APGO

Question 1

30-65 pap/hpv recs

Answer 1

women ages 30 to 65 years should be screened with cytology and HPV testing (‘‘cotesting’’) every five years (preferred) or cytology alone every three years (acceptable)

Question 2

What race inc risk of ovarian cancer

Answer 2

White

Question 3

TF

Smoking inc risk of ovarian cancer

Answer 3

F

Question 4

Most likely dx adnexal mass amd endometrial hyperplasia

Answer 4

Granulosa cell tumor
(Sex-cord stromal tumor)

Functional tumor that secretes estrogen causing endometrial hyperplasia and eventual cancer

Question 5

3 classes of ovarian cancer by prevalence and typical age at presentation

Answer 5

Epithelial - 50s but can affect all ages

Germ cell tumors - 10-30yo

Sex cord stromal tumors - 50s but a less common prepubertal type too

Question 6

TF

Dermoid tumors are most common ovarian tumors in all ages

Answer 6

T

But 80% occur during reproductive years and mean age is 30

Question 7

What is the greatest risk for endometrial cancer

Answer 7

Obesity?

Question 8

accurate prolactin levels are best obtained…

Answer 8

in fasting state after no breast stimulation for 24 hours

Question 9

mastalgia and fibrocystic change is associated with what po intake

Answer 9

caffeine

Question 10

2 emergency contraception options and how long after intercourse are they effective

Answer 10

Levonorgestrel up to 72 hours

Ulipristal up to 5 days