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When a patin is diagnosed with PMS, which intervention would be
recommended to help alleviate the symptoms?
B. Eating a diet low in simple sugars and high in proteins.
(Decrease caffeine, take diuretics but continue to consume fluids, regular
exercise, and analgesics).
______ is the condition in which functional endometrial tissue is found in ectopic
sites outside the uterus.
Endometriosis
_______ is the condition in which endometrial glands and stoma are found
within the myometrium, interspersed between the smooth muscle fibers.
Adenomyosis
Uterine ______ are benign neoplasms of smooth muscle origin.
Leiomyomas
________ are firm, rubbery, sharply defined round masses in breast tissue.
Fibroadenomas
Endometriosis is the condition where endometrial tissue is found growing
outside of the uterus in the pelvic cavity. What are risk factors for
endometriosis? D. Periods longer than 7 days and increased menstrual pain.
An 18 yr old woman presents at the clinic complaining new-onset breakthrough
bleeding, even though she is on contraceptive. What contraceptive use, along
with new onset-onset breakthrough bleeding, has been associated with pelvic
inflammatory disease? B. Depo-Provera
A woman with lobular carcinoma in situ has a relative risk of developing invasive
breast cancer of
,8.0
Pap smear results of atypical squamous cells of undetermined significance
require which procedure next
Follow-up Pap smear
A Bethesda System Pap smear report that reads LSIL is most consistent with
which classification
CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV
infection should have what as follow-up? Routine screening
A female patient is 35 years old. She has never had an abnormal Pap smear
and has had regular screening since age 18. If she has a normal Pap smear with
HPV testing today, when should she have the next cervical cancer screening 5
years
Lab results on your 26-year-old patient show a negative Pap smear with a
positive HPV screen. Which procedure will be required next
Repeat Pap and HPV screen
9yo female has completed course of amox for strep throat. LMP was 2wks ago,
says it was normal. On exam, there's erythema of extern. genitalia w/small
amount of white discharge. Micro wet prep reveals few clue cells, but many
budding hyphae. No WBCs. Which one would be the most appropriate
treatment?
a. Metronidazole 500mg BID x7 days
b. OTC hydrocortisone 1% cream TID
c. Fluconazole tabs 150mg x1 dose
d. Erythromycin 500mg TID x10 days
Woman c/o vaginal itching, white discharge. She is in good health except for
recent abx for strep throat. Pelvic reveals tender vulvovaginal area w/edema and
nonmalodorous white patches. Which is the most likely cause?
a. Bacterial
vaginosis
b. Trichomonas
, c. Lactobacillus overgrowth
d. Candidiasis
18yo female c/o secondary amenorrhea. On exam, there is normal secondary
sex characteristics and normal genitalia. Pregnancy is ruled out. What would
necessitate further eval?
a. Elevated blood cholesterol levels
b. Androgen deficiency
c. Galactorrhea
d. Hirsutism
Primary amenorrhea is best described as:
a. Cessation of menstruation x6mo
b. Failure of menstruation to occur by 17ho
c. Failure of menstruation to occur by 13yo
25yo female c/o vaginal irritation and discharge. On exam, cervix is easily friable
and erythematous. No adnexal tenderness. Wet prep reveals mobile protozoa
on NS slide. This most likely represents:
a. Trichomonas
Treatment options for condyloma acuminatum include:
a. Imiquimod (Aldera)
49yo female c/o dark, watery brown vaginal discharge. Which best describes
what might be seen on physical exam in pt's with cervical cancer?
a. Ulcerated firm cervix
22yo female c/o pelvic pain. Exam reveals cervical motion and uterine
tenderness. Which supports PID dx?
a. Temp <100F
b. Absence of WBCs in vag fluid