Lecture 4b Flashcards

1
Q

what is cervical dysplasia and mc age

A

abnormal cells of the cervix that can become cancerous

mc 25-35

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2
Q

Mc cause of cervical dysplasia

A

HPV (99.7% of the time)

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3
Q

What does a PAP test do

A

used to detect pre cancerous cells before they progress to invasive cancer (considers squamous intraepithelial lesions that can be;

Low grade
high grade
possible cancerous
atypical glanular

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4
Q

if abnormal cells are found during PAP what are the two courses of action

A
  • wait and watch and perform another PAP in given amount of time
  • Biopsy to determine grade
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5
Q

Classifications of cervical dysplasia (3)

A
  1. Mild dysplasia
  2. Mod to marked dysplasia
  3. Severe dysplasia to carcinoma in situ
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6
Q

risk factors of cervical dysplasia

A

-having sex before 18
-having bad before 16
having multiple sex partners
-smoing

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7
Q

tx for cervical dysplasia

A

cryosurgery
laser therapy
loop electrosurgical excision
surgery to remove abnormal tussye

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8
Q

cervical cancer is the ____ mc cancer among women `

A

4th

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9
Q

Symptoms of cervical cancer

A

no symptoms! may go unnoticed

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10
Q

what are the 3 prevention strats for cervical cancer

A

primary- HPV vaccine
Secondary- screening/ tx
Tertiary- invasive cancers tx as needed

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11
Q

What is the primary prevention of cervical cancer

A

HPV vac between 9-26

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12
Q

how common are fibroids

A

common growths affecting 20-80%

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13
Q

what are fibroids and what it their growth dependent on

A

benign tumors that originate from uterine smooth mm tissue (myometrium)
-growth dependent on estrogen/progesterone

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14
Q

symptoms of fibroids

A
70% asymptomatic
but can cause;
-Abnormal uterine bleeding
-excessive bleeding (mc)
-pelvic pressure
-bowel dysfunction
-urinary retention/frequency etc
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15
Q

What are the types of fibroids

A

pedunculate fibroid tumor- more severe symptoms
(further broken down to subserosal and submucosal)

Intramural- growth in wall of uterus (mc)

Cervical fibroid (found in cervix of the uterus)

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16
Q

what causes increased risk of fibroids

A
  • African descent
  • Age >40
  • Early menarche (<10)
  • fam hx
  • nulliparity
  • obesity
17
Q

pharm tx of fibroids

A

NSAIDS
hormonal contraceptives
GnRH agonists/antagonists

18
Q

Medical surgery tx of fibrods

A
  • Hysterectoy (40% of surgeries are fibroids)
  • Myomectomy
  • Uterine artery embolization
  • Myollysis (destruction of fibroids via focused energy system)