Gynecological Disorders — Flashcards

Flashcard 21: In a _____ broad ligament fibroid, the ureter lies underneath it.

Answer: true

Flashcard 22: _____ is the organism associated with Bacterial vaginosis, which occurs at a vaginal pH of > 4.5

Answer: Gardnerella vaginalis

Flashcard 23: Endometriosis spread to the Pouch of Douglas (posterior cul-de-sac) can present with _____ and painful intercourse

Answer: dyschezia (pain with defecation)

Flashcard 24: What strains of HPV cause Condylomata acuminata? _____

Answer: 6 and 11

Flashcard 25: Management of a normal (NILM) Pap smear in a woman aged 21–29 is to repeat cytology every _____ years; for those aged 30–65, co-testing (Pap + HPV) is performed every 5 years.

Answer: 3

Extra: Current Cervical Cancer Screening Guidelines (ACOG/USPSTF): - **Age <21:** No screening. - **Age 21–29:** Cytology alone every 3 years. - **Age 30–65:** Co-testing (Cytology + HPV) every 5 years (preferred) OR cytology alone every 3 years. - **Age >65:** Discontinue if adequate negative prior screening (3 consecutive negative paps or 2 negative co-tests in the last 10 years). *Note: The old practice of performing 3 consecutive annual Pap smears before increasing the interval is no longer recommended in modern guidelines.*

Flashcard 26: The best treatment of PID is Single IM injection of _____ with oral Doxycycline and oral metronidazole for 14 days.

Answer: Ceftriaxone

Flashcard 27: Endometriosis often presents with _____ and cyclic pelvic pain; it may also cause infertility

Answer: dysmenorrhea

Flashcard 28: _____ ectopics are second most common

Answer: Isthmic

Flashcard 29: Treatment of Asherman's syndrome involves _____ followed by high dose estrogen for 1 cycle to prevent recurrence

Answer: hysteroscopic adhesiolysis

Flashcard 30: _____ is a rare complication of pelvic inflammatory disease (PID) that involves inflammation of the liver capsule and formation of "violin-string" adhesions.

Answer: Fitz-Hugh-Curtis Syndrome