Fenderson Final Questions Flashcards
A 35 year old woman receiveed a report form her gynecologist indicating that she had a human papillomavirus infection. THis is important because HPV is a risk factor for cancer of the
Cervix
A 35 year old woman complained of heaviness in the abdomen and frequent urge to urinate. Gynecologic examination revealed an enlarged bulky uterous. What is the probably diagnosis?
Uterine Fibroids, Leinomyomas
A 28 year old woman had vague lower abdominal pain that intensified at the time of mentruation. What is the possible cause of this pain?
Endometriosis
A postmenopausal 52 year old woman who had cessation of menstruation suddenly noted a bloody vaginal discharge. Pap smear was normal but endometrial biopsy revealed a malignancy. The most appropriate histological diagnosis is:
Endometrial Adenocarcinoma
A70-year-old woman noted abdominal swelling. The doctor diagnosed ascites and requested a gynecologic consultation. What findings might be expected on gynecologic examination?
Ovarian cancer
A 30 year old woman stopped menstruating and developed chest hair. such virilization could be caused by:
Could be polycystic ovary syndrome, but could be caused by many other conditions including cushings and certain ovarian tumors
A pregnant woman presented to the emergency room 5 months after her last mentrual period complaining of spotting. An enlarged uterus corresponding to a 7-month pregnancy was noted. No fetal movement was evident. What is the most likely diagnosis?
Hydatidiform mole, Molar pregnancy
A 3 cm breast mass was found in a 20 year old woman. What is the most likely diagnosis?
Fibroadenoma
Painful small nodules in both breasts were noted in a 40 year old woman. What is the most likely diagnosis?
Fibrocystic change of the breast
A 3 cm mass was palpated in the breast of a 55-year-old woman. What is the most , likely diagnosis?
Invasive ductal carcinoma
A30 year old woman who was not pregnant has not menstruated for 4 months and is now producing mild from her breast. what is the diagnosis?
Pituitary adenoma, Prolactinoma
A 40 year old man noticed enlargment of his feet (suddenly ill fitting shoes) and hands. He had prominent lower jaw and noticed that his teeth were becoming separated from one another. What is the name for hi endocrine disorder? What could have caused these symptoms?
Acromeglia
Pituitary adenoma
A 45 year old woman presented with complaints of sweating a lot feeling hot and being constantly tired. She had a fast pulse rate and reported feeling constantly hungry. On examination she was found to have bulgin eyes and an enlarged thyroid. What is the diagnosis? What pathogenesis of her disease?
Graves disease
Autoimmune disease with anti TSH receptor antibodies
A 30 year old woman noted a swelling on the anterior side of her lower neck. She had no other symptoms. What is the most likely diagnosis?
Goiter
A 50-year-old man becomes extremely obese, with fat accumulating most markedly on his trunk. He had a round red face and almost translucent skin that was prone to bruising. What is the first question that should be posted to this man?
Are you taking steroids
Cushings syndrome
A 40 year old man reported having sudden attacks of dizziness blurred vision and excruciating headaches. during these attacks his blood pressure was 180/120. What could cause these paroxysms of hypertension?
Pheochromocytoma
A 20 year old woman presented with a history of weight loss and urinary frequency. She reportedly ate a lot and was always thirsty. What is the mostlikely diagnosis?
Type 1 diabetes Mellitus
The development of diabetes complications (atherosclerosis, renal failure, and blindness) relates largely to the severity and chronicity of
hyperglycemia
A baby born with a small skin defect on her lower back could not move her legs. What is the ost likely cause of her congenital paralysis? What is the blood test that is used for prenatal diagnosis?
Spine abifida
Alpha fetoprotein
A 60 year old man with hypertension suddenly developed an excruciating headache collapsed and became unconscious. What is the cause of this mans collapse?
Hemorrhagic stroke
A 20 year old woman had a car accident when she was removed from the car she could not move her legs. One month later she is still unable to move her legs. Is she paralyzed for life?
yes
A 50 year old man woman with a respiratory infection developed severe headache fever vomiting blurry vision and neckl rigidity. What is the most likely cause of these symptoms?
Meningitis
The family of a 70 year old man noticed that he had become very forgetful. He could not remember anything and was dismissed from his office job. What is the most likely diagnosis?
Senility, but could be alzheimers
Spongiform encephalopathies are a group of neurodegenerative diseases characterized by slowly progressive ataxia and dementia. The infectious agents of these disease (prions) are best defined as:
Abnormally folded proteins
