MCCQE1 Gynecology| 182 Questions| With Complete Solutions
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MCCQE1
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MCCQE1
If there is labial fusion due to 21-hydroxylase deficiency what is the treatment? what about if it is because androgen excesS? correct answer: tx: if too much--> then d/c androgens, if due to 21 hydroxylase: cortisol + reconstructive surgery
How does vaginal atresia present correct answer: ...
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MCCQE1 Gynecology| 182 Questions| With
Complete Solutions
If there is labial fusion due to 21-hydroxylase deficiency what is
the treatment? what about if it is because androgen excesS?
correct answer: tx: if too much--> then d/c androgens, if due to
21 hydroxylase: cortisol + reconstructive surgery
How does vaginal atresia present correct answer: primary
amenorrhea + cyclic abdominal pain
Tx for vaginal agenesis? correct answer: surgery to creaste
neovagina with mcindoe procedure
Lichen sclerosis + atopic ecezema + lichen simplex chronicus
are all treated with correct answer: topical steroids. Note 10%
associated with cancer
Lichen planus ( purple paules) is treated with correct answer:
steroid suppository + surgery for adhesions
vulvar psoriasis is treated with correct answer: topical steroids
or UV lights
vaginal adenosis ( red sports in upper 1/3 of vagna) correct
answer: close f/u
Endometrial hyperplasia tx correct answer: Management: Dx
endometrial bx or D+C → Tx progestins for 3 mo + repeat endo
bx; hysterectomy if complex/atypia
What is considered a high risk ovarian mass? correct answer:
premenerchal, postmenopausal, greater than 8cm or a mass that
persists >60 days. Tx ex lap for cancer
What is the difference between follicular cysts, corpus luteam
cysts, theca-lutein cyst, chocolate cyst, and PCOS? correct
answer: 1. Follicular cysts: MC ovarian cyst, due to unruptured
follicle, usually asx
2. Corpus luteum cysts: due to hemorrhage into persistent corpus
luteum, presents as dull abd pain (unruptured) or acute abdomen
(ruptured) M
3. Theca-lutein cysts: multiple/bilateral due to FSH/LH
stimulation; associated w/ moles and choriocarcinoma
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