OBGYN

Question 1

PAP with ASCUS and is 21-24 SECOND positive

Answer 1

Colposcopy

Question 2

PAP with ASCUS and age >25

Answer 2

HPV

Question 3

PAP with ASCUS and is >25 and had a positive test

Answer 3

Colposcopy

Question 4

PAP with ASC-H

Answer 4

Colposcopy

Question 5

PAP with AGUS

Answer 5

Endocervical sampling
Colposcopy
Endometrial Bx (especially if over 35)

Question 6

PAP with LSIL and 21-24 years old

Answer 6

Repeat in 1 year

Question 7

PAP with LSIL in 21-24 year old second Positive

Answer 7

Colposcopy

Question 8

LSIL in 25-29

Answer 8

Colposcopy

Question 9

LSIL in >30

Answer 9

HPV

Question 10

LSIL >30 with positive test

Answer 10

Colposcopy

Question 11

LSIL >30 with negative test

Answer 11

Repeat pap and HPV in one year

Question 12

HSIL in 21-24

Answer 12

Colposcopy

Question 13

HSIL >25

Answer 13

Colposcopy or LEEP

The older more likely want LEEP or if fertility is not a factor

Question 14

PAP with ASCUS and age 21-24 next step

Answer 14

Repeat pap in 1 year

Question 15

Drugs for Gynecomastia

Answer 15

STACKED

spironolactone, THC, Alcohol (Chronic), Cimetidine, Ketoconazole, estrogens, Digoxin

Question 16

Most common tumor in young women

Answer 16

Fibroadenoma

Question 17

Most common MASS 35-50 years old

Answer 17

Fibrocystic changes of breast

Question 18

Serous it bloody nipple discharge?

Answer 18

Intraductal Papilloma

Question 19

Fibroadenoma on Px

Answer 19

Solid MOBILE mass with well defined border

Can be tx with US/FNA or mammogram if over 30

Question 20

Intraductal papilloma

Answer 20

Serous bloody nipple

Some malignant potential

Needs excised to check

Question 21

Suspected breast cancer first screen

Answer 21

Mammogram

Question 22

Screening of BC with normal mammogram

Answer 22

Repeat mammogram every 1-2 years

Question 23

BC screen after abnormal mammogram with low suspicion of malignancy

Answer 23

Repeat mammogram in 6 months

Question 24

BC screen with abnormal mammogram with high suspicion of malignancy

Answer 24

Bx that sucker

Question 25

AFTER Bx of breast mass and non bloody fluid is seen or the mass resolves

Answer 25

Probably was cystic Observe for changes

Question 26

Bx of mass and it shows bloody aspirate or the mass is still around after aspiration

Answer 26

More definitive Bx needed like a core or open Bx

Question 27

Bx of mass shows malignant findings

Answer 27

BC treated

Question 28

Palpable mass is felt

Answer 28

mammogram

Question 29

Low suspicion of malignancy after palpable mass mammogram

Answer 29

US

Question 30

US of the palpable mass seen to have low suspicion of malignancy on mammogram

Answer 30

Solid mass --> Bx Symptomatic complex cyst --> Bx Asymptomatic simple cyst --> repeat mammogram in 6 months

Question 31

Painful ulcers

Answer 31

Herpes and Chancroid

Question 32

Painless ulcer

Answer 32

Syphilis, granuloma inguinale, lymphogtanuloma venereum