GU. Breasts, male, female, anorectal

Question 1

menarche

Answer 1

age at onset of menses

Question 2

menopause

Answer 2

absence of menses for 12 consecutive months

Question 3

postmenopausal bleeding

Answer 3

bleeding occurs 6mos or more after menses cease

Question 4

amenorrhea

Answer 4

absence of menses

Question 5

dysmenorrhea

Answer 5

pain w/ menses

Question 6

PMS

Answer 6

lol we don’t need a definition here

Question 7

Abnormal uterine bleeding

Answer 7

bleeding b/t menses

Question 8

Primary dysmenorrhea

Answer 8

increased prostaglandin production during Luteal Phase of cycle (when estrogen & progesterone levels fall)

Question 9

secondary dysmenorrhea

Answer 9

from organic cause such as endometriosis, adenomyosis, PID, polyps

Question 10

primary amenorrhea

Answer 10

failure of periods to initiate

Question 11

secondary amenorrhea

Answer 11

periods cease from pregnancy, lactation, anorexia, menopause

Question 12

polymenorrhea

Answer 12

less than 21 days b/t menses

Question 13

oligomenorrhea

Answer 13

infrequent bleeding

Question 14

menorrhagia

Answer 14

intermenstrual bleeding

Question 15

postcoital bleeding

Answer 15

sucks i bet

Question 16

dysparenunia

Answer 16

painful intercourse….also sucks i would assume

Question 17

axillary tail of breast tissue extending into anterior axillary fold

Answer 17

Tail of Spence

Question 18

3 types of tissue in breasts

Answer 18

Glandular, Fibrous CT, Adipose

Question 19

Lymph drainage

Answer 19

Most drain toward axilla – central nodes, drain to supraclavicular and infraclavicular nodes

Question 20

best time for breast exam

Answer 20

5-7 days after menses onset when estrogen stimulation lowest

Question 21

fibroadenoma and cysts vs cancer

Answer 21

cancer irregular, firm/hard, not clearly delineated, may be fixed to skin, usually nontender. May have retraction signs.

Cysts/Fibroadenomas firm, round, well delineated, mobile, without retraction signs.
(Cysts may be tender)

Question 22

visible CA signs

Answer 22

skin dimpling, nipple retraction, retraction, peau d’orange

Question 23

peau d’orange

Answer 23

looks like orange b/c skin edema from lymphatic blockade

Question 24

paget’s dz of nipple

Answer 24

Uncommon breast cancer. Scaly, eczemalike lesion may weep/crust. Suspect w/ persistent dermatitis of nipple area. Can present w/ mass and/or invasive CA

Question 25

shaft anatomy

Answer 25

corpus spongiosum and corpora cavernosa