OBSTETRICS AND GYNECOLOGY

Transcription

1 OBSTETRICS AND GYNECOLOGY NEOPLASMS 1. Discuss Polycystic Ovary (Stein-Leventhal) syndrome: symptoms, diagnosis, & management. 2. What are the signs & symptoms of endometriosis? How is it managed? 3a. Describe the risk factors and clinical presentation for ovarian cancer. b. Name one distinguishing feature for each of the following types of ovarian tumors: A. Epithelial: serous cystadenocarcinoma - mucinous cystadenocarcinoma - endometrioid - Brenner's - B. Germ cell/stromal: granulosa-theca cell - arrhenoblastoma - dysgerminoma - malignant teratoma - 4a. Describe the pap smear - requirements, different classes of cells, and treatments. b. Name three possible types of cervical tumors and the how often each is seen. 5. Describe the risk factors, clinical presentation, and treatment for cervical cancer. 6. Describe how HPV is related to premalignancy. 7. Describe the risk factors and treatment for endometrial cancer. 8. What is the differential for vulvar lesions? Explain the work-up for these lesions. 9. What is the differential for postmenopausal vaginal bleeding? Explain the work-up. 10. Name the most common cancer in the female. Name the most common cause of cancer death in the female. Name the most common reproductive organ cancer in the female. Name the most common reproductive organ cancer death in the female.

2 ACUTE ABDOMEN/INFECTIONS 1. What are the major risk factors and treatment for uterine prolapse. 2. Compare and contrast the presentation and management of fibroids and adenomyosis. 3. Describe the blood supply to the ovaries and uterus. 4a. What are the risk factors, and clinical presentation of an ectopic pregnancy? b. How would you work-up a suspected ectopic pregnancy? 5. Describe a molar pregnancy -- etiology, presentation, labs, diagnosis, and treatment. 6. What are the signs, symptoms, and treatment for the following sexually transmitted infections: Syphilis - Gonorrhea - Chlamydia - Herpes - Papilloma Virus - Trichomonas - Gardnerella - Candida - 7. Discuss the pathophysiology of toxoplasmosis. What genetic defects will you see? 8. What are the possible complications of an infection with rubella, rubeolla, or CMV during pregnancy? 9. What are the risk factors and treatment for PID?

3 PREGNANCY, LABOR AND DELIVERY 1a. At what approximate fetal age would you use the following dating criteria: pelvic exam - fetal heart tones (auscultation) - (doppler) - quickening - fundal height - b-hcg levels - crown-rump length - heart beat on U/S - b. Fill in the Apgar table: SIGN Heart rate Resp. effort muscle tone reflexes color 2a. What are the stages observed in labor? b. Describe the 7 cardinal movements at delivery. 3. Compare and contrast early, late, and variable deceleration and their tracings. 4a. What day post-fertilization does implantation occur? b. Where does fertilization usually take place? c. In a 28 yr old woman with a regular 30 day cycle, when did she ovulate if menses began today? 5. Give the components of normal weight gain in a 40 week pregnancy. 6. List the indications for low transverse vs classical C-section. 7. Name 3 important physiologic changes that occur during pregnancy for the following: Cardiovascular - GI - Renal (urinary tract) - Pulmonary - Hematologic - 8. What is the significance of the doubling times for b-hcg levels. 9. What are the most important "presumptive"," probable", and "positive" signs and symptoms for pregnancy?

4 COMPLICATIONS OF PREGNANCY 1. What are the risk factors for pre-term labor and delivery? What is the treatment? 2a. Give 3 causes for post-partum hemorrhage. b. Name 3 conditions that predispose a woman to uterine atony. 3. How do you evaluate the possibility of erythroblastosis fetalis? How does Rhogam work? 4. Describe the different types of breech positions and management of breech delivery. 5. List the risk factors for pre-eclampsia and eclampsia. How is it diagnosed and treated? 6. List and briefly discuss the different types of abortion that can occur. 7. What is the etiology of premature rupture of the membranes (PROM)? How do you manage these patients? 8. Compare the clinical features of the HELLP syndrome vs pre-eclampsia and eclampsia and how you would manage the patient. 9. List the major causes of oligohydramnios and polyhydramnios.

5 COMPLICATIONS OF PREGNANCY (cont.) 10. What is Waterhouse-Friderichsen's Syndrome and how is it related to delivery? 11. Compare and contrast placenta previa, abruptio placenta, and vasa previa. 12. Name some possible complications associated with multiple gestation. 13. Describe the clinical symptoms seen in women for the following disorders: vaginitis - urethritis - cystitis - pyelonephritis Discuss the presentation and management of the following conditions when they are encountered during pregnancy: appendicitis - gall bladder disease - pancreatitis - cystitis - pyelonephritis -

6 GYNE ENDOCRINE PROBLEMS 1. How would you classify and manage gestational diabetes? 2a. Describe the work-up and management for infertility in a woman. b. Compare and contrast the use and mechanism of clomiphene vs perganol vs leuprolide. 3. How would you work-up and treat amenorrhea? 4. How would you work-up and treat menorrhagia? 5. Give the major characteristics and diagnostic feature(s) of: Empty sella syndrome- Sheehan's syndrome- Asherman's syndrome- Kallman's syndrome- 6. Give the major signs and symptoms of the following adrenogenital syndromes: Compare and contrast: Mullerian agenesis vs Testicular feminization. karyotype hereditary pattern hair distribution gonadal neoplasia uterine development other anomalies present