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FM EORE OB/GYN Review | 80+ Questions with Answers | MED317 | Dysmenorrhea, PID, Menopause, Breast Cancer

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This expert-verified study guide contains over 80 exam-focused multiple-choice questions and answers covering key OB/GYN topics for the Family Medicine End of Rotation Exam (EORE), developed for the 2025 academic year. Geared toward students in MED317 or clinical rotations in family medicine, women’s health, or obstetrics and gynecology, it integrates high-yield reproductive health knowledge with real-world clinical relevance. The questions cover common gynecologic complaints, pathologies, and preventive care strategies, with an emphasis on diagnosis, management, and patient education. Key topics include: Menstrual Disorders: Primary vs. secondary dysmenorrhea, dysfunctional uterine bleeding, endometriosis, and medical/surgical treatments Vaginitis Types: Bacterial vaginosis (clue cells, fishy odor, metronidazole) Candida (pruritus, hyphae, fluconazole) Trichomoniasis (green discharge, mobile protozoa, strawberry cervix) Pelvic Inflammatory Disease (PID): Clinical signs (CMT, fever, pelvic pain), pathogens (gonorrhea, chlamydia), and antibiotic regimens Breast Conditions: Breast cancer risk factors (BRCA1/2, peau d’orange, screening guidelines) Fibroadenoma in young women (movable mass, ultrasound, biopsy) Pelvic Organ Prolapse: Cystocele and rectocele—risk factors, symptoms, and conservative/surgical options Menopause & Hormone Replacement Therapy (HRT): Diagnosis with FSH, symptom management, and contraindications to HRT Gynecological Screening & Imaging: Pap smears, mammograms, ultrasound, and when to refer for biopsy This review is especially useful for students and trainees in: Physician Assistant (PA) programs preparing for the OB/GYN EORE Medical students (MD/DO) during family medicine, OB/GYN, or internal medicine rotations Nurse Practitioner (NP) and Nursing (BSN, RN) students studying women’s health International medical graduates preparing for USMLE Step 2 CK or PANCE Structured to enhance rapid recall and clinical decision-making, this guide helps students confidently approach OB/GYN questions on standardized exams and real patient care scenarios. Keywords: OBGYN, family medicine, dysmenorrhea, PID, dysfunctional uterine bleeding, menopause, FSH, vaginitis, trichomoniasis, bacterial vaginosis, candida, breast cancer, fibroadenoma, cystocele, rectocele, BRCA1, BRCA2, clue cells, estrogen therapy, hormone replacement

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Institution
Family Medicine
Course
Family medicine

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FM EORE OB/GYN 2025 Expert Verified |
Ace the Test



Dysmenorrhea - 🧠 ANSWER ✔✔- Pain before or during menstruation


- Cramping, localized to lower abdomen

- Primary occurs 1 yr after menarche

- Secondary occurs many years after menarche

- Secondary d/t endometriosis, uterine fibroids, PID

- NSAIDs and/or estrogen/progesterone OCP

- Treat underlying disease if secondary


Dysfunctional uterine bleeding - 🧠 ANSWER ✔✔- Abnormal bleeding NOT

d/t unidentifiable pathology

, - PE normal, bleeding may be prolonged, frequent, heavy, or absent

- Labs & US normal

- Rule out coagulation disorders (Von Willebrand)

- Treat w/ estrogen/progesterone OCPs or IUD

- NSAIDs in adjunct or if OCP is contraindicated

- Hysterectomy if no longer wish to conceive


Bacterial vaginitis - 🧠 ANSWER ✔✔- Gardenella vaginalis


- Thin white/grey discharge

- Fishy smelling

- Wet mount reveals *clue cells*

- Metronidazole or clindamycin


Candida vaginitis - 🧠 ANSWER ✔✔- Candida albicans


- Thick white cottage cheese discharge

- Pruritis and dysuria

- Wet mount reveals *buddy yeast and hyphae*

- Treated w/ fluconazole or nystatin

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