Female GU exam

Question 1

First degree uterine prolapse

Answer 1

cervix drops into vagina

Question 2

Second degree uterine prolapse

Answer 2

cervix comes down to opening of vagina

Question 3

third degree uterine prolapse

Answer 3

Cervix comes outside vagina

Question 4

Fourth degree uterine prolapse

Answer 4

entire uterus is outside vagina

aka procidentia

Question 5

nabothian cyst

Answer 5

inclusion cyst of cervical glands

benign! but are mistaken as CA

Question 6

version

Answer 6

relationship bw the fundus and vagina

Question 7

Flexion

Answer 7

relationship bw fundus and cervix

Question 8

what is most common cause of hernias in females

Answer 8

indirect is MCC!

femoral hernia is more common in women than men

Question 9

Size of breast

Answer 9

from 2nd-3rd rib–> 6-7th rib

extends laterally to the ant axillary line

Question 10

Fibroadenoma

Answer 10

15-25yrs 
**single, round firm lesions 
well delineated 
mobile 
non-tender 
No retraction

Question 11

Cysts

Answer 11

30-50, can regress after menopause 
Single or multiple 
**round, soft, elastic,
 well delineated,
 mobile 
tender 
No retraction

Question 12

breast cancer

Answer 12

30-90yrs 
irregular/stellate, hard not clearly deliniated 
fixed to underlying tissue or skin 
non-tender 
retraction may be present

Question 13

what is one biggest risk factors for developing breast cancer

Answer 13

Previous CA

FAMILY HX

Question 14

Bartholin gland abscess

Answer 14

GC or CT infections are MCC

abscess is preceded by cyst

Question 15

Rectovaginal exam

Answer 15

useful in assessing

1) posterior wall of vagina
2) Pouch of Douglas
3) Retroverted/Retroflexed Uterus
4) Rectum

Question 16

What muscles does the breast tissue lie on?

Answer 16

Pec major
Serratus
Ext Abdominal Oblique
Upper part of rectus sheath

Question 17

blood supply to breast

Answer 17

1) Internal Mammary artery
2) Posterior Intercostal arteries
3) Axillary artery (highest thoracic, lateral thoracic, thoracoacromial a)
4) *Medial Mammary Arteries: arborization of internal mammary and br of 3rd and 4th anterior intercostal
5) Lateral Mammary branches: arise from lateral thoracic

Question 18

Stage I breast Cancer

Answer 18

<2cm
N-
M-
98% 5yr

Question 19

Stage 2

Answer 19

2-5cm (axillary nodes)
>5 (N-) 
<2 (4N+) 
M-
80% 5yr

Question 20

Stage 3

Answer 20

Locally advanced
>5cm (N+)
<5 (supraclavicular N+)
50% 5yr

Question 21

Inflammatory breast CA

Answer 21

Stage III
spread to breast skin, causing redness and swelling
50% 5yr

Question 22

Stage 4

Answer 22

distant mets+
can shrink CA, but wont cure it
sx relief only