Chapter 3. Female Reproductive System
Test: 1 - 1, 2; 2 - 2, 3; 3 - 1, 2; 4 - 2, 3; 5 - 1, 4; 6 - 4, 5; 7 - 1, 2; 8 - 1; 9 - 2; 10 - 2; 11 - 3; 12 - 1, 2, 4; 13 - 3; 14 - 3; 15 - 2, 3, 4, 6; 16 - 6;
17 - 2; 18 - 3; 19 - 1; 20 - 3; 21 - 1, 2; 22 - 1; 23 - 2; 24 - 1; 25 - 3; 26 - 5; 27 - 1, 2, 4, 5; 28 - 2, 4; 29 - 2; 30 - 1, 2, 4, 5.
Clinical situations. 1. This is menarche. The girl should be reassured; explain to her the specifics of female physiology and hygiene.
2. There is every likelihood this is early pregnancy. To confirm the diagnosis administer HCG test; positive values indicate pregnancy. In this case the woman should be registered with an obstetrician.
3. Probbaly this is menstrual dysfunction related to menopausal transition. You should rule out pregnancy (HCG test), investigate gonadotropin and estrogen levels (high values of FSH and LH while estradiol is low confirm the presumptive diagnosis), administer ultrasonography of genitals and use other methods to rule out genital and mammary diseases.
Chapter 4. Obstetric, Gynecologic and Neonatal Care in Russian Federation
Tests: 1 - 2, 3, 4, 5, 6; 2 - 1, 2, 3; 3 - 2; 4 - 1, 2, 4, 5; 5 - 2; 6 - 1, 3, 4, 5; 7 - 4; 8 - 1, 2, 3, 4, 6, 7; 9 - 3; 10 - 1, 3, 5; 11 - 2, 4; 12 - 1, 2, 4; 13 - 1, 2, 4, 5; 14 - 1, 2, 4, 5.
Clinical situations. 1. Presumptive diagnosis: cystadenoma of right ovary. Clinician's actions: planned hospital admission after further investigations for surgery.
2. Diagnosis: suspicion of progressing ectopic pregnancy. Approach: emergency hospitalization.
Chapter 5. Gynecologic History and Physical Examination. Methods of Clinical Evaluation in Gynecology
Tests: 1 - 1, 2, 4, 5; 2 - 4; 3 - 1, 3, 4; 4 - 1, 2, 3, 4; 5 - 4; 6 - 1, 3, 4, 5;