Week 5 practice questions Flashcards by Morgan Evans

When is a cyst considered an adnexal mass?
a) >3 cm
b) >4 cm
c) >5 cm
d) >6 cm
e) >10 cm

c) >5 cm

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Which of the following are suspicious for malignancy in an ovarian mass? Select all that apply
a) Septations
b) Papillary Excrescences
c) Smooth capsule
d) Size >5cm

a) Septations
b) Papillary Excrescences

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Which of the following is the least common functional cyst? (hint: sometimes seen in pregnancy)
a) Theca Lutein Cyst
b) Corpus Luteum Cysts
c) Follicular cyst
d) Endometrioid

a) Theca Lutein Cyst

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Benign cystic teratoma (dermoid cyst) is the most common type of tumor in women, and is a type of what?
a) Epithelial Cell Tumor
b) Germ Cell Tumor
c) Stromal cell tumor
d) Granulosa theca cell tumor

b) Germ Cell Tumor

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Which of the following is more likely to be malignant?
a) Epithelial Cell Tumor
b) Germ Cell Tumor
c) Stromal cell tumor
d) Granulosa theca cell tumor

a) Epithelial Cell Tumor

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Borderline Ovarian Tumors are more common in which age group?
a) Premenstrual
b) Prepubescent
c) Premenopausal
d) Postmenopausal

c) Premenopausal

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Being multiloculated and having psammoma bodies are characteristic of what?
a) Dysgerminomas
b) Malignant mucinous epithelial tumor
c) Heredity Epithelial Ovarian Cancer
d) Malignant epithelial serous tumors

d) Malignant epithelial serous tumors

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Primary ovarian insufficiency is confirmed by _________ levels >30mIU/mL on two separate occasions
a) LH
b) FSH
c) GnRH
d) Estrogen
e) Progesterone

b) FSH

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Which of the following does hormone therapy (HT) increase your risk of? Select all that apply.
a) Heart attack
b) Stroke
c) Thromboembolic disease
d) Colorectal cancer
e) Breast cancer
f) Hip fractures

a) Heart attack
b) Stroke
c) Thromboembolic disease
e) Breast cancer

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Which of the following is defined as the bladder intruding on the vaginal wall?
a) Urethrocele
b) Enterocele
c) Cystocele
d) Rectocele

c) Cystocele

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What may occur when intra-abdominal pressures exceed urethral closure pressures?
a) Pelvic organ prolapse
b) Stress Urinary Incontinence
c) Urgency Urinary Incontinence
d) Overflow Incontinence

b) Stress Urinary Incontinence

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What may occur with detrusor overactivity?
a) Pelvic organ prolapse
b) Stress Urinary Incontinence
c) Urgency Urinary Incontinence
d) Overflow Incontinence

c) Urgency Urinary Incontinence

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Vesicouterine fistulas may cause incontinence, and are defined as what?
a) Bladder & Uterus fistulas
b) Vagina & Bladder fistulas
c) Vagina & Urethra fistulas
d) Rectum & Vagina fistulas

a) Bladder & Uterus fistulas

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Your 29 year old patient comes in complaining of dysuria and flank pain. She has T2DM but is otherwise healthy. What test(s) should you do, and what Tx should she get if the result(s) is/ are positive?
a) Urinalysis; Amoxicillin 500 mg (or Augmentin) PO TID x 5-7 days
b) Urinalysis + cultures; Nitrofurantoin (Macrobid)100mg po BID X 5 days
c) Cultures; Cipro 500 mg for 7-14 days
d) Urinalysis; Ofloxacin 200 mg po BID X 3 days
e) Urinalysis + cultures; or Levaquin 250-750 mg for 5-10 days

b) Urinalysis + cultures; Nitrofurantoin (Macrobid)100mg po BID X 5 days

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Your patient has been diagnosed with a UTI. She is 35 weeks pregnant. What should you prescribe? Choose the best answer
a) Cephalexin 500 mg PO QID x 5-7 days
b) Cefpodoxime 100mg BID x 5-7 days
c) Trimethoprim-sulfamethoxazole (Bactrim) DS 800 mg PO BID x 3 days
d) Macrobid 100mg PO BID x 7d
e) Amoxicillin 500 mg (or Augmentin) PO TID x 5-7 days

