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26 Cards in this Set
- Front
- Back
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Q1401. 32 y/o w/R complex adnexal mass; What is the next best step?
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A1401. 1. Exploratory laparotomy; 2. R salpingo-oophorectomy; 3. Send for frozen section; (if borderline ovarian CA, then resection is curative)
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Q1402. 42 y/o w/history menometrorrhagia; 1. Next step?; 2. Possible diagnoses and management
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A1402. 1. Endometrial sampling; 2. If hyperplasia (cystic, adenomatous, adenocarcinoma), treat with oral progesterone (Provera). If atypical hyperplasia, do hysterectomy.
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Q1403. 62 y/o w/vulvar pruritus, white lesion in L labia minora. 1. Next step and likely result?; 2. Treatment?
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A1403. 1. biopsy, vulvar carcinoma in situ; 2. Treat with wide excision, laser therapy, cryotherapy.
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Q1404. 62 y/o w/2cm white lesion in L vaginal wall. 1. Next step?; 2. Treatment based on likely cause?
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A1404. 1. Biopsy. Result is severe dysplasia of vaginal. 2. This is a precancerous lesion, perform laser removal or cryotherapy.
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Q1405. What do you do for the following PAP smear results:; 1. ASCUS; 2. HPV; 3. Precancerous lesion
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A1405. 1. Repeat PAP in 3-6 months; 2. Repeat PAP in 3-6 months; 3. Colposcopy w/bx.
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Q1406. What is Meigs syndrome?
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A1406. 1. Benign ovarian tumor (adnexal mass/benign fibroma); 2. Ascites; 3. R pleural effusion
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Q1407. What is the most common cancer in women?
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A1407. Breast cancer
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Q1408. What is the cancer in women with the highest mortality?
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A1408. Lung Ca
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Q1409. What is the gynecologic cancer with the highest mortality? Why?
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A1409. Ovarian cancer. It is silent.
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Q1410. What is the most common gynecologic cancer in women?
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A1410. Endometrial carcinoma.
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Q1411. What is the most common cause of mortality in patients with ovarian carcinoma?
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A1411. Bowel obstruction.
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Q1412. What is the most common cause of mortality in women?
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A1412. Heart disease
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Q1413. What are the three most common cancers in females, and what cancers have the highest mortality in women?
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A1413. Most common cancers:; 1. Breast; 2. Lung; 3. Colon. Highest mortality:; 1. Lung; 2. Breast; 3. Colon.
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Q1414. Cervical cancer:; 1. Etiology; 2. MC symptom; 3. Histology; 4. Mortality
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A1414. 1. HPV; 2. Post-coital bleeding; 3. Squamous cell carcinoma (ectocervix), 15% adenocarcinoma (endocervix); 4. Renal failure
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Q1415. Endometrial cancer:; 1. Etiology; 2. MC symptom; 3. Histology
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A1415. 1. Estrogen; 2. Post-menstrual bleeding; 3. Adenocarcinoma
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Q1416. Ovarian cancer:; 1. Etiology; 2. MC symptom; 3. Histology; 4. Treatment; 5. Mortality
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A1416. 1. Ovulation; 2. Ascites (be suspicious in a postmenopausal patient w/ascites); 3. #1 Epithelial #2 Germ cell #3 Stromal; 4. Debulking surgery (TAH-BSO, Omentectomy), cytoreductive surgery, Carboplatin and Taxol. 5. Bowel obstruction, secondary to seeding.
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Q1417. What are the types of epithelial ovarian cancer, the symptoms, and the tumor marker?
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A1417. #1: Serous; Then: Mucinous, Endometrioid, Brenner. Symptom: No pain, picked up in stage 3 due to slow growth. Tumor marker: CA-125.
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Q1418. Ovarian germ cell cancer:; 1. Types; 2. Symptoms; 3. Tumor markers
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A1418. 1. Dysgerminoma, endodermal sinus tumor, teratoma, choriocarcinoma; 2. Pain due to rapid growth. Picked up in stage 1. Teenagers. 3. Dysgerminoma: LDH, Endodermal sinus tumor: alpha fetoprotein, Teratoma, Choriocarcinoma: hCG.
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Q1419. Ovarian stromal cancer; 1. Types; 2. Tumor markers
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A1419. 1. Sertoli-Leydig cell tumors, or granulosa thecal cell tumor; 2. Hormones. Sertoli-Leydig: Testosterone. Granulosa- theca: Estrogen.
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Q1420. Vulvar cancer:; 1. Etiology; 2. MC symptom; 3. Histology
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A1420. 1. HPV; 2. Pruritus; 3. #1: Squamous cell carcinoma #2: Melanoma (black lesion) #3: Paget's disease (Red lesion)
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Q1421. Vaginal cancer:; 1. Etiology; 2. MC symptom; 3. Causes
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A1421. 1. HPV; 2. Bloody vaginal discharge; 3. #1: Squamous cell carcinoma #2: Adenocarcinoma (DES exposure causing clear cell carcinoma, or metastasis from cervical carcinoma.
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Q1422. Fallopian tube cancer:; 1. Etiology; 2. MC symptom
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A1422. 1. Unknown; 2. Clear, serous vaginal discharge.
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Q1423. When does PAP screening begin?
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A1423. at 21 years old.
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Q1424. At which point can PAP smears be done every 2 years?
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A1424. If PAP smears are negative for 3 years in a row.
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Q1425. What are the effects of DES?
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A1425. 1. Clear cell carcinoma; 2. Structural abnormalities (hypoplastic cervix, t-shaped uterus (increased incidence of miscarriage/ectopics); 3. Adenosis of vagina (columnar cells)
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Q1426. What do the L and R ovarian veins drain into?
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A1426. L ovarian vein: L renal vein; R ovarian vein: IVC
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