Female GU

Question 1

labia majora

Answer 1

check for rashed, excoriation, ulcers, trauma

Question 2

lambia minora

Answer 2

check for ulcerations, inflammation

Question 3

clitoris size

Answer 3

<2cm

Question 4

bartholin glands abscesses

Answer 4

commonly caused by gonococcus and chlamydia

abscess preceded by a cyst

Question 5

first degree uterine prolapse

Answer 5

cervix into vagina

Question 6

second degree uterine prolapse

Answer 6

cervix at vaginal opening

Question 7

third degree uterine prolapse

Answer 7

cervix is outside the vagina

Question 8

fourth degree uterine prolapse

Answer 8

entire uterus is outside vagina

aka procidentia

Question 9

which wall of the vagina should pressure be placed on during insertion of speculum

Answer 9

posterior

Question 10

what are the cysts on the cervix caused

Answer 10

nabothian
inclusion cysts of endocervical canal
normal variant

Question 11

transformation zone

Answer 11

under influence of E columnar epi convert to squamous epi

Question 12

causes of cervicitis

Answer 12

chlamydia
trachomatis
neisseria
gonorrhoeae
trichomonas vaginalis
herpes
HPV

Question 13

lesions of the vagina

Answer 13

epidermal cysts
veneral warts
genital herpes
chancre (syphilis)
CA

Question 14

version

Answer 14

relationship btwn fundus of uterus and vagina

Question 15

flexion

Answer 15

relationship btwn fundus of uterus and cervix

Question 16

what is the most common hernia in women

Answer 16

indirect ingunial

Question 17

which hernia is more common in females then males

Answer 17

femoral hernia

Question 18

S/I borders of breast

Answer 18

2nd-3rd rib to the inframammary fold at 6th-7th rib

Question 19

M/L border of breast

Answer 19

lateral border of sternum to ant axillary line

Question 20

what is the post border of the breast

Answer 20

fascias of pec major, serratus ant, external oblique and upper rectus sheath

Question 21

axially tail of spence

Answer 21

extends lat across the ant axillary fold

Question 22

blood supply to the breast

Answer 22

perforating brr of internal mammary a
lat brr of post intercostal aa
brr from axillary a (highest thoracic, pectoral brr)

Question 23

erythema of breast Ddx

Answer 23

mastitis

inflammatory carcinoma

Question 24

masses of breast Ddx

Answer 24

cysts
fibroadenoma
carcinoma

Question 25

nipple discharge Ddx

Answer 25

bloody-papilloma, CA | non-bloody- endocrine disorder

Question 26

nipple ulceration Ddx

Answer 26

pagets disease | mechanial causes

Question 27

firboradenoma

Answer 27

``` 15-20, but up to 55 usually single, but may be multiple round, disclike or lobular usually firm, well deliniated very mobile, usually non-tender ```

Question 28

cysts

Answer 28

``` 30-50, regress postmenopause single or multople round, soft-firm, elastic well deliniated, mobile often tender, ```

Question 29

CA

Answer 29

``` 30-90 usually single or nodulated irregular or stellate shaped firm/hard, not clearly demarcated fixed, nontender may show signs of retraction ```

Question 30

stage I

Answer 30

tumor < 2cm CA not in lymph nodes no mets 5yr survival 98%

Question 31

stage II

Answer 31

``` 2-5cm may/may not have spread to nodes >5cm not spread to nodes tumro <4nodes no mets 5yr survival 76%-88% ```

Question 32

stage III

Answer 32

locally advanced CA spread to nodes near breast tumor >5cm in axillary nodes tumor <5cm but spread to supraclavicular nodes

Question 33

stage III inflammatory breast CA

Answer 33

CA has spread to skin automatically stage III | 5yr survival 49-56%

Question 34

stage IV

Answer 34

mets | not curable