d) Macrobid 100mg PO BID x 7d

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Bacteriuria screening is NOT recommending if a patient is asymptomatic and a member of which of the following groups? Select all that apply
a) Pregnant
b) Nonpregnant
c) Premenopausal
d) Postmenopausal
e) Recent transplant patient
f) Catheter-acquired bacteriuria within 12 hours of removal

b) Nonpregnant
c) Premenopausal

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A 64 y/o multiparous woman presents with urinary incontinence. She describes losing small amounts of urine when she coughs or lifts heavy objects. These symptoms began several months ago and have resulted in her now wearing a pad to avoid wetting her clothes.
**What is her diagnosis and treatment?*
a) Stress urinary incontinence; Kegels BID for 6 wks
b) Stress urinary incontinence; Tricyclic antidepressant
c) Overflow Incontinence; Kegels BID for 6 wks
d) Urgency Urinary Incontinence; Kegels BID for 6 wks

a) Stress urinary incontinence; Kegels BID for 6 wks

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Which is generally the breast cancer screening test of choice for women <30?
a) Mammography
b) Magnetic Resonance Imaging (MRI)
c) Ultrasonography
d) Fine-Needle Aspiration

c) Ultrasonography

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A 43 y/o patient comes in for a routine mammography and breast exam. You notice small, firm, tender, palpable nodules on PE. The mammography shows that these nodules may be breast cancer. What is the likely diagnosis and treatment?
a) Sclerosing adenosis; no treatment
b) Radial scars (complex sclerosing lesions); no treatment
c) Fibroadenoma; observation
d) Paget’s Disease of the Breast; surgery

a) Sclerosing adenosis; no treatment

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Which of the following is the most common benign tumor of the breast?
a) Sclerosing adenosis
b) Radial scars (complex sclerosing lesions)
c) Fibroadenoma
d) Paget’s Disease of the Breast

c) Fibroadenoma

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Breast abscesses are usually caused by which of the following?
a) P. aeruginosa
b) S. aureus
c) S. epidermidis
d) E. coli

b) S. aureus

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You perform a breast exam on your 40 year old patient. You note a solitary, soft, non-tender, well-circumscribed mass in her left breast. What is her most likely diagnosis and treatment?
a) Breast Abscess
b) Sclerosing adenosis
c) Radial scars (complex sclerosing lesions)
d) Lipoma
e) Fibroadenoma

d) Lipoma

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What is the general first-line treatment for mastitis?
a) D/c breastfeeding + Dicloxacillin
b) Continue breastfeeding + Dicloxacillin
c) D/c breastfeeding + Bactrim
d) Continue breastfeeding + Bactrim

b) Continue breastfeeding + Dicloxacillin

(bactrim only if you suspect MRSA)

Which of the following is associated with unilateral, bloody discharge?
a) Intraductal Papilloma
b) Ductal Ectasia
c) Galactorrhea
d) Mastitis

a) Intraductal Papilloma

Which of the following may cause galactorrhea? Select all that apply. a) Anti-hypertensives b) Statins c) Anti-psychotics d) H2-receptor blockers e) OCPs f) Alcohol g) Herbs h) PPIs

a) Anti-hypertensives c) Anti-psychotics d) H2-receptor blockers e) OCPs g) Herbs

The 2nd most common malignancy in women is what? a) Endometrial cancer b) Breast cancer c) Lung cancer d) Ovarian cancer

b) Breast cancer

Which of the following is NOT one of the 7 risk factors used by The Gail Model? a) Age b) Age at the time of first live birth c) Number of 1st degree relatives with breast CA d) History of breast biopsy e) History of atypia on biopsy f) Onset of menstruation g) Onset of menopause h) Race/ethnicity

g) Onset of menopause

When is redness of the breast worrisome for inflammatory breast cancer (IBC)? a) In women who have not recently nursed a baby b) In women who are nursing or pregnant c) In nursing women d) In pregnant women

a) In women who have not recently nursed a baby

Your 55 year old patient presents with a new eczema-like appearance to her right nipple (but not her left). She states that since it’s the winter, she thinks it could just be the cold and dry weather drying her skin; however, she has never gotten a mammogram. You perform a breast exam, and it’s otherwise unremarkable. **Based on the powerpoint, what is a likely diagnosis?** a) Idiopathic dry skin b) Eczema c) Inflammatory breast cancer d) Paget’s Disease of the Breast

