Week 13-GU

Question 1

Benign breast development in men.

Answer 1

Gynecomastia

Question 2

Accumulation of subareolar fat

Answer 2

Psuedogynecomastia

Question 3

What nodes are most likely to be felt in a breast exam?

Answer 3

Central nodes

Question 4

Malignant cells from breast cancer may spread directly to the:

Answer 4

Infraclavicular nodes or into the internal mammary chain of LN within the chest

Question 5

Usually bilateral, multi ductal, promoted by stim and ranges in color from white to yellow to green

Answer 5

Physiologic discharge

Question 6

Usually unilateral, bloody or serous and associated with a mass in women over 40.

Answer 6

Pathologic discharge

Question 7

Mass over 50:

Answer 7

Consider cancer first until proven otherwise

Question 8

Irregular, firm, mobile, or fixed to surrounding tissue:

Answer 8

Cancer

Question 9

Mass age 15-25 consider:

Answer 9

Fibroadenoma - smooth, rubbery, round, mobile, nontender

Question 10

Mass 25-50 consider:

Answer 10

Cysts: soft firm, round, mobile, often nontender

Question 11

How to assess lateral portion breast.

Answer 11

Hand on forehead with shoulders against bed (flattens tissue)

Question 12

How to assess medial portion of breast:

Answer 12

Hand on neck with shoulders against bed.

Question 13

Spontaneous, unilateral, bloody discharge from 1-2 ducts consider:

Answer 13

Papilloma, DCIS, or Paget’s disease of the breast

Question 14

Vaginal surface of the cervix, what is seen with speculum.

Answer 14

Ectocervix

Question 15

Opening of the cervix, marks the opening into the endocervical canal.

Answer 15

Cervical os

Question 16

Continuation with the vaginal lining.

Answer 16

Squamous epithelium

Question 17

During puberty, the broad band of columnar epithelium encircling the os is gradually replaced with squamous epithelium.

Answer 17

Ectropion

Question 18

Forms the boundary between squamous epithelium and columnar epithelium. This migrates toward the os and creates the transformational zone.

Answer 18

Squamocolumnar junction

Question 19

Area at risk for later dysplasia and is the area sampled with Pap smear

Answer 19

Transformation zone

Question 20

Defined as cessation of bleeding for 12 months

Answer 20

Menopause

Question 21

Causes of post-menopausal bleeding:

Answer 21

Endometrial cancer, HRT, and uterine and cervical polyps

Question 22

Painful intercourse

Answer 22

Dyspareunia

Question 23

Most common cause of acute GU pain?

Answer 23

PID May also be ruptured ovarian cysts or appendicitis

Question 24

Chronic GU pain associated with;

Answer 24

Endometriosis, uterine fibroids, PID, consider sexual abuse

Question 25

When to stop cervical cancer screening?

Answer 25

65 and has had 3 consecutive negative cytology tests

Question 26

3 major symptoms of ovarian cancer:

Answer 26

``` Abdominal distention Abdominal bloating Urinary frequency (usually reported within 3 months of dx) ```

Question 27

Sti screening in sexually active females over 25:

Answer 27

Annual GC/chlamydia

Question 28

STI testing in pregnancy:

Answer 28

Chlamydia, hepatitis B, syphilis, hiv

Question 29

STI testing in gay, bisexual, MSM, multiple or anonymous partners:

Answer 29

Chlamydia, GC, and syphilis annually of 3-6 months based on risk

Question 30

HIV testing recommendation:

Answer 30

At least once btwn 13-64; once a year for unsafe sex practices or IVDU, gay, and bisexual men (q3-6 months)

Question 31

Enlarged clitoris May signal:

Answer 31

Endocrine disorders

Question 32

Herniation of the rectum into the posterior vaginal wall.

Answer 32

Retrocele

Question 33

Seen in the upper 2/3 of anterior vaginal wall.

Answer 33

Cystocele

Question 34

With entire anterior vagina wall, together with the bladder and urethra.

Answer 34

Cystourethrocele

Question 35

Cervix faces forward and uterus body may not be felt by abdominal hand.

Answer 35

Retroversion of the uterus

Question 36

Backward angular ion of the body of the uterus in relation to the cervix.

Answer 36

Retroflexion of the uterus

Question 37

Myomas (uterine fibroids):

Answer 37

Benign tumors

Question 38

Results for weakness of the supporting structures of the pelvic floor muscles and associated with cystocele and rectocele.

Answer 38

Prolapse of the uterus

Question 39

Arises more medically and are due to weakness in the floor of the inguinal canal. (Often associated with heavy lifting or straining)

Answer 39

Direct inguinal hernia

Question 40

If the peritoneal lining remains an open channel to the scrotum, it can give rise to an ____ which develop at the internal inguinal ring where the spermatic cord exits the abdomen.

Answer 40

Indirect inguinal hernia

Question 41

The parietal and visceral layers form a potential space for the abnormal fluid accumulation of a :

Answer 41

Hydrocele

Question 42

An undescended testicle- May see poorly developed scrotum on uni/bilaterally.

Answer 42

Cryptorchisim

Question 43

May be associated with indirect inguinal hernia, hydrocele, scrotal edema and rarely testicular cancer

Answer 43

Scrotal swelling

Question 44

Dome shaped white or yellow papules formed by occluded follicles; common, benign, and frequently multiple

Answer 44

Epidermal cysts

Question 45

Scrotal edema is commonly seen in:

Answer 45

CHF and nephritic syndrome

Question 46

Nontender, fluid filled, positive transillumination

Answer 46

Hydrocele

Question 47

Usually comes through the external inguinal ring.

Answer 47

Scrotal hernia