MCCQE - OBGYN block study cards- with complete solutions
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Course
MCCQE1
Institution
MCCQE1
ovulatory abnormal pre-menopausal menstrual bleeding
- definition correct answer: normal cycle length (28 days +/- 7) but abnormal (excessive) volume of blood loss:
a) menses >7days
b) blood loss >80mL
-soak through menstrual products q1-2 hours
-passage of clots larger than a dime
-se...
MCCQE - OBGYN block study cards-
with complete solutions
ovulatory abnormal pre-menopausal menstrual bleeding
- definition correct answer: normal cycle length (28 days +/- 7)
but abnormal (excessive) volume of blood loss:
a) menses >7days
b) blood loss >80mL
-soak through menstrual products q1-2 hours
-passage of clots larger than a dime
-self reported 'very heavy' periods
shorter luteal phase & increased fibrinolysis contributes to
menorrhagia
PCOS
- risks with anovulatory cycles (3)
- Tx causing infertility (2)
- Tx for those desiring fertility (2) correct answer: Risks
1. Infertility
2. Dysfunctional uterine bleeding (DUB)
- Can be VERY heavy
- Obesity = increased peripheral E ("fertilizer") for the
lining**Impt to use OCP or IUD with these pts
3. Endometrial hyperplasia/endometrial cancer
Tx -
1. OCP
2. IUD
Fertility Tx:
1. Weight loss
2. Metformin
Abnormal ovulatory premenstrual bleeding
- Px (3 things to look for)
- Ix - blood (4)
- Ix - imaging (3 lines) correct answer: Px:
1. Thyroid dysfunction - clinical exam signs
indications
1. Abnormal bleeding (look for masses)
2. Infertility (assess patency of tubes)
Indications for endometrial Bx (3) correct answer: 1. any post
menopausal bleeding
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