What is the leading cause of death for women in the US?
Heart Disease
100
Asymptomatic bacteriuria should be treated in pregnancy. True or False?
True
100
What class of medication is considered a first line treatment for osteoporosis in postmenopausal women?
Bisphosphonates
100
List at least 5 common etiologies of abnormal uterine bleeding (AUB) in non-pregnant women.
The most common causes are:
Fibroids
Endometrial polyps
Adenomyosis
Anovulation
Disorders of hemostasis
Neoplasia
100
What is the primary route of transmission for Zika virus infection?
Mosquitoes
200
What are the top 3 causes of cancer death among women in US?
Lung
Breast
Colorectal
200
What is the most common cause of maternal mortality in the world?
Postpartum hemorrhage
200
What is the most common clinical manifestation of osteoporosis?
Vertebral fracture
200
Define amenorrhea.
Absence of bleeding for at least three usual cycle lengths.
200
The uterus and cervix receive sympathetic innervation from what spinal levels?
T10-L2
300
Name at least 2 benefits of breastfeeding for mothers.
Lower risk of:
- Type 2 DM
- Certain types of breast cancer
- Ovarian cancer
- Heart disease
300
A pregnant woman presents at 10 weeks for her 1st prenatal visit. She has a history of genital herpes. What is the recommendation for viral suppressive therapy?
Suppressive viral therapy starting at 36 weeks gestation (acyclovir 400 mg TID or valacyclovir 500 mg BID)
300
Name at least 3 lifestyle measures to reduce bone loss in postmenopausal women.
1. Adequate calcium & Vitamin D
2. Exercise
3. Smoking cessation
4. Fall prevention counseling
5. Avoidance heavy ETOH use
300
Most reproductive-age women with AUB should be evaluated initially with what 2 lab tests?
hCG and CBC
300
What is the One Key Question to routinely ask women about their reproductive health needs?
Would you like to become pregnant in the next year?
400
Percent of pregnancies in the US that are unintended.
45%
400
When and how should screening for gestational diabetes occur in most patients?
24-28 weeks with a 75 g 2-hour oral glucose tolerance test
400
What is a diagnostic osteopenia T-score by DXA?
Between -1.0 and -2.5
400
Women with heavy menstrual bleeding change pads/tampons more than every _____ hours.
two (2)
400
What is a first-line outpatient treatment for PID?
Ceftriaxone (250 mg IM in a single dose) plus doxycycline (100 mg PO BID for 14 days)
500
Percent of women that experience unintended pregnancy during first year of OCP use.
7%
500
A 32 y/o G2P1 presents at 33 weeks gestation with sharp abdominal pain, vaginal bleeding and fetal distress. What is the most likely diagnosis?
Placental abruption
500
Aside from allergy or previous adverse reaction, what are the contraindications to using oral bisphosphonates?
1. Esophageal disorders
2. Inability to follow the dosing requirements (eg, stay upright for at least 30 to 60 minutes)
3. Chronic kidney disease (eGFR <30 mL/min)
500
What are the indications for endometrial sampling in women younger than 45 years of age?
- Persistent AUB
- AUB in setting of unopposed estrogen exposure
- Failed medical management of the bleeding
- High risk of cancer
500
Where is the posterior Chapman point for the uterus located?