Women's Health EOR Exam Topics Exam Questions with 100% Correct Answers

Leopold maneuvers Correct Answer -1st: fetal part lying in the fundus and fetal presentation -2nd: which direction fetal back is facing -3rd: part of fetus at inlet and its mobility (engagement) -4th: fetal attitude and degree of flexion of the fetal head what is a breast abscess Correct Answer area of infection with a walled-off collection of pus *progression from mastitis MC organism causing breast abscesses Correct Answer S. aureus Tx for breast abscess Correct Answer -I&D -Abx: nafcillin/oxacillin IV or cefazolin + metronidazole MC benign breast tumor Correct Answer Fibroadenoma Fibroadenoma of breast description Correct Answer -small, firm -painless -well-circumscribed -freely mobile -"rubbery" menstrual associated with fibroadenoma Correct Answer no changes *does not wax and wane with menstruation fibroadenoma diagnostic tests Correct Answer -diagnostic mammogram with US -if indeterminant: FNA with pathology *W<25 yo= bx Tx for fibrocystic breast disease Correct Answer once benign diagnosis established, symptomatic relief: -avoid trauma and wearing a bra with adequate support -heat or ice -reduce caffeine consumption by abstinence from coffee, tea, and chocolate -NSAIDs -combined OCPs tx for fibroadenoma Correct Answer -expectant management -excision as needed painful breast masses that radiates to axillae and changes size during menstrual cycles Correct Answer fibrocystic changes when does the pain associated with fibrocystic masses usually resolve Correct Answer usually resolves with menses onset *pain usually before fibrocystic breast disease description Correct Answer -well-circumscribed -discrete, relatively mobile -increase in size and pain before menses galactorrhea Correct Answer the production of breast milk in a women who is not breastfeeding *milky white discharge cause of galactorrhea Correct Answer most often due to prolactin-secreting pituitary adenoma Tx for Galactorrhea? Correct Answer Dopamine agonists: bromocriptine gynecomastia Correct Answer development of breast tissue in males drugs that can cause gynecomastia Correct Answer -spironolactone -anabolic steroids -antiandrogens tx for gynecomastia Correct Answer wait and watch Klinefelter syndrome Correct Answer chromosomal disorder in which males have an extra X chromosome: XXY *tall, thin, long limbs Tx for hypogonadism Correct Answer danazol mastitis Correct Answer inflammation of the breast; most commonly occurs in women who are breastfeeding Tx for mastitis Correct Answer dicloxacillin or cephalexin or erythromycin cervicitis Correct Answer an inflammation of the cervix that is usually caused by an infection -mucopurulent vaginal discharge -gram - diplococci Correct Answer gonorrhea cervicitis