saem m4 curriculum 2
SAEM M4 Curriculum 2 with Answers
Question 1
PID cause
Correct Answer
originates as a cervical infection with Neisseria gonorrheaand/or Chlamydia
trachomatis, and becomes polymicrobial as it ascends into the uterus, fallopian
tubes and ovaries.
Question 2
3 sx PID
Correct Answer
-lower abd pain
-purulent vag d/c
-vag bleed
Question 3
when getPID sx
Correct Answer
Symptoms begin shortly after the start of the menstrual cycle, when there are fewer
defenses by the cervical mucosal barrier to ascending infections.
Question 4
PID with gonnoccal
Correct Answer
more likely to appear toxic (fever, N/V)
Page 1 of 77
, saem m4 curriculum 2
Question 5
dont forget one risk factor pid
Correct Answer
-recent instrumentation of uterus
Question 6
common exam findings pid
Correct Answer
-b/l adenexal tenderness
-cervical d/c
cervical motion tenderness
-uterine tender
-lower abd tenderness
Question 7
if pain is u/l think more
Correct Answer
TOA
Question 8
if RUQ tender think
Correct Answer
Fitz-Hugh Curtis (perihepatitis, inflamation of liver capsule)
Question 9
best test for gonorrohea and chlaymida
Correct Answer
NAAT with PCR or DNA probes (either urine or cervical secretions)
Page 2 of 77
, saem m4 curriculum 2
Question 10
if suspect TOA get
Correct Answer
US
Question 11
ruptured ovarian cyst shows
Correct Answer
free fluid in pouch of douglas
Question 12
ovarian torsion shows
Correct Answer
absence of blood flow to one ovary on pelvic ultrasound with doppler
Question 13
why US>CT
Correct Answer
CT cannot eval for torsion bc there is no doppler
Question 14
who gets abx for PID
Correct Answer
-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
Page 3 of 77
, saem m4 curriculum 2
Question 15
complications of pid
Correct Answer
-chronic pelvic pain
-infertility
-ectopic
-toa
-fitz-hiugh curtis
Question 16
toa process
Correct Answer
walled-off abscess that originates in the infected fallopian tube and extends to
involve the ovary
Question 17
how confirm dx of Fitz hugh curtis
Correct Answer
elevated liver fxn tests
Question 18
inpatient abx pid
Correct Answer
-cefoxitin + doxy
or
-cefotentan + doxy
or
clinda+gentamycin
Page 4 of 77
SAEM M4 Curriculum 2 with Answers
Question 1
PID cause
Correct Answer
originates as a cervical infection with Neisseria gonorrheaand/or Chlamydia
trachomatis, and becomes polymicrobial as it ascends into the uterus, fallopian
tubes and ovaries.
Question 2
3 sx PID
Correct Answer
-lower abd pain
-purulent vag d/c
-vag bleed
Question 3
when getPID sx
Correct Answer
Symptoms begin shortly after the start of the menstrual cycle, when there are fewer
defenses by the cervical mucosal barrier to ascending infections.
Question 4
PID with gonnoccal
Correct Answer
more likely to appear toxic (fever, N/V)
Page 1 of 77
, saem m4 curriculum 2
Question 5
dont forget one risk factor pid
Correct Answer
-recent instrumentation of uterus
Question 6
common exam findings pid
Correct Answer
-b/l adenexal tenderness
-cervical d/c
cervical motion tenderness
-uterine tender
-lower abd tenderness
Question 7
if pain is u/l think more
Correct Answer
TOA
Question 8
if RUQ tender think
Correct Answer
Fitz-Hugh Curtis (perihepatitis, inflamation of liver capsule)
Question 9
best test for gonorrohea and chlaymida
Correct Answer
NAAT with PCR or DNA probes (either urine or cervical secretions)
Page 2 of 77
, saem m4 curriculum 2
Question 10
if suspect TOA get
Correct Answer
US
Question 11
ruptured ovarian cyst shows
Correct Answer
free fluid in pouch of douglas
Question 12
ovarian torsion shows
Correct Answer
absence of blood flow to one ovary on pelvic ultrasound with doppler
Question 13
why US>CT
Correct Answer
CT cannot eval for torsion bc there is no doppler
Question 14
who gets abx for PID
Correct Answer
-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
Page 3 of 77
, saem m4 curriculum 2
Question 15
complications of pid
Correct Answer
-chronic pelvic pain
-infertility
-ectopic
-toa
-fitz-hiugh curtis
Question 16
toa process
Correct Answer
walled-off abscess that originates in the infected fallopian tube and extends to
involve the ovary
Question 17
how confirm dx of Fitz hugh curtis
Correct Answer
elevated liver fxn tests
Question 18
inpatient abx pid
Correct Answer
-cefoxitin + doxy
or
-cefotentan + doxy
or
clinda+gentamycin
Page 4 of 77
