Colposcopy is indicated for all If negative, then co-testing with

abnormal Pap test cytology and HPV can be

Sex active teen Initiate
Doxycycline & Ceftriaxone
(counsel/screen for STD = best)
h/o hysterectomy = don't need
pap test
repeated in three years
65-70yo can stop cervical cancer
screening/pap if had 3 negatives,
or 2 neg cotesting in last 10yrs
Still need bimanual & rectovag
exam.

Mammograms YEARLY

50yo = Colon CA screen

Agree with her decision after

proper counseling and perform a
Cesarean section at 39 weeks
gestation

Low FSH, Tanner stage 2 breast, Risk dev: OSTEOPOROSIS

18yo still not had period for 1 yr.
Teen, pelvic pain n/v during Primary Dysmenorrhea
menses since 13yr. Now 17yo.
Menses occur at regular 26-
28days. Diagnosis?

teen 1day h/o fever, n/v/diarrhea + STAPH aureus (NOT Chlamydia or

RASH. Diffuse red GC)
MACULOPAPULAR rash on
perineum & thigs. PE: cervical
motion, uterine, b/l adnexal
tenderness w/no masses. Likely
bug?

Recrrent UTI, Recurrent 1st Congenital Uterine Anomalies

trimester abortions. IV pyelogram
shows single kidney. PE pal uterus,
and easy palp left ovary. Diag?

10wks gestion, 5day h/o Admit for IV hydration &

n/vomiting/decreased appetite. parenteral anti-emetic therapy
Uterus consisisten with size 10wks.
TSH & free thyroxin pending. NEXT
STEP?

Post-menopause + blood stians on Hypoestrogenic state (not

underwear. Atrophy, friable vag endometrial hyperplasia)
mucosa. Likely cause of symptoms?
Stress/cough/sneeze urinary Decreased EXTERNAL urethra
incontinencye Likely cause of sx? SPHINCTER tone
MOA:
3 days post C-section. Fever, Breast Engorgement (not
breasts tense, red, tender. endometritis or mastitis)
Diagnosis?
4 weeks after c-delivery. Pulling Normal Postoperative course
feeling to right of incisiontender
to deep palp lateral to & right &
left of incisions. Likely explained?

11yo girl. Mom concerned Menarche is imminent (not

daughter periods will start soon. precocious puberty)
Mom's menarch at 14yo. Pt is 90th
% for wt, 75% for height. She's had
recent mood changes. Breast &
pubic hair, tanner 3. Recent pubic
hair is most predictive of which?

42yo g3p3 menses irreg 2-3 month ANOVULATION (not multiparity, or

intervals, lasted 7-21days. Enlarged age)
uterus, Endometrial biopsy atypical
complex hyperplasia. DM2, BM 32.
Which is strongest predisposing
factor for pt's condition?

15yo 10 episodes of cramps Hematocolpos??

tanner breast 5. Mass palpated in
suprpubic region at midline. Cervix
can't be visualized bc of bluish
bulging vaginal tissue obscures
upper vagina. Diagnosis?

38weeks, 2cm dilated, vertex -1 Cephalopelvic Disproportion

station. Cervix & station
unchanged. 1 hr later, conditions
unchanged why?

21yo DC, purulent cervical DC & Gonorrhea (NOT chlamydiabc

cervical motion tenderness. GRAM can't be gram stained)
STAIN of DC shows (pic: red
+bugs) Bug?

Enlarged irreg, smooth, freely SubMUCOSAL (not subserosal)

mobile uterus, heavy periods. US
shos leiomya uteri. Which is likely
TYPE of leiomyoma?
33wks. US shows Olighydramnios Uteroplacental insufficiency (NOT
& fetus consistent in size fetal renal agenesis)
w/30wks. Which is most likely
cause of oligohydramnios?

22yo comes bc of second episode Spontaneous disappearance of

of painful vesicular genital lesions. lesions within 1 week (herpes)
Nex sex parter has similar lesions
on penis. Most likely CLINICAL
course?

17yo, never had menstrual period Follicle-stimulating hormone FSH

& has not had breast development. (NOT GnRH)
BMI 31. Tanner stage breast 1.
Should check serum concentration
sof which?

24yo 3ows, bright red vaginal Cervical Trauma (not previa or

bleeding noticed as spotting on preterm labor or abruption)
underwhear first 12hrs after sex
intercourse. Bleeding has
increased. External fetal
monitoring shows 2 contractions
during next hour. Which is likely
Cause of pt's bleeding?

2mo h/o dull right-sided pelvic Oral Contraceptive therapy and a

pain. Pain most severe during second pelvic exam in 6 wks.
menses. U/S shows 5cm simple
cyst. She's anxious about paying for (NOT: Reassurance & schedule f/u
tx bc insurance expires in 2 wks. in 1 yr, NOT: Ultrasound guided
Which is next step? drainage of cyst)

18hrs post c-section. Pt has FEVER. Atelectasis (not endometritis)

PE: Decreased breath sounds
heard bilaterally. Diagnosis?

67yo vulva itching for 2 years., PE: Punch biopsy of affected areas
shows 3 1cm areas of white
epithelium over left labium majus. (NOT application of corticosteroid
Which is next step? cream)

Prior to DC, pt likes to resume Decreased protein content in

combination OCP + breast feed, Dr breast milk
should warn about potential
problems? (not "decrased effectiveness in
preventing pregnancy", or
"Increased incidence of mastitis")

Third UTI.Daily administration of Trimethoprim-sulfamethoxazole

which is most appropriate (daily is ok. NOT: "Penicillin")
prophylaxis against recurrence?
32wks, irreg uterine contractions Abruption placenta (NOT
for 3 hrs. Watery vag DC that tests "idiopathic preterm labor")
positive to Nitrazine. Likely cause
of findings?

2oyo, hair grows on face. Likely INCREASED 5alpha-reductase

cause of pt's hair growth? activity

(NOT "Increased estrogen

concentration")

Yellow-gray frothy DC with fishy Flagellated Protozoa (Trich)

odor. A wet mount prep of DC
likely show which? NOT"Multinucleated giant cells =
BV")