GYN

Question 1

US

Answer 1

YOUNG WITH DENSE BREAST 1ST EXAM 2 ORDER

FIRST STEP IN WORKUP OF PALPABLE MASS

Question 2

UTERUS

PAP SMEAR WHEN TO START?

Answer 2

ANNUAL SCREENING 3 YEAR AFTER THE ONSET OF VAGINAL INTERCOURSE OR AT 21 YO WHICHEVER EARLIER THEN EVERY 3 OR FIVE YRS FOLLOW GUIDELINES

Question 3

CLUSTER OF MICROCALCIFICATIONS

Answer 3

15% MALIGNANCY

NEXT STEP IS CORE BIOPSY

Question 4

BREAST

CCS CASE
BL NIPPLE DISCHARGE
UL NIPPLE DISCHARGE

Answer 4

BL ORDER:

TSH
PROLACTIN
BHCG
CMP (FOR RENAL FUNCTION)

UL ORDER:
US
DUCTAL EXCISION AND BIOPSY
ORDER

Question 5

ANY BREAST MASS

Answer 5

CBE
US MX > 40YO BEFORE
FNA BIOPSY

Question 6

CYSTIC MASS

Answer 6

ALWAYS FNA
6 WK FU
RECURRENCE FNA OR CORE BIOPSY

Question 7

ANY BREAST MASS

Answer 7

CBE
US MX > 40 YO BEFORE
FNA BIOPSY

Question 8

CYSTIC MASS

Answer 8

ALWAYS FNA
6 WK FU
RECURRENCE FNA OR CORE BIOPSY

Question 9

FIBROCYSTIC

Answer 9

OCP DANAZOL

Question 10

MX INDICATIONS

Answer 10

> 50 YO
BIOPSY ALONE IF < 40 YO
BLOODY FLUID ON ASPIRATION 
MASS DOES NOT DISAPPEAR UPON FNA 
BLOODY NIPPLE DISCHARGE(EXCISION BX)
ORANGE SKIN (EXCISIONAL BX)

Question 11

FNA OR CORE IF MASS PALPABLE

CYTOLOGY

Answer 11

AFTER OR INSTEAD US

BLOODY ASPIRATE

Question 12

ADJUVANT SETTING BREAST CA
MOST COMMON QUESTIONS
HORMONAL MANIPULATION
SURGERY+ RT + CHEMOTHERAPY

Answer 12

ADJUVANT SETTING BREAST CA
MOST COMMON QUESTIONS
HORMONAL MANIPULATION
SURGERY+ RT + CHEMOTHERAPY

QT ADJUVANT > 1 CM OR NODE + DISEASE

HR+ IN PREMENOPAUSAL:
TAMOXIFEN AGONIST ENDOMETRIO* ENDOMETRIAL CARCINOMA -BONE ** -CLOT FACTORS LIVER* DVT/PE
RALOXIFENO AGONIST BONE ANTAG ENDOMETRIO

HR+ AROMATASE INHIBITORS IN POSMENOPAUSAL
ANASTRAZOLE LETROZOLE = OSTEOPENIA

ALTERNATIVES GNRH ANALOGUES LEUPROLIDE NAFARELINA OOPHORECTOMY

Question 13

OVARIES

NEVER FNA

Answer 13

ORDER:
BHCG
US
MARKERS BHCG LDH AFP CEA 125
LAPAROSCOPY
CYST > 7 CM OR PRIOR STEROID CONTRACEPTION

Question 14

PMDS

PREMENSTRUAL TENSION

Answer 14

FISRT LINE: SSRI
SECOND LINE: OCP
LOW DOSE VIT B6

Question 15

INITIAL STEP WORKUP IN ENDOCRINE DISORDERS

PCOS
HIRSUTISM: IDIOPATHIC/PCOS
VIRILIZATION: CAH
MENOPAUSE

Answer 15

TESTOSTERONA
DHEAS
LH/FSH
17 OH PROGESTERONE

Question 16

PRIMARY AMENORHEA
14
16

Answer 16

UTERUS PRESENT ABSENT

BREAST PRESENT TESTOST
XX
MUELLERIAN
XY

BREAST ABSENT XO
XX

Question 17

PRIMARY AMENORHEA
14
16 BREAST SECOND

Answer 17

UTERUS PRESENT ABSENT

BREAST PRESENT 2 AMENOH TESTOST
XX
MUELLERIAN
XY
COMPLETE
ANDROGEN
INSENSIT

BREAST ABSENT FSH LEVEL
KARYO
XO FSH HIGH
TURNER

                               HIPOT-PIT 
                               FAILURE 
                               FSH LOW
                                    XX