Abnormal uterine bleeding, endometriosis, and fibroid workup and management scenarios tested on USMLE Step 2 CK.
About this set
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.
35 cards · basic cards · AI-written, checked twice. Edit anything.
- In the PALM-COEIN system for abnormal uterine bleeding, what does the P stand for?
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Polyp
- In the PALM-COEIN system for abnormal uterine bleeding, what does the A stand for?
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Adenomyosis
- In the PALM-COEIN system for abnormal uterine bleeding, what does the L stand for?
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Leiomyoma
- In the PALM-COEIN system for abnormal uterine bleeding, what does the M stand for?
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Malignancy and hyperplasia
- In the PALM-COEIN system for abnormal uterine bleeding, what does the C stand for?
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Coagulopathy
- In the PALM-COEIN system for abnormal uterine bleeding, what does the O stand for?
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Ovulatory dysfunction
- In the PALM-COEIN system for abnormal uterine bleeding, what does the E stand for?
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Endometrial
- In the PALM-COEIN system for abnormal uterine bleeding, what does the I stand for?
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Iatrogenic
- In the PALM-COEIN system for abnormal uterine bleeding, what does the N stand for?
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Not otherwise classified
- How is abnormal uterine bleeding (AUB) defined in a reproductive-age woman?
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Bleeding from the uterus that is abnormal in frequency, regularity, duration, or volume
- What is the first-line imaging study for evaluating AUB?
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Transvaginal ultrasound
- At what age should a woman with AUB routinely receive an endometrial biopsy?
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45 years or older
- How does PCOS raise the risk of endometrial hyperplasia in a patient with AUB?
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Chronic anovulation leads to unopposed estrogen stimulation of the endometrium
- What is the first-line medical treatment for heavy AUB with no structural cause identified?
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Combined hormonal contraceptives or a levonorgestrel-releasing IUD
- What is the mechanism of action of tranexamic acid in treating heavy menstrual bleeding?
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It is an antifibrinolytic that blocks plasminogen activation