gyn and GU Flashcards

1
Q

tumor marker for screening for ovarian cancer

A

CA 125

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2
Q

management of noncommunicating hydroceles in infants

A

monitor till age 1; if doesnt resolve then surgery

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3
Q

what is the lymphatic drainage of the testes

A

left side drains to paraaortic nodes

right side drains to paracaval and interaortocaval

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4
Q

tumor markers for testis cancer

A

alpha fetoprotein, LDH, beta HCG

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5
Q

most common etiology for development of ectopic pregnancy

A

PID

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6
Q

most common extracolonic tumor of Lynch syndrome

A

endometrial cancer

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7
Q

acceptable maximum dose of ionizing radiation during an entire pregnancy

A

5 rad (0.05 Gy)

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8
Q

when is fetus most at risk from radiation exposure

A

before 15 weeks

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9
Q

antibiotic prophylaxis prior to c -section to prevent endometriosis and wound infections:

A

IV cefazolin and azithromycin

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10
Q

most common complication of hydrocelectomy

A

hematoma

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11
Q

most common site of ureteral injury during hysterectomy

A

at the level of the uterine arteries

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12
Q

contraindications to methotrexate for ectopic pregnancy

A

renal failure; breastfeeding

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13
Q

when is lymphadenectomy recommended for uterine cancer

A

serous/clear cell/high grade histology
myometrial invasion >50%
large uterine tumor >2cm diameter

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14
Q

relative contraindications to methotrexate for ectopic

A

HGC>5000, fetal cardiac activity, ectopic >3.5cm

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15
Q

most common indication for total abdominal hysterectomy

A

leiomyoma (fibroid)

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16
Q

complete surgical staging of endometrial cancer includes:

A

TAHBSO, peritoneal washout, and lymph node sampling

17
Q

adult hydroceles are usually what type

A

noncommunicative - result from abnormal accumulation of fluid in a closed cavity

18
Q

infant hydroceles are usually what type

A

communicative - patent processus vaginalis resulting in free flow of fluid

19
Q

treatment of bladder cancer that does not invade past mucosa (T1)

A

transurethral resection of tumor and intravesical BCG

20
Q

treatment of communicating hydrocele

A

high ligation of patent processus vaginalis

21
Q

most common site of metastasis for renal cell carcinoma

A

lung

22
Q

what drug has been shown to improve survival for patients with metastatic prostate cancer refractory to hormone therapy

A

docetaxel

23
Q

treatment of localized prostate cancer

A

surgery, radiation and surveillance

24
Q

what is a radical inguinal orchiectomy

A

remove of testicle and spermatic cord en block through an inguinal incision; treatment of suspected testicular tumor

25
Q

primary modalities for treating advanced cervical cancer

A

radiation and chemotherapy

26
Q

features of seminoma compared to nonseminoma

A

seminoma has more favorable prognosis; metastatic disease is radiosensitive

27
Q

most common complication of hysterectomy

A

bladder injury

28
Q

Treatment of small (<4cm) tubo-ovarian abscess:

A

IV antibiotics

29
Q

Treatment of large (>7cm) tubo-ovarian abscess:

A

drainage

30
Q

What medication reduces frequency of recurrent calcium oxalate stone formation:

A

potassium citrate

31
Q

True or false. A period of 12 months of watchful waiting is warranted for a communicating hydrocele.

A

true

32
Q

True or false. Adult hydroceles are usually noncommunicative.

A

True

33
Q

Complications of posterior hip dislocation:

A

avascular necrosis of the femoral head; sciatic nerve injury

34
Q

Most common histology on primary testis tumors:

A

seminoma

35
Q

Common cancer that involves the bilateral testis:

A

lymphoma