PB128
What does PALM-COEIN stand for?
Polyp
Adenomyosis
Leiomyoma
Malignancy
Coagulopathies
Ovulatory Dysfunction
Endometrial
Iatrogenic
Not Yet Classified
Where is GnRH synthesized, and how is it secreted?
Hypothalamus; secreted in pulsatile fashion.
What is the preferred minimally invasive route for hysterectomy?
Vaginal hysterectomy
What are the four pillars of medical ethics
Autonomy, benefice, nonmaleficence, justice
According to ACOG PB 128, which initial laboratory test should be performed in all women presenting with abnormal uterine bleeding?
Pregnancy test
An increase in this hormone is responsible for rescuing follicles from apotosis
FSH
What are the three main minimally invasive routes for hysterectomy?
Vaginal, laparoscopic, and robotic
What is the second-victim concept?
health-care practitioners emotionally affected by an adverse event
In reproductive-aged women with abnormal uterine bleeding, what is the preferred first-line imaging modality to evaluate the endometrium and structural causes?
TVUS
The function of the corpus luteum is crucial during the first __ weeks of pregnancy
7-9 weeks
List two common perioperative risks unique to robotic surgery
positioning injuries and equipment malfunction or trocar injuries
Give some barriers to disclosure
fear of litigation or blame
uncertainty about facts or what can be said
culture of blame/punitive environment
lack of training/communication skills
List at least three indications for when an endometrial biopsy should be performed in women with abnormal uterine bleeding.
Women ≥45 years with abnormal uterine bleeding
Women <45 years with risk factors for endometrial hyperplasia/cancer (e.g., obesity, chronic anovulation, PCOS, unopposed estrogen exposure)
Women with persistent bleeding despite medical management
This hormone stimulates the granulosa cell proliferation, aromatase activity, and progesterone synthesis
IGF-II
Name two key technological advantages of robotic surgery over conventional laparoscopy?
3D magnified visualization and articulated wrist instruments
What are some elements that patients typically expect when an adverse event is disclosed, per ACOG CO 681?
Timely and Honest disclosure
Acknowledgement of responsibility
Regret
Expression of Sympathy
Discussion of steps to prevent recurrence
What imaging modality is superior when evaluating a patient for Adenomyosis?
MRI
These two hormones are responsible for regulating the pituitary secretion of FSH
Activin and Inhibin.
Both influence growth and development by modulating theca and granulosa response to the gonadotropins.
what are contraindications or barriers to a minimally invasive hysterectomy?
Large uterus size, severe adhesions, extensive extrauterine disease (advanced malignancy or endometriosis)
What does the SHARE acronym stand for?
S: Seek the patient’s participation
H: Help the patient explore and compare options
A: Assess patient’s values and preferences
R: Reach a decision together
E: Evaluate the decision made