Female

Question 1

What general principle increases breast cancer risk

Answer 1

life long estrogen exposure

↑ estrogen –> ↑ breast ca risk

ex: obesity, nulliparity, HRT

Question 2

Race with highest BC risk

Answer 2

white

Question 3

Menarche and breast cancer

Answer 3

menarche after age 13 is protective

Question 4

Tolterodine

Answer 4

anticholinergic

rx for urge incontinence, overactive bladder

Question 5

Phyllodes tumor

Answer 5

rare

unilateral, smooth, painless breast mass

Question 6

Breast side effect of OCP

Answer 6

breast tenderness

typically subsides after a few months

Question 7

Breast ca w/ bloody nipple discharge

Answer 7

intraductal papilloma

Question 8

Fibroadenoma

Answer 8

single, unilateral, mobile breast mass

can very w/ menses

Question 9

Fibrocystic changes

Answer 9

diffusely nodular, bilateral, tender
flucuates with menses
rx: NSAIDs or OCPs

Question 10

Fibrocystic change vs fibroadenoma

Answer 10

Both cycle w/ meses and have mass/es

fibrocystic= multiple
adenoma= singular

Question 11

rhabdomyosarcoma

Answer 11

rare

nodules resemble grapes protruding from vagina

Question 12

tamoxifen/ raloxifen side effects

Answer 12

hot flash
venous thromboembolism

tamoxifen only: endometrial carcinoma / polyps

Question 13

Factors asc. w/ ovarian cancer

Answer 13

infertility, family hx of brca, nulliparity

Question 14

Mammogram before age ___ is pretty much useless

Answer 14

30

Question 15

Under 30 with persistent mass

Answer 15

ultrasound

Question 16

Endometrial biopsy before age 45

Answer 16

Abnormal uterine bleeding plus:

obesity, chronic anovulation, lynch syndrome

Question 17

lichen sclerosis

Answer 17

prutitic, white atrophic plaque of the vulva

requires punch biopsy to exclude SCC

Question 18

lichen sclerosis rx

Answer 18

topical steroids

Question 19

OCPs and benign breast disease

Answer 19

OCPs decrease the risk, esp of fibroadenoma and fibrocystic changes

Question 20

OCPs and cancer reduction

Answer 20

↓ risk of endometrial and ovarian

Question 21

OCPs and BP

Answer 21

OCPs can ↑ BP

Question 22

Chancroid is caused by?

Answer 22

H ducreyi

multiple deep painfull ulcers,

Question 23

Granuloma inguiale

Answer 23

klebsiella genital infection
ulcerated lesions (no lad)
granulated base

Question 24

Infertility over the age of 35

Answer 24

inability to conceive in 6 months

Question 25

What does hCG do?

Answer 25

maintain corpus luteum (to make progesterone)

promote male sexual differentiation

stimulates thyroid

Question 26

What does progesterone do in early prego?

Answer 26

prep and maintain endometrium for implantation

Question 27

Hormone responsible for induction of prolactin production in prego

Answer 27

estrogen

Question 28

What makes hCG

Answer 28

syncytiotrophoblasts

Question 29

Risk factors for endometrial adenocarcinoma

Answer 29

obesity 
PCOS/ anovulation 
nulliparity 
early menarche/ late menopause 
tamoxifen

Question 30

oxybutynin

Answer 30

anti-muscarinic

rx for urge incontinence

Question 31

bethanechol

Answer 31

cholinergic

rx for over flow incontinence in T2DM

Question 32

Rx for lactation mastitis

Answer 32

dicloxacillin

Question 33

Bartholin cysts

Answer 33

soft mobile well-circumscribed mass at base of labia majora

rx: observation if no s/s
InD if s/s

Question 34

Clear cell adenocarcinoma of vagina/ cervix

Answer 34

related to in utero diethylstilbestrol