quiz style questions Flashcards
a 22 y/o Type II DM female presents with fever, malaise and a tender/red Right breast for 2 weeks. The ultrasound reveals and edematous mass. What is the best treatment for this pt?
a. flagyl
b. clindamycin
c. drainage + abx
d. reassurance
c. drainage and abx
this is a non-lactational abscess
intraductal papillomas are :
a. 95% malignant
b. 95%benign
c. should be excised after imaging
d. B & C
D.
remember this one will cause lactation and make sure its not bloody / clear
Which one in the answers below is NOT assoc. w/ a cancerous lesion?
a. single lesion
b. hard.
c. mobile
d. irregular borders
c. it should be “non” - mobile which is a characteristic of cancer
cancer dont move aight!
cancer in situ of a breast duct is considered what cancer stage?
stage 0
in regards to breast cancer
a. lobular cancer make up 10%
b. ductal is well seen on mammography
c. lobular is not well seen on mammography
d. 80% are ductal in origin
e. all the above
e. all the above
A pt comes in with her Left breast that looks like an orange peel almost - what are you thinking?
sounds like Peau d’ orange which is an inflammatory breast cancer that is < 1% in population
What is pages dz of the breast assoc w/?
DCIS - ductal carcinoma in situ
an 18 y/o female presents for cramps and intermittent pain for the last 6 hours in her lower abdomen she has a past hx of menstrual pain that has been impacting days at school lately. She is not sexually active. what should her lab work-up be?
chlamydia and GC
also HIV & RPR ( VDRL)
an 18 y/o female presents for cramps and intermittent pain for the last 6 hours in her lower abdomen she has a past hx of menstrual pain that has been impacting days at school lately. She is not sexually active. she has been taking NSAIDS for the past week w/o relief of sx - what is the next step?
pelvic exam is warranted b/c although she may not be sexually active she may have something else going on .
This is the presentation of primary dysmenorrhea
tx = NSAIDS - mainstay
naproxen /IBU
what are some causes of secondary dysmenorrhea?
endometriosis, fibroids, infection, IUD
there are 6 tests listed under secondary dysmenorrhea - can you name 3?
pregnancy test STI panel CBC UA Pelvic U/S Laproscopy
-sounds like a ton of tests to r/o big things like ectopic pregnancy or other pelvic pathology
a 32 y/o female presents with intermittent pelvic pain that has been getting worse with each menstrual cycle for the past year. she states he previous PCP stated she will not be able to have children but she dents remember the exact dx. On exam you note pelvic tenderness w/ uterine movement and some palpable nodules that are fixed. what is the next best step?
U/S
this pt has endometriosis
trx - NSAIDS + contraceptives oral
Dx is made via laparoscopy
what is the most common tumor of the pelvis?
uterine leiomyomata ( fibroids)
what percent of women will have fibroids?
75% …..3/4
where are fibroids located?
they are in the myometrium so within the wall of the uterus and are either single or in clusters
name some things that increase your risk for acquiring fibroids
early menarche meat consumption FH beer hx of uterine inf vit d def obesity
what are some things that may decrease your risk for acquiring fibroids?
>1 pregnancy contraceptives smoking green veggies + fruit vit A menopause exercise
what type of imaging is best for fibroids?
transvag U/S
what is the tx for fibroids?
non-estrogen contraceptives
mirena , lupron
( reason being b/c fibroids are estrogen dependent )
What labs should be ordered for a pt with fibroids?
CBC, TSH, Pap
what is the difference between premenstrual syndrome and PMDD?
PMDD is premenstrual syndrome on steroids
you must have premenstrual syndrome + one affective sx like anger, irritability, internal tension)
what is the tx for PMDD?
Yaz, w/ 4 pill-free interval
SSRI
Xanax
how should you treat PMS in the post-menopausal?
oral contraceptives b/c their sx may be manifesting from lack of estrogen
a pt w/o ever starting a mensis before her 15th birthday with normal growth and development is experiencing what dx?
primary amenorrhea
ovaries contain CT but no follicles
