US - (answers)-enlargement/edema of ovary
-ovrian mass or cyst
-free pelvic fluid
what does CT torsion show - (answers)finding an enlarged ovary or ovarian mass
-assocaited free fluid
-thick fallopian tube
-deviation of uterus to the affected side
definitively dx torsion - (answers)OR
tx torsion - (answers)or (try and salvage ovary but testicle just gets removed)
