General Surgery: OBGYN

Question 1

What is adenopathy?

Answer 1

enlargement of lymph nodes d/t gynecologic infections, malignancy, inflammation

Question 2

MC seen adenopathy in breast dz is?

Answer 2

axillary adenopathy (85%)

Question 3

Scaling rash/dermatitis of the nipple caused by an invasion of skin by cells from a ductal carcinoma

Answer 3

paget dz of the breast

Question 4

this is the most cosmetically disturbing pigmentary change and occurs in up to 75 percent of pregnant women
The characteristic hyperpigmentation of the face may also occur in nonpregnant women and women taking oral contraceptive pills

Answer 4

melasma (chloasma if pregnant)

Question 5

MC benign breast tumor

Answer 5

fibroadenomas

Question 6

these can gradually grow over time and size does not usually wax and wane with menstruation although they may cause discomfort for a few days before the onset of menses. There is no axillary involvement or nipple discharge. They are described as rubbery, well-circumscribed, mobile mass

Answer 6

fibroadenoma

Question 7

fibroadenomas are most frequently found where?

Answer 7

upper, outer quadrant

Question 8

What is the most common cause of green, straw- colored, or brown nipple discharge?

Answer 8

fibrocystic dz

Question 9

What is the most common cause of bloody nipple discharge in a young woman?

Answer 9

intraductal papilloma

Question 10

Patient will present as → a 66-year-old female with concern over a mass she felt in her left breast on a recent breast self-examination. She denies any nipple discharge and reports a negative family history of breast or other cancers. Physical examination confirms the presence of a painless, firm, irregular, and immobile lump in the superolateral quadrant of the left breast; there are no evident overlying skin changes and there is no notable axillary lymphadenopathy on palpation. A mammogram is performed with results seen

Answer 10

breast carcinoma