With Complete Solutions
_____________ IUD's often helpful for patients with heavy
menses Correct Answer progestin
_______________ ___________ Fibroepithelial tumors that
tend to grow rapidly and may be confused with benign
fibroadenoma. Correct Answer Phyllodes Tumors
Are the ACIS visible on exam? are they pathognomonic?
Correct Answer no. no
BMD's are used to calculate ____________ and ____________
Correct Answer t scores and z scores
Changes in CNS concentrations of _________________ and
___________ likely play an important role in hot flashes
Correct Answer norepinephrine, serotonin
define sterility Correct Answer an intrinsic inability to
achieve pregnancy
describe inflammatory carcinoma Correct Answer An
aggressive for of breast cancer characterized by diffuse edema
of the skin with erysipeloid border usually with an underlying
mass
Does Mirena/skyla/kyleena IUD inhibit ovulation? Correct
Answer NO!
,Does paraguard inhibit ovulation? Correct Answer NO!
How are a majority of breast cancers diagnosed? Correct
Answer mammography
How do gonadotropins work in ovulation induction? Correct
Answer hMG or recombinant FSH; often used in conjunction
with IUI; has r/o OHSS; hCG used to trigger ovulation once
follicles are mature
How do you assess endometriosis? Correct Answer
Laparoscopy
how do you diagnose paget's disease? Correct Answer full
thickness biopsy
how do you evaluate a male patient for infertility? Correct
Answer semen analysis
If semen analysis is abnormal may consider referral to urology,
endocrine evaluation and karyotyping in severe cases
How do you evaluate the female partner for infertility? Correct
Answer menstrual hx, PE, blood work, Hysterosalpingogram,
US, Laparoscopy, infections disease panel
how do you treat mastitis with breast feeding? Correct Answer
treatment includes antibiotics with activity against Staph (ex
PCN or cephalexin) and continued pumping or breast feeding.
May also use warm/cool compress for comfort
, how do you visualize and developing follicles in a woman you
are evaluating their ovarian reserve? Correct Answer US
how does clomid work? Correct Answer blocks the feedback
inhibition of estradiol on the hypothalamus and pituitary,
leading to an increase in endogenous FSH; PO for 5 days
starting on day 3-5 of cycle; 3 cycles with timed intercourse or
IUI
How does invasive cervical cancer spread? Correct Answer
primarily by direct extension or lymphatic dissemination
How does letrozole work? Correct Answer inhibits estrogen
biosynthesis, thus releasing the hypothalamus/pituitary from
negative feedback and increasing endogenous FSH secretion;
PO for 5 days starting on day 3-5 of cycle; less side effects than
clomiphene
How does physiologic nipple discharge (galactorrhea) usually
present? Correct Answer milky discharge in the non-lactating
breast
how does Plan B work? Correct Answer May prevent or delay
ovulation and interfere with fertilization of an egg and may also
prevent implantation of a fertilized egg in the uterus by altering
the lining of the uterus
how many days does the menstrual cycle last? Correct Answer
~28 days