Acute GU
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1
Functional Ovarian Cysts / Mittelschmerz are common in ______ , and are usually _______
- adolescents
- asymptomatic
- asymptomatic
2
Pelvic inflammatory disease (PID) is an infection causing inflammation of the ________ in women, including the _____, _____, and _____
- upper genital tract
- uterus, fallopian tubes, and ovaries
- uterus, fallopian tubes, and ovaries
3
Ovarian cyst rupture will have _____ pelvic pain
acute unilateral
4
mittelschmerz rupture when?
mid cycle
5
Functional Ovarian Cysts / Mittelschmerz develop during....
first half of the menstrual cycle
6
Hemorrhagic (corpus luteum) Ovarian Cysts / Mittelschmerz occur after _____ during ______
- ovulation
- 2nd half of menstrual cycle
- 2nd half of menstrual cycle
7
Bothth functional and hemorrhagic Ovarian Cysts / Mittelschmerz commonly......
resolve within 1-3 months without treatment
8
Large Ovarian/ Mittelschmerz cysts are ______ and present with _____, ______ pain
- unilateral
- dull, colicky pain
- dull, colicky pain
9
Ovarian Cysts / Mittelschmerz are diagnosed by...
Transvaginal US
10
Ovarian/Adnexal Torsion is twisting (torsion) of the ovary/ovarian structures (adnexal); its frequently associated with....
cyst or mass due to center of gravity
11
Ovarian/Adnexal Torsion peaks in _______ & is more common on the ____ side
- adolescence
- right
- right
12
Dysmenorrhea is recurrent ________ during menstruation
- crampy lower abdominal pain
13
Dysmenorrhea is caused by ____ or _____ leading to _______ contractions or ______, and ________ causing _______
- ↑ endometrial PGF2 alpha or ↑ PGF2 alpha:PGE2 ratio
- dysrhythmic uterine
- hypercontractility
- ↑ uterine muscle tone
- ischemia
- dysrhythmic uterine
- hypercontractility
- ↑ uterine muscle tone
- ischemia
14
Primary Dysmenorrhea is _______
Pain without pelvic pathology
15
Secondary Dysmenorrhea is _______ and is more common in ____ to ____ year olds
- Same clinical features but with an additional disorder (i.e. endometriosis)
- 30 to 40
- 30 to 40
16
Menorrhagia is Excessive (>___ml) or prolonged bleeding (>____days) during menstruation
- 80
- 7
- 7
17
Most common causes of Menorrhagia is _____ & ______; other causes are ______
- anovulatory cycles & STIs
- Coagulation Disorders
- Coagulation Disorders
18
Premenstrual Syndrome (PMS) is both physical and behavioral symptomatology repetitively during _____ of menstrual cycle and Interferes with...
- second half
- at least 1 aspect of life
- at least 1 aspect of life
19
Premenstrual Dysphoric Disorder (PMDD) is a severe form of PMS with ______, _____, & _____
anger, irritability, and internal tension
20
Causes of PMS and PMDD include association with ________ and ________
- genetic variation of ESR1 (estrogen receptor alpha gene)
- Normal serum estrogen and progesterone but abnormal neurotransmitter response
- Normal serum estrogen and progesterone but abnormal neurotransmitter response
21
Priapism is a _________ not associated with _____
- painful and sustained erection
- sexual arousal
- sexual arousal
22
Balanoposthitis is inflammation of _____ &/or ____
- glans (balanitis) and/or foreskin (posthitis)
23
Phimosis is ______
tight foreskin that cannot be retracted
24
Paraphimosis is _____
- retracted foreskin that cannot be returned
25
Causes of phimosis or paraphimosis include ______ and ______
- recurrent balanoposthitis
- forceful retraction
- forceful retraction
26
Epididymitis is _____ and is caused by _____, _____, or _____
- Inflammation of the epididymis
- infection, physical exertion, trauma
- infection, physical exertion, trauma
27
Testicular Torsion is twisting of the ______ causing ______
- spermatic cord
- compromised blood flow to testicle
- compromised blood flow to testicle
28
Two peak incidences of testicular torsion include ______ and during _____
- neonatal (small)
- puberty (largest, 12-18 years old)
- puberty (largest, 12-18 years old)
29
Testicular Torsion is a Surgical emergency -> can lead to loss of testicle within ___ hours
4
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