One cause of heavy vaginal bleeding
What is a submucosal fibroid
This mass is a commonly associated with ovarian torsion
What is a dermoid cyst
This test is usually the first line in evaluation of a pelvic mass
What is an ultrasound
This clinical presentation requires immediate surgical intervention for organ preservation
What an ovarian torsion?
This is usually the first step if you suspect an ovarian torsion
What is laparoscopy ?
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
This should be the initial step in the evaluation of an adenexal mass
What is a physical exam?
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
A patient admitted with PID 2 days is clinically worse with high fevers and pain.
What is a ruptured TOA?
A 50 year old had a hysterectomy and BSO for endometriosis a year ago. She has persistent abdominal pain
What is ovarian remnant syndrome?
This uterine mesenchymal cell tumor accounts for less than 1% of all uterine neoplasms
What is an endometrial cell stromal cell tumor
The most common adenexal mass in a neonate
What is a physiological cyst?
A patient is considering a uterine fibroid embolization the best test to evaluate the location of her fibroids is
What is a MRI?
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?
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?
This benign condition may minic uterine fibroids and cause heavy bleeding and pain
What is adenomyosis?
Ovarian cysts and vaginal bleeding in a 8 year old girl
What is McCune Albright syndrome?
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?
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?
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?
Transformation of normal myocytes into abnormal myocytes
What is mechanism of growth of fibroids?
A postmenopausal woman has a 9cm simple cyst that was an incidental finding on CT scan. The best management is
What is observation?
This test can be elevated in the following conditions; ascites colitis and pancreatitis
What is a CA 125?
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?
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?