uterine masses
adenexal masses
diagnostic tests
gyn emergencies
management dilemmas
100

One cause of heavy vaginal bleeding

What is a submucosal fibroid

100

This mass is a commonly associated with ovarian torsion

What is a dermoid cyst

100

This test is usually the first line in evaluation of a pelvic mass

What is an ultrasound

100

This clinical presentation requires immediate surgical intervention for organ preservation

What an ovarian torsion?

100

This is usually the first step if you suspect an ovarian torsion

What is laparoscopy ?

200

A pregnant  patient is 15 weeks  and  has a 10cm fibroid  She is having severe cramping.  She desires intervention

What is  NSAID or anti inflammatory medication

200

This should be the initial step in the evaluation of an adenexal mass

What is a physical exam?

200

A 30 year has very heavy regular menses. Her uterus is normal in size.  The best diagnostic test to evaluate her bleeding is.

What is a hysterosonogram

200

A patient admitted with PID 2 days is clinically worse with high fevers and pain.

What is a ruptured TOA?

200

A 50 year old had a hysterectomy and BSO for endometriosis  a year ago. She has persistent abdominal pain 

What is ovarian remnant syndrome?

300

This uterine mesenchymal cell tumor accounts for less than 1% of all uterine neoplasms

What is an endometrial cell stromal cell tumor

300

The most common adenexal mass in a neonate

What is a physiological cyst?

300

A patient is considering a uterine fibroid embolization  the best test to evaluate the location of her fibroids is

What is a MRI?

300

A 18year old G1P0 has a positive pregnancy test 2 weeks ago. She now of bleeding, cramping and a high fevers.

What is a septic abortion?

300

A 35 year G0P0 has large uterine fibroids and heavy menses one fibroid is intramural and 12cm in size. The best management is? 

What is a myomectomy?

400

This benign condition may minic uterine fibroids and cause heavy bleeding and pain

What is adenomyosis?

400

Ovarian cysts and vaginal bleeding in a 8 year old girl

What is McCune Albright syndrome?

400

A 60 year old has a adenexal mass that is highly suspicious for malignancy.  The most useful test before referring the patient to a gyn oncologist is?

What is the OVA 1 test?

400

A 25 year old G3P1 presents to the emergency room with a positive pregnancy test. She also has heavy vaginal bleedingHer ultrasound shows a possible cervical ectopic pregnancy. The next best management step is

What is multi dose methotrexate?

400

A 45 year old G5P5 has a 6cm presumed ovarian dermoid cyst.  She has intermittent pain . The next best management step is

What is a laparoscopic oophrectomy?

500

Transformation of normal  myocytes into abnormal myocytes

What is mechanism of growth of fibroids?

500

A postmenopausal woman has a 9cm simple cyst that was an incidental finding on CT scan. The best management is 

What is observation?

500

This test can be elevated in the following conditions; ascites colitis and pancreatitis 

What is a CA 125?

500

A 18 year G0P0 presents to the emergency room . Her pregnancy test is negative.  Her blood pressure is 70/50 and her heart rate is 130.  Your next management step?

What is a diagnostic laparoscopy?

500

A 40 year G0PO has fibroids and heavy bleeding   Her H/H is 8.5/28  She has a very large submucosal fibroid on saline sonogram.   What would be the next best management prior to resection?

What is a GNRH agonist?

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