Women's Health Review Questions and Answers

Breast Cancer Annual breast exam: age 40 years Risks: menarche 12 years, menopause 55 yrs Estrogen supplementation Dx: Mammography for 30 with breast complaint. If suspicious, make sure to order b/l diagnostic mammogram US differentiates fluid-filled cyst from solid mass. Used in pregnancy and age 30 Fibroadenoma Most common in 25 years Order US to dx Normal vaginal pH 4.0 (acidic) Contraception Combined OCs: Absolute contraindications include hx of DVT, CVA, CAD, DM, pregnancy, gyn bleeding, age 35 with HTN or DM, LDL 160, trigs 250. Remember ACHES (abd pain, chest pain, HA, eye problems, or severe leg pain) Progestin only: good choice for lactating women, women with CV risks. If pill is 3h late, r/o pregnancy rises Depo-provera: no effect on milk production, long return to ovulation Contraindication for COC (Combined OC) use? factor V Leiden mutation Noncontraceptive benefits of OC increase a decrease in all of the following: IDA, PID, ovarian cancer All of the following are relative contraindication in copper-containing IUD: valvular heart dx, multiple sexual encounters, lack of follow-up care COC -noncontraceptive benefits include lower rates of benign breast tumors, dysmenorrhea, decreased IDA, endometrial, ovarian and breast cancers. -BTB can be minimized by taking within same 4-hr period every day. Not harmful and doesn't indicate lesser contraceptive benefit. -Nausea common in first few months