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SAEM M4 CURRICULUM 2 EXAM
WITH 100% CORRECT AN SWERS
Question : PID cause
Correct answer: originates as a cervical infection
with Neisseria gonorrheaand/or Chlamydia trachomatis, and becomes polymicrobial as it ascends into the uterus, fallopian tubes and ovaries.
Question : 3 sx PID
Correct answer: -lower abd pain -purulent vag d/c -
vag bleed
Question : when getPID sx
Correct answer: Symptoms begin shortly after the
start of the menstrual cycle, when there are fewer defenses by the cervical mucosal barrier to ascending infections.
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Question : PID with gonnoccal
Correct answer: more likely to appear toxic (fever,
N/V)
Question : dont forget one risk factor pid
Correct answer: -recent instrumentation of uterus
Question : common exam findings pid
Correct answer: -b/l adenexal tenderness -cervical
d/c cervical motion tenderness -uterine tender -lower abd tenderness
Question : if pain is u/l think more
Correct answer: TOA
Question : if RUQ tender think
Correct answer: Fitz-Hugh Curtis (perihepatitis,
inflamation of liver capsule)
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Question : best test for gonorrohea and chlaymida
Correct answer: NAAT with PCR or DNA probes
(either urine or cervical secretions)
Question : if suspect TOA get
Correct answer: US
Question : ruptured ovarian cyst shows
Correct answer: free fluid in pouch of douglas
Question : ovarian torsion shows
Correct answer: absence of blood flow to one ovary
on pelvic ultrasound with doppler
Question : why US>CT
Correct answer: CT cannot eval for torsion bc there
is no doppler
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Question : who gets abx for PID
Correct answer: -lower abdominal or pelvic pain
coupled with adnexal, uterine or cervical motion tenderness on exam, in a patient at risk for STDs with no other discernible cause for the illness identified
Question : complications of pid
Correct answer: -chronic pelvic pain -infertility -
ectopic -toa -fitz-hiugh curtis
Question : toa process
Correct answer: walled-off abscess that originates in
the infected fallopian tube and extends to involve the ovary