Title WAFA OBGYN 2021 sent.pdf ✅

SMLE Questions and Answers September 2019 - August 2021 ةلمتكم ریغ https://t.me/WafaOBGYN دراو أطخلا ينومركأ وعدلا قدصب تا بیغلا رھظ يف References: - American College of Obstetrics and Gynecology (ACOG) - Uptodate - Williams - Amboss (rarely)
By: Wafa AlSalem 2 Contents 1. Puberty Disorders, Pediatrics, Adolescent and Young Gynecology.......................................... 2. Menstrual Cycle Abnormalities and Abnormal Uterine Bleeding (AUB) 3. Vaginal Infections.............................................................................................................................. 4. Pelvic Inflammatory Disease............................................................................................. 5. Family Planning, Contraception and HRT..................................................................................... 6. Polycystic Ovarian Syndrome (PCOS) .................................................................................... 7. Preconception and Infertility ........................................................................... 8. Contraindications to Pregnancy (Medications and Vaccines) .................................... 9. Abortion, Pregnancy Loss, and Intrauterine Fetal Demise (IUFD) ...................................................... 10. Ectopic Pregnancy .............................................................................. 11. Gestational Trophoblastic Disease (Molar pregnancy and Choriocarcinoma) .................. 12. Cervical incompetence .............................................................................. 13. Hypertension in Pregnancy and Preeclampsia.................................................................................... 14. Diabetes Mellitus and Gestational Diabetes Mellitus................................................................ 15. Fetal Conditions and Abnormalities 16. Pregnancy Related Medical and Surgical Conditions ............................................................ 17. Investigations and Screening Tests During Pregnancy ....................................................... 18. Infections in pregnancy ........................................................................... 19. UTI in Pregnancy.................................................................................... 20. Pregnancy Related Hematological Problems ...................................................... 21. Abnormal Placenta Implantation................................. 22. Antepartum hemorrhage ...................................................................................................... 23. Labor and CTG monitoring................................................................................. 24. Preterm labor, Preterm Rupture of Membrane (PROM) and Premature Preterm Rupture of Membrane (PPROM) ................................................... 25. Postpartum Hemorrhage (PPH) ........................................................ 26. Postpartum............................................. 27. OBGYN Related Breast diseases and Breastfeeding....................................................... 28. Adnexal masses .......................................................................................... 29. Leiomyoma (Uterine Fibroids) and Leiomyosarcoma ............................................................... 30. Uterine Polyps .................................................................................... 31. Endometriosis ................................................................................. 32. Adenomyosis ............................................................... 33. Asherman’s Syndrome................................................................................................ 34. Menopause ......................................................................................................... 35. Vulvar and Vaginal Disorders 36. Cervical cancer and Screening ..................................................................... 37. Endometrial Hyperplasia and Carcinoma .................................................................................... 38. Urogynecology
By: Wafa AlSalem 3 Puberty Disorders, Pediatrics, Adolescent and Young Gynecology Topic Overview: Vaginal agenesis (Mayer-Rokitansky-Kuster-Hauser syndrome)( Müllerian agenesis ) Clinical presentation: ⁃ NORMAL female karyotype with normal ovaries and ovarian function, thus they develop normal secondary sexual characteristics (eg, breast development, axillary hair, and public hair). ⁃ PRESENTS ONLY with primary amenorrhea Investigations: Testosterone level: NORMAL “is one way to differentiate between Mayer- Rokitansky-Küster-Hauser (MRKH) syndrome and androgen insensitivity.” Complete androgen insensitivity (CAIS) Clinical presentation: ⁃ Primary amenorrhea ⁃ Little or no axillary and pubic hair (coarse pubic hair). Investigations: Testosterone level: within or above the normal range for boys/men. (High testosterone levels for a women) 17 Years old female, no menstruation, high testosterone, Normal breast development, coarse pubic hair? A. Mayer Rokitansky Kuster Hauser syndrome (or Mullerian agenesis) B. Complete androgen insensitivity C. Congenital hypothyroidism 17 Years old female, no menstruation, normal testosterone, Normal breast development, normal pubic hair? A. Mayer Rokitansky Kuster Hauser syndrome (or Mullerian agenesis) B. Complete androgen insensitivity C. Congenital hypothyroidism 17year old female, medically free, (athlete) gymnast in her class, breasts later and never menstruated, on developed examination she is tanner stage 5, but no menstruation, diagnosis? A-Hypothalamic hypogonadism B-Transverse vaginal septum C-Gonadal agenesis D-Testicular feminization Note to Remember (ACOG) **Menstrual cycle disturbances (e.g. amenorrhea) in young women ESPECIALLY ATHLETES!! Can be due to underlying eating disorders and dietary restrictions à resulting into hypogonadotropic hypogonadism! Please read the explanation below by ACOG:
By: Wafa AlSalem 4 **Transverse vaginal septum will present with other symptoms(in addition to amenorrhea), e.g., periodic lower abdominal pain, urinary retention and bulging bluish membrane! athlete female لاؤسلاب فوشتام لوا كیلع اھرصتخا ناشعو hypogonadism hypothalamic ىلع تاباجلااب رودو لاؤسلا ھیارق فقو لوط ىلع بعصا لاؤسل كتقو رفو