N582 EX 1 GYN PT PRACTICE QUESTION S WITH ANSWERS Atypical squamous cells of undetermined significance (ASCUS) ✅Indicates slight cellular abnormality, without clear cause (may be due to infection or cervical trauma, for example). caused from HPV or infection Atypical squamous cells, cannot exclude high grade (ASC -H) ✅This result notes that there are abnormal cells present that have some high -grade characteristics. An ASC -H Pap result is of higher severity than an ASCUS Pap. Low-grade squamous intrepithelial lesion (LSIL) ✅Indicates the effect of HPV, mild dysplasia, or cervical intraepithelial neoplasia (CIN) I High-grade squamous intraepithelial lesions (HSIL) ✅Moderate and severe dysplasia, carcinoma in situ or CIN II, and CIN III an endometrial biopsy ✅When AGCs are identified in patients aged 35 and older and those younger than 35 with risk factors for endometrial intraepithelial neoplasia (EIN) or endometrial cancer, they should also have ? Fibrocystic Breast Change ✅Multiple nodules, painful Pt at risk: age (30 -40), dietary intake (caffeine,chocolate, tea) Fibrocystic Breast Change ✅-exaggerated stromal response to hormones and growth factors. -typically presents as painful, sensitive, often multiple and bilateral breast masses -there can be rapid fluctuation in the size of the masses. postmenopausal women mass size increases during the premenstrual part of the cycle -pain is commonly worse then** ✅Fibrocystic changes are rare in ? Fibroadenoma ✅-one nodule, smoother borders, not painful -usually present from 15 -35 with 25 being the peak age of presentation -most common benign tumors of the breast. Fibroadenoma Lesions larger than 5 cm are termed giant fibroadenomas —> cystosarcoma phyllodes should be ruled out ✅-Benign tumors made up of both glandular breast tissue and stromal connective tissue -measure 1 to 3 cm -often solitary but can be multiple. Fibroadenoma ✅often palpated on physical examination as rubbery, round, well -
circumscribed, mobile, firm lesions that are nontender Malignant Breast Disease (breast cancer) ✅-One nodule, irregular borders, firm, immobile and NOT painful -Patients may present clinically with breast masses, skin change, nipple discharge, or symptoms of metastatic disease. Skin dimpling ✅can occur due to the tethering of Cooper ligaments from the mass underneath. peau d'orange ✅may occur due to dermal lymphatic invasion and blockage. Bloody ✅_________ nipple discharge should be evaluated to rule out invasive papillary carcinoma Inflammatory Breast Carcinoma ✅-Extremely aggressive malignancy -poorly differentiated tumor characterized by dermal lymphatic invasion. Symptoms include edema, erythema, warmth, and diffuse induration of the skin described as peau d'orange. 30 to 50 mL ✅The normal menstrual cycle consists of cyclic bleeding approximately every 28 days (normal range, 21 to 35 days), lasting 3 to 5 days with about ______ -
_______ of blood loss per cycle. Secondary dysmenorrhea ✅painful menses due to underlying pathology (endometriosis, fibroids, adenomyosis, pelvic inflammatory disease (PID), cervical stenosis). Menorrhagia ✅Heavy (>80 mL/cycle) or prolonged (>7 d) menstrual flow occurring at regular intervals Metrorrhagia ✅Any bleeding between normal menses, usually lighter than normal menstrual bleeding Menometrorrhagia ✅Heavy irregular bleeding Excessive or prolonged bleeding at irregular intervals
circumscribed, mobile, firm lesions that are nontender Malignant Breast Disease (breast cancer) ✅-One nodule, irregular borders, firm, immobile and NOT painful -Patients may present clinically with breast masses, skin change, nipple discharge, or symptoms of metastatic disease. Skin dimpling ✅can occur due to the tethering of Cooper ligaments from the mass underneath. peau d'orange ✅may occur due to dermal lymphatic invasion and blockage. Bloody ✅_________ nipple discharge should be evaluated to rule out invasive papillary carcinoma Inflammatory Breast Carcinoma ✅-Extremely aggressive malignancy -poorly differentiated tumor characterized by dermal lymphatic invasion. Symptoms include edema, erythema, warmth, and diffuse induration of the skin described as peau d'orange. 30 to 50 mL ✅The normal menstrual cycle consists of cyclic bleeding approximately every 28 days (normal range, 21 to 35 days), lasting 3 to 5 days with about ______ -
_______ of blood loss per cycle. Secondary dysmenorrhea ✅painful menses due to underlying pathology (endometriosis, fibroids, adenomyosis, pelvic inflammatory disease (PID), cervical stenosis). Menorrhagia ✅Heavy (>80 mL/cycle) or prolonged (>7 d) menstrual flow occurring at regular intervals Metrorrhagia ✅Any bleeding between normal menses, usually lighter than normal menstrual bleeding Menometrorrhagia ✅Heavy irregular bleeding Excessive or prolonged bleeding at irregular intervals
