OBSTETRICS/GYNECOLOGY

Question 1

what are benign breast diseases?

Answer 1

fibroadenoma of the great and fibrocystic breast d/o

Question 2

what is fibroadenoma of the breast?

Answer 2

2nd MC benign breast d/o; MC in late teens-early 20s

composed of glandular & fibrous tissue (collagen arranged in “swirls”)

Question 3

what are the s/s of fibroadenoma of the breast?

Answer 3

smooth, well-circumscribed, non-tender, freely mobile, rubbery lump in the breast

gradually grows over time & DOESN’T WAX & WANE WITH MENSTRUATION

Question 4

what’s the tx of fibroadenoma of the breast?

Answer 4

observation - most resorb with time

Question 5

what’s fibrocystic breast d/o?

Answer 5

fluid-filled breast cyst d/t exaggerated response to hormones

MC breast d/o

Question 6

what’s the s/s of fibrocystic breast d/o?

Answer 6

multiple, mobile, well demarcated lumps in breast tissue

TENDER AND BILATERAL

No nipple discharge

INCREASE/DECREASE IN SIZE W/ MENSTRUAL HORMONAL CHANGES

Question 7

how do you dx fibrocystic breast d/o?

Answer 7

U/S

FNA reveals straw-colored fluid (no blood)

Question 8

what’s the tx for fibrocystic breast d/o?

Answer 8

most resolve spontaneously

can do FNA to remove fluid if symptomatic

Question 9

what quadrant of the breast is breast cancer most common?

Answer 9

upper out quadrant

Question 10

what is the MC type of ductal carcinoma breast cancer?

Answer 10

infiltrative ductal carcinoma

Question 11

what is Paget’s disease the nipple?

Answer 11

a/w breast cancer

chronic eczematous itchy, scaling rash on the nipples and areola

Question 12

what’s the s/s of inflammatory breast cancer?

Answer 12

red, swollen, warm, itchy breast

Peau d’orange (poor prognosis)

Question 13

what is the imaging study of choice for initial evaluation of breast masses in women < 40 y/o?

Answer 13

U/S

Question 14

what’s the best breast cancer screening test? when do you start it?

Answer 14

mammogram

-ACOG says start >/= 40 y/o and annually