Aquifer Case 1
A patient presents with a FH of an aunt with great cancer diagnosed at age 70. Does she have an increased risk of breast cancer? correct answersNo, the aunt was too old to increase her risk and is not a first degree relative
A patient has an increased risk of breast cancer if a first-degree relative has had breast cancer. A first-degree relative who? correct answersparent or sibling
While most women do not perform self breast exams and self breast exams do not reduce mortality what have they been shown to do? correct answersincrease the number of biopsies
Does the USPSTF recommend self breast exams? correct answersNo
When should screening mammograms begin according to USPSTF? correct answersWomen aged 50 or older (every year)
Equation for BMI? correct answersweight (kg) / height (m^2)
Define: Underweight
Normal
Overweight
Obese Class I
Class II
Class III (morbid obesity) correct answers<18.5
18.5 to 24.9
25-29.9
>30
30-34.9
35-39.9
>40
We commonly measure waist circumference in adults with a BMI of ___ to ___ and a circumference greater than _____ for men and ____ for women is a risk factor for HTN, DM2 and CHD correct answers25-34.9
102 cm (40in) men
88 cm (35 in) women
A good breast exams consists of both ____________ and _________ correct answersvisual inspection and palpation How should breast palpation be performed? correct answersPatient laying back on table with hands above their head to flatten the breast tissue
What two lymph node groups should always be palpated in a breast exam? correct answersaxillary and supraclavicular
A sample of the cervix is obtained using an _________ and then a _______ correct answersextended tip spatula and then a cytobrush
The spatula is used to obtain a sample from the ectocervix, how do we use the cytobrush? correct answersinserted into the OS and rotated 180 degrees
The area of the endocervix where there is rapid cell division and where dysplastic cells originate correct answerssquamo-columnar junction
Why do we use liquid based preps and storage for pap smears over conventional methods? correct answersLiquid allows for future/later testing of HPV
What hand should be used for a bimanual exam? correct answersNon-dominant in vagina, dominant on abdomen
What age should cervical cancer screening begin? Between what ages should screening be performed every 3 years? correct answers21
21-29
In women aged 30-65 pap smears should be done every 5 years when? Every 3 years?
correct answers5 years if co-tested for HPV
3 years if with cytology alone
What women should have more frequent pap smears taken? correct answersHIV +
compromised immunity CIN 2 or 3 or cancer hx
DES exposure
Women older than _____ with adequate pap smear screening (3 consecutive normal pap tests with cytology alone or 2 with HPV) within the last 10 years can choose to stop receiving them correct answers65
Risk factors for cervical cancer? correct answersEarly onset sexual intercourse, multiple sexual partners
HPV infection with high risk subtype(16,18,45,56)
A patient presents with a FH of an aunt with great cancer diagnosed at age 70. Does she have an increased risk of breast cancer? correct answersNo, the aunt was too old to increase her risk and is not a first degree relative
A patient has an increased risk of breast cancer if a first-degree relative has had breast cancer. A first-degree relative who? correct answersparent or sibling
While most women do not perform self breast exams and self breast exams do not reduce mortality what have they been shown to do? correct answersincrease the number of biopsies
Does the USPSTF recommend self breast exams? correct answersNo
When should screening mammograms begin according to USPSTF? correct answersWomen aged 50 or older (every year)
Equation for BMI? correct answersweight (kg) / height (m^2)
Define: Underweight
Normal
Overweight
Obese Class I
Class II
Class III (morbid obesity) correct answers<18.5
18.5 to 24.9
25-29.9
>30
30-34.9
35-39.9
>40
We commonly measure waist circumference in adults with a BMI of ___ to ___ and a circumference greater than _____ for men and ____ for women is a risk factor for HTN, DM2 and CHD correct answers25-34.9
102 cm (40in) men
88 cm (35 in) women
A good breast exams consists of both ____________ and _________ correct answersvisual inspection and palpation How should breast palpation be performed? correct answersPatient laying back on table with hands above their head to flatten the breast tissue
What two lymph node groups should always be palpated in a breast exam? correct answersaxillary and supraclavicular
A sample of the cervix is obtained using an _________ and then a _______ correct answersextended tip spatula and then a cytobrush
The spatula is used to obtain a sample from the ectocervix, how do we use the cytobrush? correct answersinserted into the OS and rotated 180 degrees
The area of the endocervix where there is rapid cell division and where dysplastic cells originate correct answerssquamo-columnar junction
Why do we use liquid based preps and storage for pap smears over conventional methods? correct answersLiquid allows for future/later testing of HPV
What hand should be used for a bimanual exam? correct answersNon-dominant in vagina, dominant on abdomen
What age should cervical cancer screening begin? Between what ages should screening be performed every 3 years? correct answers21
21-29
In women aged 30-65 pap smears should be done every 5 years when? Every 3 years?
correct answers5 years if co-tested for HPV
3 years if with cytology alone
What women should have more frequent pap smears taken? correct answersHIV +
compromised immunity CIN 2 or 3 or cancer hx
DES exposure
Women older than _____ with adequate pap smear screening (3 consecutive normal pap tests with cytology alone or 2 with HPV) within the last 10 years can choose to stop receiving them correct answers65
Risk factors for cervical cancer? correct answersEarly onset sexual intercourse, multiple sexual partners
HPV infection with high risk subtype(16,18,45,56)
