Author: Anonymous

A 22 year old G0P0 presents for her annual exam.  On speculum exam you note a smooth 2 mm shiny cyst at 2 o’clock on her cervix.  What is the most likely diagnosis for this finding?

Which of the following methods of hormonal contraception has the highest efficacy in preventing unintended pregnancy during the first year of typical use?

What is the most appropriate treatment for an initial outbreak of genital herpes (CDC treatment recommendation)?

The CDC recommends what to treat PID?

A 42 year old woman comes in for her annual exam.  She is recently divorced after 23 years of marriage and had just started dating someone.  She is hopeful the relationship will become serious and anticipates potentially having a sexual relationship with this person.  She has 3 teenage children (whom she has full custody of) and works full time.  Her menstrual cycles have become somewhat irregular and heavier than in the past.  The bleeding patterns are “annoying”  to her.  She also describes occasional hot flashes, one of which occurred while she was on a date.  This caused embarrassment.  She asks if she really needs to be concerned about contraception given the changes in her cycle and the hot flashes.  She is ambivalent about the loss of fertility.  It seems that not having to worry about pregnancy would be really nice but maybe having another baby would be okay if the right person came along.  She is a nonsmoker, is normotensive, does not take any medication or supplements,  and her BMI is 24.  List 5 areas that you would counsel this woman about based upon the information provided.  

A healthy 26 year old nulliparous woman presents for her annual exam.  She is on COCs for contraception and is happy with her method.  She has had annual cervical cytology screenings for the past 3 years.  Her last cervical cytology screening was last year and have all been normal without evidence of dysplasia.  She has no risk factors for cervical cancer.  According to the latest ACOG recommendations how often does she need  cervical cytology screening?

A complication of pelvic inflammatory disease (PID) is:

Based on the information given in the previous question, name at least three screening laboratory tests that should be ordered as part of this preconception health work up.

Graduate only: What is the major difference between denaturing discontinuous gel electrophoresis and native gel electrophoresis? (1 point) In blue native PAGE, what is the major function of Coomassie blue G-250 dye? (1 point)

What are the five immunoglobulins? (1 point)