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NURO733 Exam 3 Questions And 100% Correct Answers
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NURO733 Exam 3 Questions And100% 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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