EOR Exam Women's Health Study Guide latest solution

Which of the following Lab studies would be seen in menopause- a. high estradiol, low fsh and LH b. low estradiol, high fsh and lh c. high estradiol, high fsh and lh d. low estradiol, low fsh and lh - b. low estradiol, high fsh and lh Which of the following best describes the purpose of intravenous magnesium sulfate in patients with preeclampsia? A. Prevention of convulsions B. Prevention of HELLP syndrome C. Lowering of blood pressure D. Reversal of proteinuria - A. Magnesium sulfate is used to prevent and treat eclamptic seizures. Magnesium sulfate is not sufficient to treat hypertension, therefore antihypertensives must be added. Magnesium sulfate is excreted solely from the kidneys and urine output must be preserved to prevent accumulation of the drug. Magnesium sulfate does nothing to prevent HELLP syndrome. A 25 year-old female presents for a routine gynecological examination. You palpate a 2 cm breast mass in her right breast. Her menstrual period was last week. She has no family history of breast cancer. What is the modality of choice to further evaluate her breast mass? A. Magnetic resonance imaging (MRI) B. Excisional biopsy C. Ultrasound D. Mammography - (u) A. MRI's of the breast are done in patients with prior breast cancer or who have BRCA 1 or 2 positivity. (u) B. Excisional biopsy is not indicated without differentiation of lesion by ultrasound. CORRECT: C. In a 25 year-old an ultrasound is the best choice because of the density of the breast tissue in young women. (u) D. Mammographies are not recommended in women prior to the age of 35 without family history of breast cancer or BRCA positive. A 26 year-old woman requests screening after her boyfriend was treated for a sexually transmitted infection recently. On examination you find a painless vulvar ulcer. Which of the following is the most likely diagnosis? A. Herpes B. Syphilis C. Chancroid D. Granuloma inguinale - (u) A. The classic presentation of herpes is a painful vesicle. CORRECT: B. The primary lesion of syphilis presents as a painless ulcer or chancre. Secondary syphilis presents with a skin rash lymphadenopathy and mucocutaneous lesions. (u) C. Chancroid presents with a painful genital ulcer and tender suppurative inguinal adenopathy. (u) D. Granuloma inguinale presents with raised, red lesions that bleed easily.