NSG 504 Exam 4 WITH ANSWERS

NSG 504 Exam 4 WITH ANSWERS
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Which type of gynecologic cancer is the most costly and deadly? -
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CORRECT ANSWERS ✔✔ovarian |\ |\




What is the most common malignancy of the reproductive system?
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- CORRECT ANSWERS ✔✔uterine/endometrial cancer
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How fast does uterine/endometrial cancer growth and what is the
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prognosis? What is the most significant risk factor? - CORRECT
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ANSWERS ✔✔slow-growing |\




What is the most significant risk factor?
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What are some other risk factors? - CORRECT ANSWERS
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✔✔hormonal imbalance |\




-unopposed estrogen in HRT |\ |\ |\




-Tamoxifen use |\




obesity
late menopause (> 52 yrs old)
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nulliparity & infertility |\ |\




diabetes & HTN |\ |\

,other cancers
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What is the cardinal sign of uterine cancer?
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What are some other signs? - CORRECT ANSWERS
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✔✔postmenopausal abnormal uterine bleeding |\ |\ |\ |\




-irregular vaginal bleeding b4 menopause
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-dyspareunia
-unusual discharge |\




What are some methods to diagnose uterine cancer? - CORRECT
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ANSWERS ✔✔pelvic exam |\ |\




transvaginal ultrasound |\




hysteroscope


What are the treatment options for uterine cancer? - CORRECT
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ANSWERS ✔✔radiation (internal or external)
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chemotherapy
surgery
-hysterectomy, BSO, pelvic washings/exenteration |\ |\ |\




hormonal therapy |\




-Tamoxifen (blocks E) |\ |\




-GRNH agonists (reduce E levels)
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,-Progestins (reduces endometrial tissue) |\ |\ |\




-Aromatase inhibitors (blocks E production) |\ |\ |\ |\




What is the second most common malignancy of the reproductive
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system? - CORRECT ANSWERS ✔✔ovarian cancer
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What is something unique about ovarian cancer that isn't
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necessarily true in other reproductive cancers? - CORRECT
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ANSWERS ✔✔no definitive screening test |\ |\ |\ |\




often diagnosed in advance stage
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symptoms are super vague |\ |\ |\




cause is unknown but risk factors identified
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What are some risk factors for ovarian cancer? - CORRECT
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ANSWERS ✔✔menarche < 12 yrs old |\ |\ |\ |\ |\




late menopause (> 55 yrs old)
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family hx of ovarian cancer
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no or first child before the age of 30
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infertility; infertility drugs |\ |\




personal hx of BA |\ |\ |\




What are some s/s of ovarian cancer? - CORRECT ANSWERS
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✔✔bloating

, early satiety
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change in bowel habbits
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urinary frequency |\




back pain
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What are some methods to diagnose ovarian cancer? - CORRECT
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ANSWERS ✔✔*no screening test*
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blood test 4 ovarian cancer is = CA-125 (detection, treatment,
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recurrence)


OVA1 blood test for malignancy or benign
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imaging
-transvaginal ultrasound |\




-CT/PET
-MRI


What are the treatment options for ovarian cancer? - CORRECT
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ANSWERS ✔✔radiation |\ |\




chemo
surgery
-hysterectomy, lymph node dissection, tumor debulking
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