saem m4 curriculum 2 Exam Questions
and Answers Graded A+
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.
3 sx PID - Correct answer--lower abd pain
-purulent vag d/c
-vag bleed
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.
PID with gonnoccal - Correct answer-more likely to appear toxic (fever, N/V)
dont forget one risk factor pid - Correct answer--recent instrumentation of uterus
common exam findings pid - Correct answer--b/l adenexal tenderness
-cervical d/c
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,cervical motion tenderness
-uterine tender
-lower abd tenderness
if pain is u/l think more - Correct answer-TOA
if RUQ tender think - Correct answer-Fitz-Hugh Curtis (perihepatitis, inflamation
of liver capsule)
best test for gonorrohea and chlaymida - Correct answer-NAAT with PCR or DNA
probes (either urine or cervical secretions)
if suspect TOA get - Correct answer-US
ruptured ovarian cyst shows - Correct answer-free fluid in pouch of douglas
ovarian torsion shows - Correct answer-absence of blood flow to one ovary on
pelvic ultrasound with doppler
why US>CT - Correct answer-CT cannot eval for torsion bc there is no doppler
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
complications of pid - Correct answer--chronic pelvic pain
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,-infertility
-ectopic
-toa
-fitz-hiugh curtis
toa process - Correct answer-walled-off abscess that originates in the infected
fallopian tube and extends to involve the ovary
how confirm dx of Fitz hugh curtis - Correct answer-elevated liver fxn tests
inpatient abx pid - Correct answer--cefoxitin + doxy
or
-cefotentan + doxy
or
clinda+gentamycin
outpatient abx pid? add _____ if 2 - Correct answer--ceftriaxone
-doxy
-add metro if severe infection or hx of uterine instrumentation
who getsa dmitted - Correct answer--toa
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, -fitz hugh curtis
-septic
-peritontiis
-pre-pubertal kid
-iud (which needs to be removed)
-pregnant
d/c with PID need what testing - Correct answer-test for other STD
describe whats going on in ovarian torsion - Correct answer-ovary, and often the
fallopian tube as well (adnexal torsion) become twisted around their vascular
pedicle.
progression of torsion - Correct answer-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 - Correct answer-ovary with a mass or cyst is more prone to
twisting by virtue of its asymmetry
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
and Answers Graded A+
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.
3 sx PID - Correct answer--lower abd pain
-purulent vag d/c
-vag bleed
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.
PID with gonnoccal - Correct answer-more likely to appear toxic (fever, N/V)
dont forget one risk factor pid - Correct answer--recent instrumentation of uterus
common exam findings pid - Correct answer--b/l adenexal tenderness
-cervical d/c
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,cervical motion tenderness
-uterine tender
-lower abd tenderness
if pain is u/l think more - Correct answer-TOA
if RUQ tender think - Correct answer-Fitz-Hugh Curtis (perihepatitis, inflamation
of liver capsule)
best test for gonorrohea and chlaymida - Correct answer-NAAT with PCR or DNA
probes (either urine or cervical secretions)
if suspect TOA get - Correct answer-US
ruptured ovarian cyst shows - Correct answer-free fluid in pouch of douglas
ovarian torsion shows - Correct answer-absence of blood flow to one ovary on
pelvic ultrasound with doppler
why US>CT - Correct answer-CT cannot eval for torsion bc there is no doppler
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
complications of pid - Correct answer--chronic pelvic pain
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,-infertility
-ectopic
-toa
-fitz-hiugh curtis
toa process - Correct answer-walled-off abscess that originates in the infected
fallopian tube and extends to involve the ovary
how confirm dx of Fitz hugh curtis - Correct answer-elevated liver fxn tests
inpatient abx pid - Correct answer--cefoxitin + doxy
or
-cefotentan + doxy
or
clinda+gentamycin
outpatient abx pid? add _____ if 2 - Correct answer--ceftriaxone
-doxy
-add metro if severe infection or hx of uterine instrumentation
who getsa dmitted - Correct answer--toa
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, -fitz hugh curtis
-septic
-peritontiis
-pre-pubertal kid
-iud (which needs to be removed)
-pregnant
d/c with PID need what testing - Correct answer-test for other STD
describe whats going on in ovarian torsion - Correct answer-ovary, and often the
fallopian tube as well (adnexal torsion) become twisted around their vascular
pedicle.
progression of torsion - Correct answer-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 - Correct answer-ovary with a mass or cyst is more prone to
twisting by virtue of its asymmetry
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
