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Best PANCE Prep > Reproductive > Flashcards

Reproductive Flashcards

1
Q

fever + tender, fluctuant mass in breast

A

Breast abscess
US
Abx (dic + cepha) + Drainage- needle aspiration or I&D + continue breast feeding

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2
Q

Postpartum + breast feeding + unilateral pain + excoriation

A

mastitis
Clinical
assurance (keep empty milk) + continue breast feeding

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3
Q

Menstrual cycle + painful + Mass size difference

A

fibrocystic breast change,
US
assurance (NSAID, supportive bra)

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4
Q

taking spironlactone + breast size 0.5cm more

A

Gynecomastia
Clinical
Stop medication + observe

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5
Q

Non tender + high movable mobile mass in breast

A

Fibroadenoma
US
Observation

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6
Q

Breast itchness near nipple does not improve despite of corticosteriod

A

Paget disease
Mamogram
lumpectomy + radiation or mastectomy

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7
Q

Breast cancer Pt with HER2 positive what medication?

A

Trastuzmab

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7
Q

Breast cancer Pt with hormone receptor positive what medication

A

Tamoxifen

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8
Q

What is MC type of breast cancer?

A

infiltration Ductal carcinoma

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9
Q

Pt with axillary lymphadenopathy + orange peel like breast + retraction nipple

A

Breast cancer
Mamogram(1st), Biopy(def)
Lumpectomy + radiation or mastectomy

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10
Q

painless bleeding in cervix

A

Cervical cancer
Colposcopy with biopsy
LEEP (excision is preffered then abalation)

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11
Q

What is MC cause cervical cancer?

A

Squmouse cell HPV 16

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12
Q

Pap smear screening test guidline

A

21> NO test
21-29 pap q3yo
30-65 pap Q3yo or HPV q5, or cotest Q5
>65 no need test if 10 year straight no abnormal screening test

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13
Q

Anytime HPV + on papsemar what do you do?

A

Colposcopy

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14
Q

ASCUS 21-24yo

A

1 year repeat pap(preferred) or HPV test

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15
Q

ASCUS >30yo but no HPV

A

3 year repeat

16
Q

ASCUS 25-29yo

A

HPV test now (preferred) or 1 year repeat pap

17
Q

LSIL 21-24 yo

A

repeat 1 year pap

18
Q

LSIL >30yo NO HPV

A

Repeat 1 year pap

19
Q

LSIL 25-29

A

Colposcopy

20
Q

ASC-H,HSIL, AGC

A

Everybody gets colposcopy

21
Q

Strawberry cervix + discharge

A

Cervicitis

22
Q

HPV vaccination when?

A

15> 2 dose 6 month seperate
>15 or immunocompromised: total 3, 1-2dose 4 week seperate, 2-3dose 12 weeks seperate

23
Q

What is name of HPV vaccination

A

Gardacil 9

Best PANCE Prep (2 decks)

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