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Obstetrics and Gynecology · USMLE Step 2 CK · Healthcare and Nursing

USMLE Step 2 CK OB/GYN: Menstrual and Pelvic Disorders

Abnormal uterine bleeding, endometriosis, and fibroid workup and management scenarios tested on USMLE Step 2 CK.

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35 basic cards for USMLE Step 2 CK Obstetrics and Gynecology. Set 3 of 6 in USMLE Step 2 CK OB/GYN. It opens with "In the PALM-COEIN system for abnormal uterine bleeding, what does the P stand" and "In the PALM-COEIN system for abnormal uterine bleeding, what does the A stand". Study it alongside the other USMLE Step 2 CK sets below.

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In the PALM-COEIN system for abnormal uterine bleeding, what does the P stand for?
Show answerPolyp
In the PALM-COEIN system for abnormal uterine bleeding, what does the A stand for?
Show answerAdenomyosis
In the PALM-COEIN system for abnormal uterine bleeding, what does the L stand for?
Show answerLeiomyoma
In the PALM-COEIN system for abnormal uterine bleeding, what does the M stand for?
Show answerMalignancy and hyperplasia
In the PALM-COEIN system for abnormal uterine bleeding, what does the C stand for?
Show answerCoagulopathy
In the PALM-COEIN system for abnormal uterine bleeding, what does the O stand for?
Show answerOvulatory dysfunction
In the PALM-COEIN system for abnormal uterine bleeding, what does the E stand for?
Show answerEndometrial
In the PALM-COEIN system for abnormal uterine bleeding, what does the I stand for?
Show answerIatrogenic
In the PALM-COEIN system for abnormal uterine bleeding, what does the N stand for?
Show answerNot otherwise classified
How is abnormal uterine bleeding (AUB) defined in a reproductive-age woman?
Show answerBleeding from the uterus that is abnormal in frequency, regularity, duration, or volume
What is the first-line imaging study for evaluating AUB?
Show answerTransvaginal ultrasound
At what age should a woman with AUB routinely receive an endometrial biopsy?
Show answer45 years or older
How does PCOS raise the risk of endometrial hyperplasia in a patient with AUB?
Show answerChronic anovulation leads to unopposed estrogen stimulation of the endometrium
What is the first-line medical treatment for heavy AUB with no structural cause identified?
Show answerCombined hormonal contraceptives or a levonorgestrel-releasing IUD
What is the mechanism of action of tranexamic acid in treating heavy menstrual bleeding?
Show answerIt is an antifibrinolytic that blocks plasminogen activation

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