#2: H&P

Question 1

Reducing Breast Cancer Risk: (5)

Answer 1

• Planning for first birth before the age of 30
• Breastfeeding for at least six mos
• Avoidance/limited duration of use of HRT
• Avoidance of unnecessary exposure to radiation (eg, inappropriate use of computed tomography)
• Adopting a physically active, healthy lifestyle:
• -Adequate exercise
• -Avoidance or cessation of smoking
• -Limiting alcohol intake
• -Maintain healthy weight
• -Limiting nocturnal shift work

Question 2

Meds that decrease dopamine: (5)

Answer 2

Antipsychotics, TCAs, SSRI’s, verapamil, methadone

Question 3

Milky Discharge from nipple causes:

Answer 3

• cirrhosis
• drug-induced (psychotropic agents & phenothiazines)
• endocrine disorders
• hypothyroidism
• lactation
• pituitary prolactinoma
• pregnancy
• renal disease

Question 4

Spontaneous unilateral, bloody discharge from nipple causes: (3)

Answer 4

• ductal carcinoma in situ
• intraductal papilloma
• Paget’s disease of the breast

Question 5

Clear, serous, green, black, and non-bloody discharges that are multi-ductal/uni-ductal:

Answer 5

• usually do not indicate a concerning condition

- intraductal papilloma which can harbor CA

Question 6

less than 21 day interval between menses

Answer 6

Polymenorrhea

Question 7

bleeding after intercourse

Answer 7

Post-coital bleeding

Question 8

Define Menopause:

Answer 8

cessation of menses for > 1 yr.

Question 9

Define Perimenopause:

Answer 9

time of transition from menstrual to non-menstrual life

Question 10

A woman who has given birth more than 3 times

Answer 10

Grandmultipara or grandmultip

Question 11

A woman who has given birth two or more times

Answer 11

Multipara or multip

Question 12

A who has given birth to only one child

Answer 12

Primipara

Question 13

A woman who has never given birth or who has never had a pregnancy progress beyond the gestational age of an abortion (20 weeks)

Answer 13

Nullipara or nullip

Question 14

A woman who has been pregnant more than once

Answer 14

Multigravida

Question 15

A woman who is in or who has experienced her first pregnancy

Answer 15

Primigravida

Question 16

A woman who has never been pregnant and is not now pregnant

Answer 16

Nulligravida

Question 17

Factors affecting risk of cervical cancer: 6

Answer 17

1-H/O CIN 2, CIN 3, or cervical cancer
2-H/O HPV infection
3-Smoking
4-Immunosuppression
5-HIV infection
6-H/O Diethylstilbestrol (DES) exposure

Question 18

Three purposes of a Rectovaginal Exam: (3)

Answer 18

1-Palpate a retroverted uterus, uterosacral ligaments, cul-de-sac, and adnexa
2-Screen for colorectal cancer in women 50 and older
3-Assess pelvic pathology