Day 13 - Gyn3 Quiz Flashcards Preview

Step 2 DIT Rapid Review > Day 13 - Gyn3 Quiz > Flashcards

Flashcards in Day 13 - Gyn3 Quiz Deck (18):
1

Most likely cause of bloody nipple discharge

Intraductal papilloma

2

Most common breast CA & p/w

Invasive ductal carcinoma -

3

Often p/w serous or bloody nipple discharge

Intraductal papilloma

4

Most common mass in (F) pts 35-50 yo

Fibrocystic changes in breast

5

Most common tumor in teen and young women

Fibroadenoma

6

Breast mass accompanied by redness, pain, and heat

Inflammatory carcinoma

7

Risk factors for endometrial cancer

Unopposed estrogen: exogenous estrogen not being given w/ estrogen, PCOS, nulliparity, obesity, HTN, DM, FH, increased age, high fat diet, Colon cancer, granulosa-theca cell tumors of ovary

8

Risk factors for ovarian cancer

Ovulation: nulliparity, FH (BRCA1, BRCA2) ; Protective factors: breastfeeding, pregnancy

9

Serum marker may be elevated during endometrial cancer

CA-125 (may be elevated)

10

Serum marker usually elevated during ovarian cancer

CA-125 (usually elevated)

11

Next step mgt CIN 2 lesion on bx

Excise affected portion w/ LEEP, conization, or laser ablation

12

Next step mgt ASCUS pap smear

Repeat pap in 3-6 mo., possibly 12 mo.

13

Next step mgt AGUS pap smear

Colpo w/ endocervical curettage; If over age 35 or risk factors for endometrial cancer, then endometrial bx

14

Ovarian tumor: assoc w/ psammoma bodies

Serous cystadenocarcinoma

15

Ovarian tumor: estrogen excess

Granulosa-Theca cell tumor

16

Ovarian tumor: androgen secretion

Sertoli-Leydig cell tumor

17

Tx DCIS breast

Lumpectomy +/- radiation

18

Tx LCIS breast

Observation +/- Tamoxifene/Raloxifene or excisional bx; If no desire for life long observation, then ppx b/l mastectomy

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