Cps Spring Exam 2: Reproductive

Front 1

T/F
IN the absence of family history of breast cancer, age is the most important risk factor for breast cancer.

Back 1

True
a h/o breast cancer in a mother or sister would override age as a risk factor

Front 2

t/f
the less exposure to unopposed estrogen (late menarche, early menopause) the less the risk for developing breast caner.

Back 2

True

Front 3

T/F
The most common overall breast mass in a woman < 50 yo. is fibroadenoma

Back 3

False
Fibrocystic change

Front 4

T/F
The most common cause of bloody nipple discharge in a woman < 50 yo. is Paget's disease of breast

Back 4

False
intraductal papilloma in the lactiferous ducts

Front 5

T/F
The most common cause of caner in the terminal ducts is a lobular carcinoma

Back 5

True

Front 6

Most breast cancers are painful masses in the UOQ.

Back 6

False
most are painless

Front 7

T/F
The purpose of mammography is to distinguish a benign from a malignant breast mass.

Back 7

False
it is to detect palpable masses

Front 8

T/F
Most breast masses > 50 yo. are due to fibrocystic change.

Back 8

False
infiltrating breast cancer

Front 9

T/F
Calcification within a breast mass is pathognomonic for cancer

Back 9

False
most cases are in sclerosing adenosis, which is benign variant of fibrocystic change

Front 10

T/F
Inflammatory carcinoma is associated with peadu d'orange secondary to plugging of dermal lymphatics by tumor

Back 10

true

Front 11

T/F
The status of lymph nodes is the single most important prognostic factor in tumors over 2 cm in size

Back 11

True

Front 12

T/F
Intraductal carcinoma is the most common primary breast cancer

Back 12

false
infiltrating ductal carcinoma

Front 13

T/F
Anemia of chronic disease is usually microcytic

Back 13

true

Front 14

T/F
The serum ferritin and TIBC distinguish iron deficiency from anemia of chronic disease

Back 14

True
iron deficiency: TIBC increased and ferritin low
reversed in ACD

Front 15

T/F
Thrombocytosis is commonly seen in the setting of Disseminated malignancy

Back 15

True

Front 16

T/F
A single fasting glucose of > 126 mg/dL is sufficient to diagnose DM.

Back 16

False
it must be repeated and abnormal one other time

Front 17

T/F
A normal LDL in type IV hyperlipoproteinemia separates it from type IIb hyperlipoproteinemia, which has an elevated LDL (>160) and an increased TG > 300 mg/dL

Back 17

True

Front 18

T/F
Osteoarthritis is an immunocomplex mediated disease with destruction of articular cartilage.

Back 18

False
it is a degenerative disease with wearing down of articular cartilage
Rheumatoid arthritis is an immunocomplex disease

Front 19

T/F
radical mastectomy includes the breast with nipple areolar complex, a dissection of axillary lymph nodes in continuity, and in most cases the pectoralis minor.

Back 19

True

Front 20

T/F
The ERA-PRA status of the tumor is the most important prognostic factor in breast cancer.

Back 20

False
the status of lymph nodes is the single most important prognostic factor

Front 21

T/F
Tamoxifen is an estrogen agonist and antagonist and can protect the woman from osteoporosis but cause the other deleterious vascular and uterine side effects

Back 21

True

Front 22

T/F
In metastasis to the liver, the AP, GGT, transaminases, LDH, and total bilirubin are all elevated.

Back 22

False
AP, GGT, and LDH are elevated
TB and transaminases are normal since the disease is focal and not diffuse

Front 23

T/F
Obesity downregulates insulin receptors synthesis, hence producing glucose intolerance and the potential for type 2 DM

Back 23

True

Front 24

T/F
the most important initial step in the management of type II DM is put the patient on an oral sulfonyleurea to lower glucose

Back 24

False
weight loss is the most important initial step

Front 25

what is the treatment for Gardnerella vaginalis?

