Fenderson Final Questions

Question 1

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

Answer 1

Cervix

Question 2

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?

Answer 2

Uterine Fibroids, Leinomyomas

Question 3

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?

Answer 3

Endometriosis

Question 4

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:

Answer 4

Endometrial Adenocarcinoma

Question 5

A70-year-old woman noted abdominal swelling. The doctor diagnosed ascites and requested a gynecologic consultation. What findings might be expected on gynecologic examination?

Answer 5

Ovarian cancer

Question 6

A 30 year old woman stopped menstruating and developed chest hair. such virilization could be caused by:

Answer 6

Could be polycystic ovary syndrome, but could be caused by many other conditions including cushings and certain ovarian tumors

Question 7

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?

Answer 7

Hydatidiform mole, Molar pregnancy

Question 8

A 3 cm breast mass was found in a 20 year old woman. What is the most likely diagnosis?

Answer 8

Fibroadenoma

Question 9

Painful small nodules in both breasts were noted in a 40 year old woman. What is the most likely diagnosis?

Answer 9

Fibrocystic change of the breast

Question 10

A 3 cm mass was palpated in the breast of a 55-year-old woman. What is the most , likely diagnosis?

Answer 10

Invasive ductal carcinoma

Question 11

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?

Answer 11

Pituitary adenoma, Prolactinoma

Question 12

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?

Answer 12

Acromeglia
Pituitary adenoma

Question 13

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?

Answer 13

Graves disease

Autoimmune disease with anti TSH receptor antibodies

Question 14

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?

Answer 14

Goiter

Question 15

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?

Answer 15

Are you taking steroids

Cushings syndrome

Question 16

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?

Answer 16

Pheochromocytoma

Question 17

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?

Answer 17

Type 1 diabetes Mellitus

Question 18

The development of diabetes complications (atherosclerosis, renal failure, and blindness) relates largely to the severity and chronicity of

Answer 18

hyperglycemia

Question 19

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?

Answer 19

Spine abifida

Alpha fetoprotein

Question 20

A 60 year old man with hypertension suddenly developed an excruciating headache collapsed and became unconscious. What is the cause of this mans collapse?

Answer 20

Hemorrhagic stroke

Question 21

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?

Answer 21

yes

Question 22

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?

Answer 22

Meningitis

Question 23

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?

Answer 23

Senility, but could be alzheimers

Question 24

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:

Answer 24

Abnormally folded proteins