OB-GYN EOR Exam Questions with Correct
Answers.
Oligomenorrhea def. - Correct Answer Infrequent menstruation (more than 35 days but
less than 6 months)
Dysmenorrhea def. - Correct Answer painful menstruation that affects normal activities
Primary vs. Secondary dysmenorhea - Correct Answer Primary: not due to pelvic
pathology (usually increased prostaglandins)
Secondary: due to peliv pathology (endometriosis, adenomyosis, leiomyomas, etc)
Dysmenorrhea tx: - Correct Answer NSAIDs
PMS vs PMDD - Correct Answer PMS: cluster of physical, behavioral, and mood
changes with cyclical occurrence during luteal phase AND relieved within 3 days of
menses
PMDD: severe PMS with functional impairment
When does PMS and PMDD happen? - Correct Answer Luteal phase
When is the luteal phase in relation to menses? - Correct Answer 1-2 weeks before
menses
Amennorhea: primary vs secondary - Correct Answer Primary: failure to menarche (by
age 15 with 2ry sex characteristics or 13 without 2ry sex characteristics)
Secondary: absence of menses for more than 3 months in patient with previous
menstruation
Most common cause of secondary amennorhea - Correct Answer pregnancy
Menopause def. - Correct Answer cessation of menses for more than 1 year due to loss
of ovarian function
Menopause labs: - Correct Answer FSH is most sensitive initial test (increased)
, Also increased LH and decreased estrogen
Leiomyoma def. - Correct Answer benign smooth muscle tumor of the uterus
LIKELY REGRESSES AFTER MENOPAUSE (related to estrogen production)
Leiomyoma dx: - Correct Answer Pelvic US
Leiomyoma tx: - Correct Answer Observation, if sxs ->hysterectomy
Leiomyoma vs Adenomyosis - Correct Answer Leiomyoma: asymmetric, firm, nontender
Adenomyosis: symmetric, soft, tender
Adenomyosis def. - Correct Answer islands of endometrial tissue in the myometrium
Adenomyosis tx: - Correct Answer TAH
Endometritis risk factors - Correct Answer Postpartum, post abortion (C-section is
biggest risk)
Endometritis sxs: - Correct Answer fever, tachycardia, abd pain, uterine tenderness
after C-section
Endometritis tx: - Correct Answer After C-section: clindamycin and gentamicin
Most common gyne malignancy - Correct Answer Endometrial CA
Estrogen dependent cancer? - Correct Answer Endometrial CA
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