Final Exam

Question 1

What do Monntgomery’s glands do?

Answer 1

Secrete a protective lubricant during lactation

Question 2

What quadrant is breast cancer MC in?

Answer 2

Upper Outer Quadrant & the Tail of Spence

Question 3

What are extra nipples called?

Answer 3

Supernumerary Nipples

Question 4

What is the MC benign tumor of the breast?

Answer 4

Fibroadenoma

Question 5

What palpates as a single firm well defined mass that is freely movable? (Small Slippery Marble)

Answer 5

Fibroadenoma

Question 6

What palpates as multiple soft round fluctuat masses that are freely moveable?

Answer 6

Fibrocystic breast disease (Benign)

Question 7

What is Fibrocystic Breast Disease?

Answer 7

Alteration of estrogen/progesterone ration during lateral phase of the menstrual cycle

Question 8

What is the MC breast cancer? What is the percentage?

Answer 8

Adenocarcinoma (80%)

Question 9

Irregular, hard, fixed, with poorly defined margins breast mass

Answer 9

Carcinoma

Question 10

Round, rubbery, mobile with well defined margins breast mass

Answer 10

Fibroadenoma

Question 11

Bilateral modularity is seen in

Answer 11

Fibrocystic Breast Disease

Question 12

What signs are present in Breast Carcinoma?

Answer 12

• Retraction
• Dimpling
• nipple retraction
• nipple deviation

Question 13

Appears dry, red, scaling of the tissue surrounding nipple (similar to eczema)

Answer 13

Paget’s Intraductal Carcinoma

Question 14

Bloody discharge from the nipple indicates:

Answer 14

Paget;s Intraductal Carcinoma

Question 15

Bilateral milky discharge from the nipple (not associated with pregnancy ) indicates:

Answer 15

“Galactorrhea” (prolactin secreting pituitary tumor)

Question 16

What is thickening of the skin with unusual prominent pores called?

Answer 16

Peau d’orange (Orange peel skin)

Question 17

What is caused by cancers with fibrous strands attached to the skin and fascia?

Answer 17

Tethering

Question 18

What is “proliferation of palpable glandular tissue”?

Answer 18

Gynecamastia

Question 19

What muscle contracts to keep the Testis at a regulated temperature?

Answer 19

Cremaster

Question 20

Excoriations are often indicative of:

Answer 20

Lice (crabs) or Scabies

Question 21

Stage 1 of Syphillis

Answer 21

Sore forms (3-90 days post-exposure)

Question 22

Stage 2 of Syphillis

Answer 22

Body Rash (4-10 weeks post-exposure)

Question 23

Stage 3 of Syphilis

Answer 23

Affects internal organs (3-15 years post-exposure)

Question 24

Triad of Reiter’s Syndrome

Answer 24

(1) Conjunctivitis
(2) Urethritis
(3) Arthritis

Question 25

Cheesy, whitish material that may accumulate under prepuse

Answer 25

Smegma

Question 26

Tight prepuce that once retracted, can’t be returned

Answer 26

Paraphimosis

Question 27

Tight prepuce that cannot be retracted over the glans

Answer 27

Phimosis

Question 28

Benign dome-shaped white/yellow scrotal nodules

Answer 28

Epidermoid cyst

Question 29

Undescended testicle

Answer 29

Cryptochidism

Question 30

No tender, fluid-filled mass in the epidydimus

Answer 30

Spermatocele

Question 31

Other name for Tinea Cruris

Answer 31

Jock Itch

Question 32

What indicates a varicocele?

Answer 32

A temporary increase in the diameter of the spermatic cord

Question 33

What is Phren’s sign?

Answer 33

When the testis are elevated, the testicular pain decreases

Question 34

Name for inflamed testes

Answer 34

Acute Orchitis

Question 35

Femoral Hernia mnemonic

Answer 35

NAVEL Nerve Artery Vein Empty Space Lymphatics

Question 36

What are the MC type of kidney stone?

Answer 36

Calcium oxalate > Calcium Phosphate

Question 37

What are the alkalizing Minerals?

Answer 37

- Calcium - Magnesium - Sodium - Potassium

Question 38

When is the Cremaster Reflex Absent?

Answer 38

- Testicular torsion - upper/lower motor neuron lesions - L1/L2 spinal cord injury - Ilioinguinal nerve (L1) injury

Question 39

What nerve roots are tested by the Bulbocavernous reflex?

Answer 39

S2-S4

Question 40

Where do most cervical cancers develop?

Answer 40

Transition Zone (area between the old and the new Squamocolumnar Junction)

Question 41

What does Menorrhagia mean?

Answer 41

Heavy mentrual bleeding

Question 42

What does Dyspareunia mean?

Answer 42

Painful sexual intercourse

Question 43

Salpingecttomy vs. Oophorectomy

Answer 43

Sal: removal of fallopian tubes Oop: removal of the ovaries

Question 44

What HPV’s are cervical cancer?

Answer 44

16 & 18

Question 45

What HPV’s are genital warts?

Answer 45

6 & 11

Question 46

What age is cervical cancer most common?

Answer 46

30-50 y.o.

Question 47

CIN ___ & ___ are considered pre-cancerous

Answer 47

2 & 3

Question 48

What is the MC complication of STD?

Answer 48

Pelvic Inflammatory disease

Question 49

What is the MC pelvic tumor in women?

Answer 49

Uterine Fibroid (Leiomyoma)

Question 50

Macule

Answer 50

Flat lesion, not palpable

Question 51

Papule

Answer 51

Raised domed lesion, palpable above skin

Question 52

Vesicle

Answer 52

Fluid-filled lesion

Question 53

Plaque

Answer 53

Large raised flat-topped lesions; plateau like

Question 54

Wheal

Answer 54

Transient localized dermal edema

Question 55

Pustule

Answer 55

Collection of neutrophils & keratin that appears white

Question 56

Furuncle

Answer 56

Inflamed hair follicle

Question 57

Carbuncle

Answer 57

Multiple enflamed hair follicles

Question 58

Subcutaneous cyst

Answer 58

Subcutaneous collections of fluid

Question 59

What is the MC type of Cancer in the U.S.?

Answer 59

Skin Cancer

Question 60

Where does skin cancer begin?

Answer 60

Epidermis

Question 61

What is the MC form of skin cancer?

Answer 61

Basal Cell Carcinoma

Question 62

Pink Papule with Overlying telangiectasia:

Answer 62

Nodular Basal Cell Carcinoma

Question 63

MC locations for Squamous cell carcinoma

Answer 63

Scalp, Lips & Ears

Question 64

What cancer accounts for 70% of all cancer deaths?

Answer 64

Melanoma

Question 65

What type accounts for 15% of melanomas

Answer 65

Nodular melanoma

Question 66

Survival from melanoma strongly correlates with…

Answer 66

Tumor Thickness

Question 67

What is the most sensitive criteria for melanoma?

Answer 67

Evolution or Change

Question 68

Inflammation of hair follicles due to an infection, injury or irritation

Answer 68

Folliculitis

Question 69

Viral, rubbery, painless with central umbilications describes what?

Answer 69

Molluscum Contagiosum

Question 70

2-10 cm Herald patch:

Answer 70

Pityriasis Rosea

Question 71

Autoimmune disease marked by blisters on skin and mucous membranes often accompanied by itching or burning

Answer 71

Pemphigus

Question 72

Red, round & slightly elevated bumps

Answer 72

Cherry Angiomas