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[OS 215] OB-GYN E3 > Samplex 2015 > Flashcards

Flashcards in Samplex 2015 Deck (95)
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1

If you are suspecting invasive ductal carcinoma of the breast, the least invasive biopsy technique to confirm it will be:

a. Fine needle aspiration biopsy
b. Core needle biopsy
c. Excision biopsy
d. Incision biopsy

B

2

A 40-y.o. asymptomatic female consulted because of a 3x2cm hard movable mass without overlying skin dimpling. Ipsilateral internal mammary and axillary lymph node was palpated. FNAB revealed ductal carcinoma. The clinical stage is:

a. T2N1M0
b. T2N2M0
c. T2N3M0
d. T2N4M0

C

3

The most common site of distant metastasis from breast cancer involves what organ:

a. Lungs
b. Bones
c. Liver
d. Brain

B

4

The therapeutic strategy to destroy any distant occult micrometastasis after curative modified radical mastectomy for localized ER/PR negative breast cancer is best achieved by

a. adjuvant chemotherapy
b. adjuvant radiotherapy
c. neoadjuvant chemotherapy
d. induction radiotherapy

B

5

A 28 y.o. female with a 2x2 cm hard movable left upper outer breast mass. No axillary nodes palpated nor any other signs or symptoms. FNAB revealed ductal cancer. The next test to know if she is a good candidate for breast conservation surgery is:

a. chest x-ray
b. breast ultrasound
c. mammography
d. bone scan

C

6

the stage of breast cancer that guides the choice of primary treatment is:

a. clinical stage
b. pathologic stage
c. re-treatment stage
d. autopsy stage

A

7

The clinical manifestation of advanced breast cancer whereby dermal lymphatic are invaded by the tumor causing skin edema.

a. Satellite skin nodule
b. Peau d’orange skin
c. Skin ulceration
d. extremity lymphedema

B

8

Among the different histopathologic type of breast cancer, which one is the most common according to the WHO classification?

a. infiltrating ductal cancer
b. medullary cancer
c. mucinous cancer
d. tubular cancer

A

9

Which one will complete the breast conservation treatment as local therapy for breast cancer after lumpectomy and axillary dissection?

a. Adjuvant chemotherapy
b. adjuvant hormonal therapy
c. radiotherapy of the ipsilateral preserved breast
d. radiotherapy of the contralateral breast

C

10

Gene mutation at chromosome 17 that results to about 60% lifetime risk in developing breast cancer

a. BRCA 1
b. BRCA 2
c. BRCA 3
d. BRCA 4

A

11

Which of the following is TRUE regarding PSA (Prostatic Specific Antigen) testing?

a. It is currently the best test to use for prostate cancer screening
b. It is more sensitive than DRE in screening for prostate cancer
c. A patient with acute prostatis can also have elevated PSA
d. all of the above

C

12

The IPSS questionnaire is used to assess the severity of :

a. lower urinary tract symptoms from prostate disease
b. renal disease brought about by stone disease
c. vesicoburethral reflux damage to the kidneys
d. erectile dysfunction

A

13

which of the following diagnostic tests must ALWAYS be performed in evaluating urinary tract infections?

a. urodynamics
b. KUB - IVP
c, urine cytology
d. urinalysis

D

14

Which of the following statements is TRUE regarding lower urinary tract symptoms (LUTS)?

a. LUTS is only found in men with benign prostatic enlargement
b. LUTS is a common presentation in women with recurrent episodes of urinary tract infection
C. all men with benign prostatic enlargmeent have LUTS
d. hematuria is a component of LUTS

B

15

Which of the following statements is TRUE regarding serum PSA?

a. serum elevation is always correlated with prostatic cancer
b. serum levels vary with prostatic volume, inflammation and the amount of cancer in the gland.
c. PSA determination should be performed in all males regardless of age
D. PSA has no role in monitoring patients who underwent radical prostatectomy for prostate cancer

B

16

A 25 year old male complaining of dysuria, frequency and urgency was found to have a tender and boggy prostate on digital rectal exam. The most likely diagnosis is:

a. acute bacterial prostatitis
b. benign prostatic enlargment
c. prostate adenocarcinoma
d. urethritis

B

17

Which of the following is a risk factor in the development of squamous cell carcinoma of the penis?

a. phimosis
b. N. gonorrhea
c. Chlamydia trachomatis
d. chronic irritation caused by retained smegma

D

18

Prostate adenocarcinoma is usually found in which zone of the prostate?

a. fibromuscular stroma
b. periurethral zone
c. transition zone
d. peripheral zone

D

19

The most common cell tumor of the testis is

a. embryonal cell
b. seminoma
c. yolk sac tumor
d. teratoma

B

20

Which of the following statetements is TRUE regarding benign prostatic enlargement?

a. all men with BPE will eventually develop bothersome lower urinary tract symptoms.
b. a patient with a 50g prostate will develop more lower urinary tract symptoms than a patient with a 25g prostate
c. cysto-TURP is indicated in all patients diagnosed with BPE
d. renal failure is possible complication of BPE

D

21

The following is NOT a hormonal change in

a perimenopause woman
a. decreased inhibin
b. increased fsh
c. increased lh
d. increased estradiol
e. all changes are correct

C

22

Choose the CORRECT statement regarding the principles in the use of HRT

a. all hysterectomized women should receive estrogen only for hormonal replacement
b. HRT may be used for as long as the patient desires it
c. HRT should be started in women with postmenopausal bleeding to resolve the abnormal bleeding
d. the risks and benefits of HRT differ from women around the time of menopause compared to those for older women

D

23

the following is an indication for HRT use as recommended by the FDA

a. prevention of osteoporosis
b. treatment of mild vasomotor symptoms
c. treatment of mild vaginal dryness
d. prevention of cardiovascular disease

A

24

absolute contraindication/s to the use of HRT include/s:

a. controlled hypertension
b. chronic hepatitis
c. suspected breast cancer
d. all of the above

C

25

. a 66y/o female underwent Dual Energy Xray Arter___petry screening test showin T-scores of -2.9 at the spine and -2-2 at the hip. What is the diagnosis based on the WHO definitions

a. normal
b. osteopenia
c. osteoporosis
d. severe osteoporosis (osteoporosis with fractures)

C

26

The use of estrogen replacement therapy:

a. protects against endometrial cancer
b. protects against cervical cancer
c. protects against colorectal cancer
d. protects against ovarian cancer

C

27

The following are used for the prevention of post menopausal osteoporosis

a. hormone therapy (prevention)
b. calcitonin (treatment)
c. SERMs (prevention and treatment)
d. NOTA

C

28

The following are typical side effects of progestational hormones except

a. breast tenderness
b. palpitations
c. depression
d. bloating

B

29

The advantage/s of using low dose formulations to start HRT include/s

a. effective for treatment of vasomotor symptoms
b. effective for prevention of bone loss
c. protects endometrium from hyperplasia
d. AOTA

A

30

The following effects of estrogen deficiency from perimenopause to advanced age

a. early - menstrual irregularity
b. intermediate - insomnia
c. late - urge-stress incontinence
d. AOTA

A