Back 25

Metronidazole
partner is not treated

Front 26

a patient is diagnosed with Trichomonas vaginalis. Describe the findings.

Back 26

frothy green vaginal discharge and erythematous appearing vagina

Front 27

do you treat the partner of a pt. diagnosed with Trichomonas vaginalis?

Back 27

YES
treat both patient and partner with Metronidazole

Front 28

what would the wet prep of Candida show?

Back 28

pseudohyphae and budding yeast

Front 29

what is the treatment for Candida?

Back 29

a single dose of fluconazole

Front 30

what is used to reduce the occurrence of lesions from herpes genitalis?

Back 30

Acyclovir

Front 31

an 18 year old male presents with a painless lesion on his penis. what is the most likely diagnosis?

Back 31

syphilis

Front 32

what is the treatment of choice for syphilis?

Back 32

penicillin

Front 33

T/F
Abdominal pain in a young woman should have a differential including acute appendicitis, ectopic pregnancy, PID, mittelschmerz, ruptured follicular cyst, UTI, to name a few.

Back 33

True

Front 34

T/F
a routine negative pregnancy test always rules out an ectopic pregnancy.

Back 34

False
sometimes a quantitative b-hCG must be performed. The cutoff point for most routine tests is 25-50 units

Front 35

T/F
Visceral pain localizes to the site of peritonitis, while parietal pain localizes to the midline.

Back 35

False
Visceral pain localizes to the midline
Parietal pain localizes to the site of peritonitis

Front 36

T/F
HIV is the most commonly transmitted STD

Back 36

False
HPV is the most common

Front 37

T/F
Ascending infection is the most common cause of UTIs

Back 37

True

Front 38

T/F
Eosinophils are the main effector cell of type I HSR.

Back 38

False
mast cells/basophils

Front 39

T/F
Epistaxis is most commonly due to a platelet abnormality

Back 39

False
digital trauma

Front 40

T/F
Pain at mid-cycle (mittelschmerz) is most often due to a localized sterile peritonitis from blood released from the ruptured follice

Back 40

True

Front 41

T/F
A body weight < 15% of the ideal weight inhibits the release of GnRH, with subsequent reduction in FSH and LH and production of estradiol

Back 41

True

Front 42

T/F
Osteoporosis is a potential complication of secondary amenorrhea.

Back 42

True

Front 43

T/F
A positive gram stain for GC on an endocervical smear has 100% predictive value for GC.

Back 43

False
other organisms are gram positive diplococci
this is only true for males

Front 44

T/F
Bacterial vaginosis is a polymicrobial disease which is not sexually transmitted.

Back 44

true

Front 45

PID secondary to GC usually occurs at the end of menses or shortly thereafter.

Back 45

True

Front 46

T/F
Chandelier sign is highly predictive of PID.

Back 46

True

Front 47

T/F
Condyloma accuminata are due to HPV 6 & 11

Back 47

True

Front 48

T/F
A CBC showing eosinophilia is pathognomonic of type I HSR.

Back 48

False
lots of other disease produce eosinophilia

Front 49

T/F
Alpha-thalasemia minor is diagnosis of exclusion, since the Hb electrophoresis is normal

Back 49

True

Front 50

T/F
B-thalassemia minor is associated with an increase in Hb A2, and HbF, and a decrease in HbA

Back 50

True

Front 51

T/F
Iron deficiency is best distinguished from thalassemia by iron studies

Back 51

True
iron studies are normal in thalassemia minor

Front 52

T/F
A flat plate of the abdomen showing air-fluid levels in a step-ladder configuration indicates obstruction.

Back 52

True

Front 53

T/F
Ileus is associated with increased bowel sounds throughout its course.

Back 53

False
decreased bowel sounds

Front 54

T/F
Cefotetan covers GC and doxycycline covers Chlamydia

Back 54

True

Front 55

T/F
A potential complication of NG suction is metabolic acidosis

Back 55

False
metabolic alkalosis