Female Issues

Question 1

You have a 17-year-old female in your office concerned about a breast mass. What should you cancel her regarding work up?

Answer 1

Start by observing through her menstrual cycle. Begin work up if it persists longer than three months.

Question 2

You have a 17-year-old female with a persistent breast mass. A fine needle aspirate Shannon showed bloody discharge. What should you do next?

Answer 2

Refer for excision because this is a red flag. Cancerous breast masses are very rare in this age group, but not impossible.

Question 3

What is the most common persistent breast mass and adolescent females

Answer 3

Fibroadenoma

Question 4

What should you counsel and adolescent diagnosed with a fibroadenoma? Is there a potential for cancer?

Answer 4

No, these masses do not progress.

Question 5

Which pituitary hormone triggers ovulation?

Answer 5

LH

Question 6

Which pituitary hormone stimulates follicle growth in the ovaries?

Answer 6

FSH

Question 7

Which of the following factors as most strongly associated with cervical cancer?

A: HPV
B: early sexual intercourse
C: chlamydia infection
D: family history of cervical cancer
E: personal history of breast cancer

Answer 7

A: HPV

Question 8

The following are all true of adolescent breast masses except:

A: almost all lumps (>99%) are benign.
B: discovery of a lump can cause undue anxiety
C: lumps commonly cycle
D: most lumps resolve without intervention
E: fibrocystic change in this age group is uncommon

Answer 8

E: fibrocystic change in this age group actually is quite common.