GU Female

Question 1

-Breast pain or tenderness
-Pain often worsens during premenstrual phase
-multiple lumps and bilateral
-rapid fluctuation in mass size
-Absence of enlarged or tender lymphadenopathy
-common age 30-50 y/o
-transient lump, cyclic breast pain

Answer 1

Fibrocystic changes

Question 2

-Round or ovoid
-NON-tender mass
-1-5cm
-Rubbery
-Mobile
-Unilateral
-Defined borders

Answer 2

Fibroadenoma

Question 3

-A firm, irregular mass, often appearing as an area of discoloration
-Often accompanied by skin or nipple retraction
-Ecchymosis
-Can be caused by trauma, fat injections, breast surgery

Answer 3

Fat Necrosis

Question 4

-Single
-non-tender
-firm to hard mass
-skin dimpling
-ill defined borders
-Fixed
-Skin or nipple retraction
-Axillary lymphadenopathy
-Breast enlargement, erythema, edema, pain
-FMHx of breast CA

Answer 4

Female Breast Carcinoma

Question 5

-Hard mass
-ill defined borders
-beneath the nipple or areolar
-Fixation of mass to skin or chest wall
-Gynecomastia

Answer 5

Male Breast Carcinoma

Question 6

-Unilateral
-Serous or serosanguineous discharge from a single duct

Answer 6

Nipple Discharge

Question 7

-menstrual bleeding of abnormal quantity, duration, or schedule
-May have painful menstrual cramping
-May be asymptomatic or spotting
-Pregnancy should be ruled out as a cause

Answer 7

Abnormal Uterine Bleeding

Question 8

-Bloating
-Breast pain
-Ankle swelling
-A sense of increased weight
-Skin disorders
-Irritability
-Aggressiveness
-Depression
-Inability to concentrate
-Libido change
-Lethargy
-Food cravings

Answer 8

Pre-menstrual Dysphoric Disorder

Question 9

-Vaginal irritation
-pruritis
-pain
-Abnormal or malodorous discharge

Answer 9

Vaginitis

Question 10

-Recent sexual activity
-Pruritus
-Malodorous frothy, yellow-green discharge
-diffuse vaginal erythema
-red macular lesions on the cervix

Answer 10

Trichomonas vaginalis

Question 11

-fishy odor
-malodorous discharge
-grayish, frothy
-Recent hx of sexual activity

Answer 11

Bacterial Vaginosis

Question 12

-Pruitis
-Vulvovaginal erythema
-White curd like discharge NOT malodorous
-recent use of antibiotics

Answer 12

Vulvovaginal Candidiasis

Question 13

-Periodic painful swelling on either side of the vaginal opening
-Dyspareunia (pain during sex)
-Fluctuant swelling to the labia
-1-4cm in diameter
-Tenderness
-Purulent drainage
-Caused by trauma or infection

Answer 13

Bartholin’s gland abscess

Question 14

-No specific signs or symptoms
-Presumptive diagnosis is made by an abnormal PAP Smear

Answer 14

Cervical Dysplasia

Question 15

-Pelvic pain and pressure
-irregular enlargement of the uterus
-heavy or irregular vaginal bleeding
-dysmenorrhea
-round, firm, often multiple uterine tumor
-Frequently asymptomatic
-Abnormal uterine bleeding

Answer 15

Fibroid Tumor

Question 16

-chronic pelvic pain may begin before and extend several days into menstrual cycle
-infertility
-dysmenorrhea
-pelvic pain
-dyspareunia
-uterine tenderness
-adnexal mass or tenderness

Answer 16

Endometriosis

Question 17

-lower abdominal pain
-abnormal uterine bleeding
-uterine, adnexal, or cervical motion tenderness
-Hx of STI
-abnormal vaginal discharge
-Chills and fever
-Menstrual disturbances

Answer 17

Pelvic Inflammatory Disease

Question 18

-Mild nonspecific gastrointestinal symptoms
-Pelvic pressure
-Abdominal pain
-Bloating
-Palpable abdominal mass with ascites

Answer 18

Ovarian Mass

Question 19

-Menstrual disorders (amenorrhea to menorrhagia)
-Chronic anovulation
-Hirsutism
-Obesity
-Infertility
-Acne
-Insulin resistance

Answer 19

Polycystic Ovarian Syndrome

Question 20

-Amenorrhea
-irregular bleeding and spotting
-pelvic pain
-adnexal tenderness and mass
-Severe lower quadrant pain
-Sudden in onset
-Unilateral pelvic pain
-Stabbing
-Intermittent
-Does not radiate
-Backache
-Vaginal bleeding
-Hx of infertility

Answer 20

Ectopic pregnancy

Question 21

-Nursing mother
-Engorged breast
-Sore or fissured nipple
-Unilateral cellulitis
-Erythema, edema, and tenderness of the breast
-Fever and chills

Answer 21

Mastitis

Question 22

-Sudden unilateral adnexal tenderness
-constant pain with NO bleeding
-May develop after episodes of exertion or athletics
-Possible palpable adnexal ma

Answer 22

Ovarian Torsion