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NURO733 Exam 3 Questions And 100% Correct Answers

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  • September 19, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURO733
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NURO733 Exam 3 Questions And
100% Correct Answers

bartholins gland carcinoma - Answer risks: >40

sx: nontender, firm, irregularly shaped mass fixed to underlying tissue

management: vulvar biopsy, gland excision, and pathology evaluation should be
considered in any suspicious mass in women > 40

benign ovarian cysts - Answer dull cramping pressure; sharp sudden pain with activity
or on rupture -- typically transient

dx: vaginal ultrasound

endometrioma - Answer dyspareunia, cyclic menstrual pain

dx: vaginal ultrasound

hydrosalpinx tumor - Answer pain watery discharge

dx: vaginal ultrasound

mittelschmerz - Answer midcycle pain; temporary, predictable, may alternate sides

ovarian torsion - Answer sudden onset pain, severe, often unilateral, associated nausea
or vomiting

dx: CBC, vag u/s

uterine fibroid - Answer predominantly menstrual symptoms: cyclic pain,
dysmenorrhea, menorrhagia

dx: vaginal u/s

4 cm - Answer any mass over this size should be evaluated further

ca-125 - Answer can monitor tx for ovarian cancer or detect recurrence of disease; can
evaluate pelvic mass

not recommended for screening asymptomatic women, but can be ordered to detect
ovarian cancer in those that are high risk

true - Answer t/f: pregnancy is a contraindication to polyp removal

postmenopausal - Answer polyps in this population are more likely to be malignant,

, atypical polyps and/or vaginal bleeding warrant a thorough endometrial evaluation

menopause - Answer after this, the spontaneous decrease in hormone production
typically results in a reduction of fibroid size and resolution of sx

endometriosis - Answer should be considered in differentials of premenarchal girls with
chronic pelvic pain; more common in girls with imperforate hymen or obstructive
mullerian anomalies

anovulatory - Answer Adolescent girls often have functional cysts, both follicular and
luteal, simply because of their higher prevalence of __________ cycles

premenarche - Answer if this population has an adnexal mass, refer to specialist due to
higher risk of malignancy

postmenopausal - Answer benign functional cysts are rare in this age group

endometriomas - Answer cyst like structure that contains endometrial tissue; often
found on ovaries --> tar like fluid, generally benign

risks: caucasian, early menarche, short menses, 1st degree relative w/ endometriosis,
fibromyalgia, hashimotos, endometriosis

sx: acute unilateral pain, dysmenorrhea, dysuria, dyspareunia

dx: TVU, brown glass appearance, no internal flow, tiny echogenic foci on walls

management: sonographic follow up, if <5 cm and asymptomatic - expectant
management (progestin only), f/u US 6-12 wks

if >4-5 cm or symptomatic: surgical removal due to risk of cancer

do not respond to medications

endometriosis - Answer presence of endometrial glands and stroma outside of the
uterus

risks: genetics, caucasian, early menarche, short menses, active ovarian function

sx: dysmenorrhea, dyspareunia, dyschezia, dysuria, infertility

tx: COC's, progestins, GnRH agonists, synthetic androgenis (ethisterone)

adenomyosis - Answer endometrium breaks through myometrium

risks: prior uterine surgery, childbirth, 35-50 y.o.

sx: heavy prolonged menses, severe cramps, chronic pelvic pain, dyspareunia, uterus
uniformly smooth but enlarged and soft/globular/boggy, tender

dx: MRI, TVU, physical exam, sonohysterography

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