Common Conditions Part 2

Question 1

a common, benign, uterine tumor that affects 40% of women over 40

Answer 1

Uterine Fibroids

Question 2

MC tumor of the pelvis, MC reason for a hysterectomy

Answer 2

Uterine Fibroid

Question 3

during bimanual exam, firm irregular nodules in contour of the uterus

Answer 3

Uterine Fibroid

Question 4

Uterine Fibroid: Risk factors

Answer 4

Nulliparity, African American (2-3x), Older

Question 5

Uterine Fibroid: Plain film findings

Answer 5

cauliflower-like radio-opaque mass

Question 6

Uterine Fibroid treatment, least and most invasive

Answer 6

Wait and see - Hysterectomy

Question 7

UAE

Answer 7

Uterine Artery Embolization

Question 8

Endometrial carcinoma is MC in which group of women

Answer 8

postmenopausal

Question 9

T/F Endometrial carcinoma is linked to the balance of estrogen and HcG

Answer 9

F - Estrogen and Progesterone

Question 10

Red flag of Endometrial carcinoma

Answer 10

Postmenopausal vaginal bleeding

Question 11

fluid-filled sac in an ovary

Answer 11

Ovarian Cysts

Question 12

T/F Ovarian cysts are unilateral only

Answer 12

F - Unilateral or Bilateral

Question 13

Ovarian cyst causes

Answer 13

Hypothalamic-pituitary dysfunction

Native anatomic defects in the reproductive system

Question 14

T/F Ovarian Cysts can be present from neonatal period to postmenopause

Answer 14

True

Question 15

Ovarian cysts commonly occur w/in which age groups

Answer 15

Infancy and adolescence (hormonally active periods of development)

Question 16

Type of Ovarian Cyst - common, single, small, often resolve on their own

Answer 16

Follicular

Question 17

Type of Ovarian Cyst - common, large, mucous can spread through abdominal cavity

Answer 17

Mucinous

Question 18

Type of Ovarian Cyst - acutely painful, amennorhea

Answer 18

Corpus luteum

Question 19

Type of Ovarian Cyst - teeth, hair, heavy cyst

Answer 19

Dermatoid/Teratoma

Question 20

Ovarian Cyst symptoms

Answer 20

usually asymptomatic, possible lower abdominal pain

Question 21

MC form of ovarian cancer

Answer 21

Epithelial tumor

Question 22

types of tumors that develop from connective-tissue cells

Answer 22

stromal tumors

Question 23

germ cell tumors develop most often in which age group of females

Answer 23

young women, teenage girls

Question 24

suspect ovarian cancer in women >___yrs w/ symptoms

Answer 24

40yrs

Question 25

MC site for ectopic (tubal) pregnancy

Answer 25

fallopian tubes

Question 26

symptoms of ectopic pregnancy

Answer 26

abnormal vaginal bleeding LBP mild cramping on ipsilateral side of pelvis lower abdominal pain

Question 27

Is a chandelier sign common for an ectopic pregnancy?

Answer 27

Yes

Question 28

Results in tachycardia, hypotension, and is considered a surgical emergency

Answer 28

ruptured(hemorrhage) ectopic pregnancy

Question 29

T/F Clinical Note (Ectopic Preg.) - even mild abdominal pain may be significant

Answer 29

TRUE

Question 30

Red flag for ectopic pregnancy

Answer 30

sudden, dramatic change from mild/vague abdominal pain, to a sudden onset of sever abdominal tenderness, particularly one side

Question 31

Infection of the uterus, fallopian tubes, and can be acute or chronic

Answer 31

Pelvic Inflammatory Disease (PID)

Question 32

serious complications of which 2 STIs result in PID?

Answer 32

Gonorrhea and Chlamydia

Question 33

symptoms of PID

Answer 33

unusual vaginal discharge, foul odor painful intercourse, urination irregular menses right upper abdomen pain

Question 34

a patient usually cannot tolerate a bimanual exam with ACUTE or CHRONIC PID?

Answer 34

Acute

Question 35

movement of cervix is painful

Answer 35

Chadelier sign

Question 36

Inflammation/infection of fallopian tubes

Answer 36

Salpingitis - also often associated with PID

Question 37

Salpingitis - signs/symptoms

Answer 37

lower quadrant pain purulent vaginal discharge abnormal vaginal bleeding nausea, vomiting, fever

Question 38

Distention of vagina caused by accumulation of fluid due to congenital vaginal obstruction

Answer 38

Hydrocolops

Question 39

What does hydrocolops due to the hymen

Answer 39

imperforates it

Question 40

which direction is the bladder displaced in hydrocolops

Answer 40

forward

Question 41

inflammation of the vulvar and vaginal tissues

Answer 41

Vulvovaginitis

Question 42

Signs and Symptoms: Vulvovaginitis

Answer 42

discharge, redness, burning on urination, abnormal odor

Question 43

Risk factors: Vulvovaginitis

Answer 43

wiping from back to front tight-fitting synthetic undergarments bubble baths

Question 44

Major Signs and Symptoms: Vulvovaginits

Answer 44

``` vaginal pruritis (especially at night)... pinworms Bloody, foul-smelling discharge... foreign body ```

Question 45

inflammation of the vagina due to thickening and shrinkage of the tissues

Answer 45

Atrophic Vaginitis

Question 46

Atrophic Vaginitis is caused by

Answer 46

lack of estrogen

Question 47

characteristics of mucosa in Atrophic Vaginitis

Answer 47

dry and pale

Question 48

small volume incontinence with coughing, sneezing, laughing, running

Answer 48

Urinary Incontinence

Question 49

UI associated with

Answer 49

pelvic floor relaxation cystocele, rectocele lax urethral sphincter atrophic vaginitis