Mammography recommendations - Answer Mammography: For masses. If results are different from
clinical exam, trust your exam findings. May have a false negative- not infallible. Continue work up
process even with negative mammogram.
Screening mammography: USPSTF: begin every 2 year screening at 50, d/c at age 75. May start in 40s
dep. On risk factors. Others say at 40 and every year.
BIRADS: standardized system of reporting. Quality assurance.
frequency of clinical breast exam - Answer For women who are at average risk of breast cancer and
who do not have symptoms, the following are suggested:
Clinical breast exam every 1-3 years for women aged 25-39 years
Clinical breast exam every year for women aged 40 years and older
blood typing - Answer The blood of one person is different from another's due to the presence of
antigens on the surface of the erythrocytes. The major method of typing blood is the ABO system and
includes types A, B, O, and AB. The other major method of typing blood is the Rh factor, consisting of the
two types, Rh+ and Rh-.
Cytomegalovirus - Answer A group of large herpes-type viruses found in most body fluids and most
often causing an infection without signs or symptoms. Can cause a serious illness when the individual
has a weakened immune system or when passed from mother to unborn child.
Testing for cytomegalovirus - Answer
Estrogen fraction - Answer Estradiol (E2) is the most potent estrogen produced in the ovary. FSH & LH
stimulate ovary to produce E2, peaks during ovulatory phase of menstrual cycle. Used to eval menstrual
and fertility problems, menopausal status, sexual maturity, gynecomastic, feminization syndromes or as a
tumor marker of pts w/ ovarian tumors. Estrone (E1) is secreted by the ovary but mostly converted from
androstendione in peripheral tissues, it is the major circulating estrogen after menopause. Estriol (E3) is
major estrogen in pregnant female. Urine & blood studies for E3 provide objective means of assessing
placental function and fetal normality in high risk pregnancies.
, luteinizing hormone (LH) - Answer made in pituitary gland and triggers release of egg from ovary
(ovulation). spikes just before ovulation.
An LH test works closely with another hormone called follicle-stimulating hormone (FSH) to control
sexual function
FSH - Answer A tropic hormone produced by the anterior pituitary gland that targets the gonads.
In females, FSH stimulates the ovaries to develop follicles (oogenesis) and secrete estrogen; in males,
FSH stimulates spermatogenesis.
controls the menstrual cycle and stimulates the growth of eggs in the ovaries. FSH levels in women
change throughout the menstrual cycle, with the highest levels happening just before an egg is released
by the ovary. This is known as ovulation.
Maternal testing - Answer AFP:16-18 weeks
glucose screening: 24-28 weeks
Group B strep (GBS): 35-36 weeks
Newborn metabolic screening - Answer - heelprick
-PKU
- Maple Syrup Urine Disease
- Galactosemia
- Congenital Hypothyroidism
human chorionic gonadotropin (hCG) - Answer hormone produced by the placenta to sustain
pregnancy by stimulating the ovaries to produce estrogen and progesterone
Progesterone assay - Answer occur predictably around time of LH peak
ELISA: quick, +/- accurate: image of OvuCheck, PreMate & slide
- color change