Category: Uncategorized

A 45 year old woman presents with a complaint of “a yeast infection that won’t go away”.  She reports intense itching of the vulva on and off for the past 4 months despite repeated use of OTC yeast meds.  Her past medical history is significant for anemia and asthma.  On exam you note thickening of the epidermis and visible plaques on the lateral aspects of the labia majora as well as bald patches in the pubic hair.  A wet prep is negative for clue cells, trichomonads, and yeast.  Which statement is true regarding this clinical situation?

A 62 year old woman is noted to have an enlarged uterus when examined.  She has a history of uterine fibroids. Over the course of one year her uterus has grown from approximately a 12 week size to a 20 week size.  She also reports intermittent vaginal bleeding. What is the best management for this patient?

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

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?

The CDC recommends what to treat PID?

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

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.  

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.

A complication of pelvic inflammatory disease (PID) is:

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?