Endo/Repro Review

Question 1

elderly woman, mass in breast located in lateral upper quadrant

spiculated mass, ER/HER2+

tx w ______

Answer 1

anastrazole/trastuzumab

Question 2

MA woman, inc facial hair growth

temoral balding/coarse dark hair on face
clitoral enlargement

testosterone is inc

dx is _____
__ secreting tumor

Answer 2

sertoli leydig tumor

testosterone

Question 3

MA woman, worsening headaches

BP is extremely elevated
urine has inc metanephrine/VMA

dx is ____
neoplasm is secreting _____

Answer 3

pheochromocytoma

epinephrine

Question 4

YA woman, severe right lower quadrant pain

LMP 8w ago
pregnancy test is positive
no gestational sac in uterus

dx is ___
fertilized egg most likely located in ___

Answer 4

ectopic pregnancy

fallopian tube

Question 5

MA woman w adenocarcinoma of the left breast

resected, want to sample draining lymph nodes

sentinel nodes are located in ___

Answer 5

ipsilateral axilla

Question 6

Post pregnancy, no menstrual period

severe bleeding during pregnancy

unable to breast feed

dx is ___
mechanism is ____

Answer 6

sheehan syndrome

post partum pituitary infarct

Question 7

MA woman, elevated BP and BMI

very high AM cortisol
low dose dexamethasone does not suppress

high dose does

dx is ___

Answer 7

pituitary macroadenoma

Question 8

elderly man, inc thirst/urination

weight gain, high BMI
FH of T2DM

serum glucose is 330

dx is ____
cause ____

Answer 8

T2DM

insulin resistance

Question 9

YA Woman, pain w urination, intense vaginal itching, thick discharge
erythema of vagina/vulva

odorless curd like discharge
pH is 4

wet mount shows epithelial cells, nothing else

dx is __

Answer 9

vaginal candidiasis

Question 10

MA woman, foul smelling vaginal discharge, vaginal itching

excoriated labia/vaginal mucosa

frothy, gray discharge
wet mount w clue cells

dx is ____
organism is ___

Answer 10

bacterial vaginosis

gardnerella vaginalis

Question 11

MA woman, loss of urine w coughing/sneezing/excersises

otherwise healthy, no abnormalities

lose urine w valsalva

dx is ____

Answer 11

stress incontinence

Question 12

hours post vaginal delivery, onset of heavy bleeding

oxytocin induced labor, prolonged

required forceps delivery

abdomen is soft, boggy uterus, perineum intact

dx is __

Answer 12

uterine atony

Question 13

previously healthy YA woman

painful swelling in vagina
tender in inferior aspect of left labium minus

dx is ____

Answer 13

bartholin gland abscess

Question 14

teenage girl, irregular vaginal bleeding

bleeding can be spotty/heavy

exam shows normal, pink vagina, uterus is non tender, elevated BMI

pharm tx is ____

Answer 14

oral contraceptives

Question 15

Boy born to mother w difficult to tx gestational diabetes

w/in 24 hrs, baby is at risk for ___

Answer 15

hypogly

Question 16

YA woman, irregular menstrual periods since 13

no other problems, overwight
hirsutism

copious cervical mucus

dx is ____

Answer 16

PCOS

Question 17

YA woman, intermittent dischagre from breasts

LMP was 6m ago

scant white fluid from both breasts

likely to have inc serum __

Answer 17

prolactin

Question 18

YA woman, 12hrs of lower ab pain/vaginal bleedin

low BP, high pulse

ab pain/tenderness, US shows adnexal mass on right

concerned for ____
measure ____

Answer 18

ectopic pregnancy

BHCG