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Nr 602 Final Exam Questions With 100%
Verified Answers.
ASCCP recommended management for an ASCUS pap result with high risk hpv 16 cotest in 26
year old no abnormal paps - answer✔colposcopy
What is included in the well women of an adolescent? - answer✔health history
menses
gynecologic and pregnancy issues
psychosocial
abuse drugs alcohol use
physical exam
screening tests
immunizations
When does ACOG pap smear start - answer✔21 years old done every three years
ACOG pap for over 30 yrs old - answer✔every five years with HPV test completed
ACOG when can you stop pap smear - answer✔can stop at 65 if negative history for 10 years or
if they had a hysterectomy with no history of cervical cancer
Bethesda pap smear report reads LSIL is what classification? - answer✔CIN 1
A single Pap smear reading of ASCUS in a patient negative for HPV infection should have what
as follow-up? - answer✔routine screening
a female patient is 35 years old. she has never had an abnormal PAP smear has regular screening
since age 18. If she has a normal PAP smear with HPV testing today, when should she have the
next cervical cancer screening? - answer✔5 years
A young sexually active is having her first pap smear what would you explain? - answer✔pap
smear detects cervical cancer
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26 year old pap smear shows negative and positive HPV what do you do? - answer✔repeat HPV
and pap
what is not part of criteria for older women to cease pap smears? - answer✔over 55 year old
no menarche in a 15 year old with no medical problems and Tanner stage 1 with a uterus -
answer✔primary amenorrhea
No menses for at least 6 months - answer✔secondary amenorrhea
female athlete triad - answer✔disordered eating, amenorrhea, osteoporosis
labs for female athlete triad - answer✔HCG
serum prolactin
serum TSH,FSH, LH
if amenorhea lasts longer than 6 months do what? - answer✔bone density test
treatment plan for female athlete triad - answer✔increase caloric intake, decrease exercise
prescribe ca and vit d 1200/1500 daily and vitamin e 400 iu daily
complications of female athlete triad - answer✔osteopenia/osteoporosis (stress fracture)
myocardial atrophy, arrhythmia, hypotension, brady
hypoglycemia, dehydration, electrolytes
lanugo, telogen effluvium hair loss zerosis dry skin, infertility, low body mass, cachexia,
respiratory failure
purpose of progesterone challenge - answer✔endogenous estrogen
primary and secondary amenorrhea originates in hypothalamus - answer✔sheehans syndrome
symptoms of breast cancer ( early) - answer✔None
Non-painful mass (occasionally pain)
Eczematous nipple (Paget's)
Serosanguinous (bloody) nipple discharge
late symptoms of breast cancer - answer✔skin or nipple retraction
axilary lymhadenpathy
breast enlargement
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redness, edema, brawny induration
peau d' orange
pain
fixation of the mass to the skin or chest wall
very late findings of breast cancer - answer✔ulceration
supraclavicular lymphadenopathy
edema of the arm, bone, lung, liver, brain or other distant metstases
Follow up for breast cancer patients - answer✔1. Bilateral mammogram 6 months after complete
radiation post-lumpectomy; Mammogram yearly after
2. Contralateral mammogram annually post-mastectomy (entire breast + pectoralis major fascia)
PE every 3-6 months for 3 years then annually
fibrocystic breast disease - answer✔the presence of single or multiple benign cysts in the breasts
signs and symptoms of fibrocystic breast disease - answer✔occurs 2 weeks before the onset of
mensus and worst right before the menstrual cycle. resolves after menses starts often in women
in their 30's. breast lumps are rubbery and mobile to touch
Tx for fibrocystic breast disease - answer✔Once a benign diagnosis or normal findings have
been established by biopsy or on clinical or imaging findings, simple reassurance will provide
many patients with adequate relief.
For those patients who still seek treatment, symptomatic relief by avoiding trauma and by
wearing a bra with adequate support can be very helpful. The role of caffeine consumption in the
development and treatment of fibrocystic change has never been proven; however, many patients
report relief of symptoms after abstinence from coffee, tea, and chocolate. Similarly,
observational studies have suggested that low-fat diets can provide some relief. The data
regarding the utility of vitamin E supplementation and evening primrose oil are controversial.
Mild analgesics such as acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs) can
be used to relieve breast pain. For more symptomatic women, danazol and tamoxifen have been
found to be effective, although their significant side effects have limited their acceptability and
utility.
Fibroadenoma - answer✔benign breast lesion 15-40 yrs old
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risk factors for fibroadenoma - answer✔multiple fibroadenomas associated with rate cancer
syndromes like mafficci syndrome, Cowden syndrome, carney complex early ETOH
consumption
findings with fibroadenoma - answer✔painless, firm or rubbery mass with well defined borders,
freely mobile, changes with size may occur with pregnany or menstrual cycle, lesions under 5
cm, considered to be giant fibrodenomas no nipple discharge
Dx of fibroadenoma - answer✔mammo, us to differentiate fluid filled to solid mass, fine needle
aspiration biopsy, open biopsy
Intraductal papilloma - answer✔benign tumor within the ductal system of the breast, one of the
heterogeneous group of lesions encompassed by the term benign breast disease seen in females
30-50
risk factors for intraductal papilloma - answer✔multiple papilloma's which increases the risk for
breast cancer
dx studies for intraductal papilloma - answer✔mammo, us mri, galactography, fine needle or
core biopsy
a pap smear result of atypical squamous cells of undetermined significance rule out high grade
squamous intraepithelial lesions will require which procedure next? - answer✔colposcopy
pap smear is ASCUS what is next? - answer✔follow up pap smear
Bartholin's glands obstruction symptoms - answer✔pain, tenderness, dyspareunia, walking with
adducted thighs
assessment findings of Bartholin's glands obstruction - answer✔firm labia mass or cyst,
erythema, induration, edema of
treatment for bartholins gland obstruction - answer✔warm baths
Augmentin for e coli and strep
staph or MRSA clindamycin
re assess in 7-10 days
drainage of the infected cyst through marsupialization or WORD catheter
BMI below 18.5 - answer✔underweight
BMI 18.5-24.9 - answer✔normal
BMI 25-29.9 - answer✔overweight
