OBGYN

Form 3 Answers
- answers Confirmed online/crowdsourced


1. C 26. C
2. C 27. E
3. D 28. E
4. B 29. C
5. A 30. B
6. D 31. B
7. D 32. D
8. D 33. A
9. H 34. C
10. B 35. D
11. K 36. B
12. D 37. D
13. D 38. A
14. A 39. B
15. A 40. D
16. D 41. C
17. C 42. C
18. A 43. A
19. E 44. E
20. H 45. E
21. D 46. C
22. E 47. C
23. C 48. C
24. E 49. B
25. C 50. A



 EXPLANATIONS
1. nausea, anorexia, pruritus, elevated alk phos + bili with normal LFTs
2. pain with urination, she notes increased stress levels, picture kinda looks like
herpes
3. hyperemesis gravidarum --> uncontrollable vomiting, dehydration,
ketosis --> dx with urine ketones
4. pee after sex if you don't want a UTI
5. cyclic pain, light periods, history of LEEP, cevical scarring on exam point to
cervical stenosis
6. can't visualize entire squamocolumnar junction --> cone biopsy to rule out
invasive disease.
Pap smears screen for abnormal cervical cells – if it’s abnormal è colposcopy
recommended è if during colposcopy, biopsy taken suggests dysplasia è
treatment may be recommended, with potential treatment options including:
cryotherapy, laser therapy, Loop Electrocautery Excision Procedure (LEEP), +
Cone Biopsy. Cryotherapy + Laser therapy destroy the abnormal cells, but do
not yield any biopsy specimens to help determine if the cells are cancer or
dysplasia. LEEP is performed in clinic, while cone biopsy is performed in the
OR.
7. amenorrhea, tender mass (blood collection inside because of outflow
obstruction = hematocolpos), can't visualize vaginal canal è most commonly
imperforate hymen
8. Dx classic for bartholin duct/gland abscess – In immunocompromised
patients, vulvar abscesses are considered necrotizing fasciitis (the most
serious complication) until proven otherwise (Up to Date)
9. Completely normal to have anovulatory cycles especially in first 1-2 years of
menstruation and last 1-2 years.
10.
11.