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INFORMATION FOR

Learner's Section

Abnormal Uterine Bleeding

  • How is abnormal uterine bleeding (AUB) defined?
  • Describe important components of the history when assessing AUB.
  • What are some of the common etiologies of AUB?
  • For the common causes of AUB, what is the assessment and management?
  • When is endometrial sampling indicated in the assessment of AUB?
  • What are some of the treatment options for AUB?
  • What are some of the medical and surgical options available for treatment of AUB?
  • What are some treatment considerations for patients with complex medical issues?

Aneuploidy Screening

  • What is aneuploidy? How common is it?
  • What are the most common aneuploid conditions?
  • What is the difference between a screening and a diagnostic test?
  • What are options for aneuploidy screening?
  • What are the current recommendations for aneuploidy screening?
  • What are important considerations when counseling patients regarding aneuploidy screening?
  • What is the role of Alpha-Fetoprotein in aneuploidy screening?
  • What is the value of the nuchal translucency measurement?
  • Should patients who have normal pre-implantation genetic screening before In Vitro Fertilization be offered aneuploidy screening?

Contraception

  • How does one initiate initial counseling about contraception?
  • How do you determine which relevant medical screening is indicated?
  • Which patients are appropriate candidates for an intra-uterine device (IUD)?
  • How long can an IUD stay in place and remain effective?
  • What are important considerations for same day IUD insertions?

Early Pregnancy Loss

  • What is the incidence of early pregnancy loss?
  • What is the most common cause of early pregnancy loss?
  • How is the diagnosis of early pregnancy loss made?
  • What are the treatment options for early pregnancy loss? Discuss the risks and benefits of each option.
  • What does expectant management of early pregnancy loss entail?
  • What does medical management of early pregnancy loss entail?
  • What does surgical management of early pregnancy loss entail?
  • What is the definition and evaluation of recurrent pregnancy loss?
  • Are there any considerations for future pregnancies in patient with recurrent pregnancy loss?

Infertility

  • What is the expected likelihood of conceiving within the first year?
  • How is infertility defined?
  • What are the causes of infertility?
  • Based on her menstrual pattern, you suspect that this patient has polycystic ovarian syndrome (PCOS).
    • How is PCOS diagnosed?
  • When should an infertility workup be initiated?
  • How do you initiate the infertility workup for this patient and her partner?
  • What is the management of patients with ovulary dysfunction related to PCOS?

Pelvic Floor Disorders

  • What are the most common risk factors for pelvic floor disorders?
  • What are the various types of urinary incontinence?
  • What disorders can present as urinary incontinence?
  • What is pelvic organ prolapse? What are common patient reported symptoms?
  • What is the initial outpatient evaluation for pelvic floor disorders?
  • What is the examination for evaluating pelvic organ prolapse?
  • What are some examples of pelvic organ prolapse?
  • What are the treatment options for the different types of incontinence?
  • What are the treatment options for pelvic organ prolapse?
  • What additional diagnostic tests can be performed when evaluating patient with pelvic floor disorder?
    • How should they be interpreted?

Sexual Transmitted Infections

  • What are the common STIs?
  • What is the incidence of these STIs?
  • What are the presenting symptoms of these STIs?
  • How can we prevent STIs?
  • How do you test for gonorrhea, chlamydia and trichomonas?
  • How do you test for HIV, hepatitis B and hepatitis C?
  • How do you test for syphilis?
  • What are the current recommendations for STI screening?
  • How do you counsel your patient on additional screening tests?
  • How do you counsel your patient on a positive gonorrhea test?
  • What are the recommendations for treatments for gonorrhea?
  • What are the indications for repeat testing?
  • How do you counsel a patient with a positive gonorrhea test in pregnancy?
  • How do you counsel a patient about options for partner treatment?
  • What are the exclusion criteria for use of EPT?
  • Is EPT appropriate for adolescents?

Vaginitis

  • What are the most common etiologies of vaginitis?
  • What are risk factors for vaginitis?
  • How do you evaluate this patient with vaginal irritation and discharge?
  • Should the patient be offered empiric treatment for vaginitis without an examination?
  • Is partner treatment recommended for patients with vaginitis?
    • What additional testing is recommended for patients with vaginitis?
  • How is recurrent vaginitis treated?
  • How should BV or trichomonas on cytology (pap smear) be managed?

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