Tiêu đề GYNE AUB-Lsm JULY 2025 (FOR DISTRIBUTION).pdf ✅

20th OBGYN ORAL EXAM REVIEW July 2025 MOCK ORAL EXAM| 1 NAME OF EXAMINEE: _________________________________________________________________________ EXAMINER’S COPY *Give Page 1 A 37-year-old G2P2 (2002) consulted for prolonged menses, every 31 days, consuming 7 baby diapers per day, lasting for 7-10 days. She complains of weakness and easy fatiguability. She has mild dysmenorrhea, but no intermenstrual or postcoital bleeding. She has no known co-morbid conditions and has had regular menstrual cycles until 7 months prior to consult. She is not on any form of contraception. On physical examination, she has stable vital signs, HR 95, with slightly pale conjunctivae. Pelvic exam revealed a parous vagina with the cervix closed, no cervical masses, corpus small, no adnexal masses or tenderness. SCORE 1. What are your differential diagnoses? Give at least 8 Abnormal uterine bleeding secondary to: ◻ Polyp ◻ Adenomyosis ◻ Leiomyoma ◻ Malignancy ◻ Coagulopathy ◻ Ovulatory ◻ Endometrial ◻ Iatrogenic ◻ Not otherwise classified 2.0 POINTS (0.25 each) 2. What diagnostic exam/s will you request for this patient? ANSWER: ◻ Pregnancy test ◻ CBC ◻ TV ultrasound 1.5 POINTS 0.5 EACH *Give Page 2 Results of laboratories revealed: CBC: Hgb – 98; Hct - 0.28; WBC - 8.6; Platelet count - 212,000 Pregnancy test: negative TVS picture (next page)
20th OBGYN ORAL EXAM REVIEW July 2025 MOCK ORAL EXAM| 2 Transvaginal ultrasound: SCORE 2 How will you interpret the transvaginal ultrasound: ANSWER: Anteverted uterus, with a well-circumscribed, heterogeneous endometrial mass, probably a submucous myoma. 0.5 POINT 3 What is your diagnosis? ANSWER: ◻ Long Dx: AUB- P0A0 L1(SM)M0 C0O0E0I0N0 ◻ Abnormal uterine bleeding secondary to submucous myoma, AUB-L(SM) ◻ Anemia secondary to chronic blood loss ◻ G2P2 (2002) (2.0 POINTS) 1.0 0.5 0.5 4 What other diagnostic test/s would you like to request for this patient? ANSWER: SIS (Saline infusion sonohysterogram) 0.5 POINT
20th OBGYN ORAL EXAM REVIEW July 2025 MOCK ORAL EXAM| 3 Give Page 3: Picture of SIS SCORE 5 What type of submucous myoma was seen on SIS? ANSWER: FIGO Grade 1 The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions: Intracavitary lesions are attached to the endometrium by a narrow stalk (≤10% or the mean of three diameters of the leiomyoma) and are classified as Type 0, whereas Types 1 and 2 require a portion of the lesion to be intramural—with Type 1 being less than 50% of the mean diameter and Type 2 at least 50%. 1.0 POINT 6 How will you now manage the patient? ANSWER: 1.0 POINT