Endo/Repro Review Flashcards Preview

Multisystem 2 > Endo/Repro Review > Flashcards

Flashcards in Endo/Repro Review Deck (18)
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1
Q

elderly woman, mass in breast located in lateral upper quadrant

spiculated mass, ER/HER2+

tx w ______

A

anastrazole/trastuzumab

2
Q

MA woman, inc facial hair growth

temoral balding/coarse dark hair on face
clitoral enlargement

testosterone is inc

dx is _____
__ secreting tumor

A

sertoli leydig tumor

testosterone

3
Q

MA woman, worsening headaches

BP is extremely elevated
urine has inc metanephrine/VMA

dx is ____
neoplasm is secreting _____

A

pheochromocytoma

epinephrine

4
Q

YA woman, severe right lower quadrant pain

LMP 8w ago
pregnancy test is positive
no gestational sac in uterus

dx is ___
fertilized egg most likely located in ___

A

ectopic pregnancy

fallopian tube

5
Q

MA woman w adenocarcinoma of the left breast

resected, want to sample draining lymph nodes

sentinel nodes are located in ___

A

ipsilateral axilla

6
Q

Post pregnancy, no menstrual period

severe bleeding during pregnancy

unable to breast feed

dx is ___
mechanism is ____

A

sheehan syndrome

post partum pituitary infarct

7
Q

MA woman, elevated BP and BMI

very high AM cortisol
low dose dexamethasone does not suppress

high dose does

dx is ___

A

pituitary macroadenoma

8
Q

elderly man, inc thirst/urination

weight gain, high BMI
FH of T2DM

serum glucose is 330

dx is ____
cause ____

A

T2DM

insulin resistance

9
Q

YA Woman, pain w urination, intense vaginal itching, thick discharge
erythema of vagina/vulva

odorless curd like discharge
pH is 4

wet mount shows epithelial cells, nothing else

dx is __

A

vaginal candidiasis

10
Q

MA woman, foul smelling vaginal discharge, vaginal itching

excoriated labia/vaginal mucosa

frothy, gray discharge
wet mount w clue cells

dx is ____
organism is ___

A

bacterial vaginosis

gardnerella vaginalis

11
Q

MA woman, loss of urine w coughing/sneezing/excersises

otherwise healthy, no abnormalities

lose urine w valsalva

dx is ____

A

stress incontinence

12
Q

hours post vaginal delivery, onset of heavy bleeding

oxytocin induced labor, prolonged

required forceps delivery

abdomen is soft, boggy uterus, perineum intact

dx is __

A

uterine atony

13
Q

previously healthy YA woman

painful swelling in vagina
tender in inferior aspect of left labium minus

dx is ____

A

bartholin gland abscess

14
Q

teenage girl, irregular vaginal bleeding

bleeding can be spotty/heavy

exam shows normal, pink vagina, uterus is non tender, elevated BMI

pharm tx is ____

A

oral contraceptives

15
Q

Boy born to mother w difficult to tx gestational diabetes

w/in 24 hrs, baby is at risk for ___

A

hypogly

16
Q

YA woman, irregular menstrual periods since 13

no other problems, overwight
hirsutism

copious cervical mucus

dx is ____

A

PCOS

17
Q

YA woman, intermittent dischagre from breasts

LMP was 6m ago

scant white fluid from both breasts

likely to have inc serum __

A

prolactin

18
Q

YA woman, 12hrs of lower ab pain/vaginal bleedin

low BP, high pulse

ab pain/tenderness, US shows adnexal mass on right

concerned for ____
measure ____

A

ectopic pregnancy

BHCG