Day 13 - Gyn3 Quiz

Question 1

Most likely cause of bloody nipple discharge

Answer 1

Intraductal papilloma

Question 2

Most common breast CA & p/w

Answer 2

Invasive ductal carcinoma -

Question 3

Often p/w serous or bloody nipple discharge

Answer 3

Intraductal papilloma

Question 4

Most common mass in (F) pts 35-50 yo

Answer 4

Fibrocystic changes in breast

Question 5

Most common tumor in teen and young women

Answer 5

Fibroadenoma

Question 6

Breast mass accompanied by redness, pain, and heat

Answer 6

Inflammatory carcinoma

Question 7

Risk factors for endometrial cancer

Answer 7

Unopposed estrogen: exogenous estrogen not being given w/ estrogen, PCOS, nulliparity, obesity, HTN, DM, FH, increased age, high fat diet, Colon cancer, granulosa-theca cell tumors of ovary

Question 8

Risk factors for ovarian cancer

Answer 8

Ovulation: nulliparity, FH (BRCA1, BRCA2) ; Protective factors: breastfeeding, pregnancy

Question 9

Serum marker may be elevated during endometrial cancer

Answer 9

CA-125 (may be elevated)

Question 10

Serum marker usually elevated during ovarian cancer

Answer 10

CA-125 (usually elevated)

Question 11

Next step mgt CIN 2 lesion on bx

Answer 11

Excise affected portion w/ LEEP, conization, or laser ablation

Question 12

Next step mgt ASCUS pap smear

Answer 12

Repeat pap in 3-6 mo., possibly 12 mo.

Question 13

Next step mgt AGUS pap smear

Answer 13

Colpo w/ endocervical curettage; If over age 35 or risk factors for endometrial cancer, then endometrial bx

Question 14

Ovarian tumor: assoc w/ psammoma bodies

Answer 14

Serous cystadenocarcinoma

Question 15

Ovarian tumor: estrogen excess

Answer 15

Granulosa-Theca cell tumor

Question 16

Ovarian tumor: androgen secretion

Answer 16

Sertoli-Leydig cell tumor

Question 17

Tx DCIS breast

Answer 17

Lumpectomy +/- radiation

Question 18

Tx LCIS breast

Answer 18

Observation +/- Tamoxifene/Raloxifene or excisional bx; If no desire for life long observation, then ppx b/l mastectomy