d) Paget’s Disease of the Breast

When should you begin anti-estrogen therapy for ER+ breast cancer? a) Immediately b) Prior to surgery/ chemo/ radiation c) During surgery/ chemo/ radiation d) After surgery/ chemo/ radiation

d) After surgery/ chemo/ radiation

Tamoxifen and Raloxifene (Evista) are commonly used to treat what? a) UTIs b) Stress Urinary Incontinence c) Endocrine receptor positive (ER+) breast cancers d) Triple negative breast cancers e) Urgency Urinary Incontinence

c) Endocrine receptor positive (ER+) breast cancers

Which of the following is the more common type of corpus luteum cyst? a) Rapidly enlarging b) Slightly enlarged c) Theca Lutein Cyst d) Serous epithelial cell tumor

b) Slightly enlarged

Which epithelial cell tumor(s) should be treated with surgery? Select all that apply. a) Endometrioid b) Serous c) Brenner Cell Tumor d) Mucinous

b) Serous d) Mucinous

Which of the following is more likely to contain hair and bone? a) Epithelial Cell Tumor b) Germ Cell Tumor c) Stromal cell tumor d) Granulosa theca cell tumor

b) Germ Cell Tumor

Which are most likely to contribute to precocious puberty **and** lack malignant potential? Select all that apply a) Granulosa theca cell tumors b) Stromal Cell Neoplasms c) Sertoli-Leydig cell tumors d) Benign cystic teratoma (dermoid cyst) e) Theca Lutein Cyst

a) Granulosa theca cell tumors c) Sertoli-Leydig cell tumors

Your post-menopausal patient has a simple, 4cm unilateral cyst on an ultrasound. What do you do? a) Continue observation and an f/u with an ultrasound b) Ultrasound and serum CA-125 determinations c) Laparoscopic inspection of pelvis and abdomen d) Laparoscopic inspection and serum CA-125 determinations

c) Laparoscopic inspection of pelvis and abdomen

True or false: Endodermal Sinus Tumors produce HCG

False (Embryonal Cell Carcinomas produce hCG)

True or false: Malignant Mesodermal Sarcomas have a good survival rate.

False (poor prognosis)

True or false: Usually, you can’t palpate uterine tubes

True

True or false: You can give estrogen without progesterone under very specific circumstances

False; never give estrogen monotherapy

True or false: Fever is uncommon with Acute Simple Cystitis

True

True or false: Vaginal estrogen may reduce risk of recurrent UTIs in postmenopausal women

True

True or false: Women who have breastfed their infants have an increased risk of breast cancer

False; decreased risk

True or false: Danzanol and SERMs are potential treatments for mastalgia

True

True or false: Lymphadenopathy and metastasis are uncommon Sx for IBC (inflammatory breast cancer), since it’s not usually an aggressive cancer

False; it's aggressive

True or false: Triple negative breast cancer typically responds well to chemotherapy.

True

What is the most common solid ovarian tumor? a) Granulosa theca cell tumors b) Stromal Cell Neoplasms c) Sertoli-Leydig cell tumors d) Benign cystic teratoma (dermoid cyst) e) Benign ovarian fibroma

e) Benign ovarian fibroma

What is associated with pseudomyxoma peritonei? a) Malignant mucinous epithelial tumor b) Heredity Epithelial Ovarian Cancer c) Malignant epithelial serous tumors d) Malignant mucinous epithelial tumors

d) Malignant mucinous epithelial tumors

True or false: You need to perform both surgery and chemotherapy for dysgerminomas and immature teratomas

False; only chemo is needed

True or false: Krukenberg tumors are native to the ovaries.

False; metastatic from other sites

True or false: Stromal cell tumors are both solid and functioning

True

What may result from spindle cells producing collagen?

Benign ovarian fibroma

True or false: Germ cell tumors are the most common ovarian cancers in women <20 y/o

True

Which germ cell tumor is more likely to grow rapidly? a) Dysgerminomas b) Immature Teratoma

b) Immature Teratoma

What may initially present with bleeding from endometrial hyperplasia? a) Dysgerminomas b) Immature Teratoma c) Granulosa Cell Tumor d) Sertoli-Leydig Tumors

c) Granulosa Cell Tumor

Name 2 kinds of stromal cell tumors

1) Granulosa Cell Tumor 2) Sertoli-Leydig Tumors

True or false: Bactrim is the first line Tx for mastitis

False (only if MRSA risk)