gyn and GU

Question 1

tumor marker for screening for ovarian cancer

Answer 1

CA 125

Question 2

management of noncommunicating hydroceles in infants

Answer 2

monitor till age 1; if doesnt resolve then surgery

Question 3

what is the lymphatic drainage of the testes

Answer 3

left side drains to paraaortic nodes

right side drains to paracaval and interaortocaval

Question 4

tumor markers for testis cancer

Answer 4

alpha fetoprotein, LDH, beta HCG

Question 5

most common etiology for development of ectopic pregnancy

Answer 5

PID

Question 6

most common extracolonic tumor of Lynch syndrome

Answer 6

endometrial cancer

Question 7

acceptable maximum dose of ionizing radiation during an entire pregnancy

Answer 7

5 rad (0.05 Gy)

Question 8

when is fetus most at risk from radiation exposure

Answer 8

before 15 weeks

Question 9

antibiotic prophylaxis prior to c -section to prevent endometriosis and wound infections:

Answer 9

IV cefazolin and azithromycin

Question 10

most common complication of hydrocelectomy

Answer 10

hematoma

Question 11

most common site of ureteral injury during hysterectomy

Answer 11

at the level of the uterine arteries

Question 12

contraindications to methotrexate for ectopic pregnancy

Answer 12

renal failure; breastfeeding

Question 13

when is lymphadenectomy recommended for uterine cancer

Answer 13

serous/clear cell/high grade histology
myometrial invasion >50%
large uterine tumor >2cm diameter

Question 14

relative contraindications to methotrexate for ectopic

Answer 14

HGC>5000, fetal cardiac activity, ectopic >3.5cm

Question 15

most common indication for total abdominal hysterectomy

Answer 15

leiomyoma (fibroid)

Question 16

complete surgical staging of endometrial cancer includes:

Answer 16

TAHBSO, peritoneal washout, and lymph node sampling

Question 17

adult hydroceles are usually what type

Answer 17

noncommunicative - result from abnormal accumulation of fluid in a closed cavity

Question 18

infant hydroceles are usually what type

Answer 18

communicative - patent processus vaginalis resulting in free flow of fluid

Question 19

treatment of bladder cancer that does not invade past mucosa (T1)

Answer 19

transurethral resection of tumor and intravesical BCG

Question 20

treatment of communicating hydrocele

Answer 20

high ligation of patent processus vaginalis

Question 21

most common site of metastasis for renal cell carcinoma

Answer 21

lung

Question 22

what drug has been shown to improve survival for patients with metastatic prostate cancer refractory to hormone therapy

Answer 22

docetaxel

Question 23

treatment of localized prostate cancer

Answer 23

surgery, radiation and surveillance

Question 24

what is a radical inguinal orchiectomy

Answer 24

remove of testicle and spermatic cord en block through an inguinal incision; treatment of suspected testicular tumor

Question 25

primary modalities for treating advanced cervical cancer

Answer 25

radiation and chemotherapy

Question 26

features of seminoma compared to nonseminoma

Answer 26

seminoma has more favorable prognosis; metastatic disease is radiosensitive

Question 27

most common complication of hysterectomy

Answer 27

bladder injury

Question 28

Treatment of small (<4cm) tubo-ovarian abscess:

Answer 28

IV antibiotics

Question 29

Treatment of large (>7cm) tubo-ovarian abscess:

Answer 29

drainage

Question 30

What medication reduces frequency of recurrent calcium oxalate stone formation:

Answer 30

potassium citrate

Question 31

True or false. A period of 12 months of watchful waiting is warranted for a communicating hydrocele.

Answer 31

true

Question 32

True or false. Adult hydroceles are usually noncommunicative.

Answer 32

True

Question 33

Complications of posterior hip dislocation:

Answer 33

avascular necrosis of the femoral head; sciatic nerve injury

Question 34

Most common histology on primary testis tumors:

Answer 34

seminoma

Question 35

Common cancer that involves the bilateral testis:

Answer 35

lymphoma