Gynecological Disorders — Flashcards

Flashcard 41: Management of a Class II (Inflammatory) PAP smear is to treat the _____, and repeat after 3 months

Answer: infection

Flashcard 42: Management of a Class IV PAP smear is to perform a _____ and biopsy

Answer: colposcopy

Flashcard 43: _____ uterus is an anomaly of the uterus due to incomplete lateral fusion of Mullerian ducts

Answer: Bicornuate

Flashcard 44: Mammary duct ectasia classically arises in _____ (parity), post-menopausal women

Answer: multiparous

Flashcard 45: Acute endometritis presents as fever, abnormal _____, and pelvic pain

Answer: uterine bleeding

Flashcard 46: _____ is the abnormal placement of endometrial glands and stroma outside the endometrial lining/cavity

Answer: Endometriosis

Flashcard 47: _____ discharge from the vagina is significant for Gardnerella vaginalis

Answer: Gray-white

Flashcard 48: A functional cyst of size 5–10 cm should be followed up with _____ every 3 months while simultaneously checking her CA-125 levels

Answer: USG

Extra: Management of simple/functional ovarian cysts (premenopausal): - <5 cm: No follow-up needed. - 5–10 cm: Follow up with USG every 3 months and monitor CA-125 levels. - >10 cm: Usually requires surgical evaluation (cystectomy/oophorectomy) due to risk of torsion or malignancy. Note: CA-125 is often elevated in premenopausal women due to benign conditions (endometriosis, PID, etc.), so its specificity is lower.

Flashcard 49: Is fibroid surrounded by a true capsule?_____

Answer: No

Flashcard 50: Which 2 bacteria are the most common causes of Pelvic Inflammatory Disease (PID)?_____ (subacute; often undiagnosed); Neisseria gonorrhoeae (acute)

Answer: Chlamydia trachomatis