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Gyn 7 (Breast D/Os)
Step-2
| Question | Answer |
|---|---|
| What is the complication of gonorrhea or chlamydia that infects the capsule of the liver? | Fitz-Hugh-Curtis syndrome |
| What type of heart murmur fits the following description: diastolic murmur heard best in the left lower sternum that increases with inspiration | tricuspid stenosis |
| What type of heart murmur fits the following description: late diastolic murmur with an opening snap (no change with inspiration) | mitral stenosis |
| What type of heart murmur fits the following description: systolic murmur heard best in the second right interspace | aortic stenosis |
| What type of heart murmur fits the following description: systolic murmur heard best in the second left interspace | pulmonic stenosis |
| What type of heart murmur fits the following description: late systolic murmur best heard at the apex | mitral prolapse |
| What type of heart murmur fits the following description: holosystolic murmur that is louder with inspiration at the left lower sternum | tircuspid regurg |
| What type of heart murmur fits the following description: holosystolic murmur heard at the apex and radiates to the axilla | mitral regurg |
| What is the first-line treatment for pediculosis capitis? | permethrin |
| What is the first-line treatement for pediculosis pubis? | permethrin |
| A 34 y/o woman presents with a smooth, mobile breast mass. On FNA, it is found to contain clear, non-bloody fluid. What is the dx and management? | fibrocystic breast changes, give reassurance and f/u in 1 month |
| Wht is the most likely cause of bloody nipple discharge? | intraductal papilloma |
| What is the mcc of breast mass in the pt younger than 25 yrs? What is the tx? | Fibroadenoma. Tx=monitor, sugical excision or cryoablation |
| What is the mc site for breast CA? | upper outer quadrant |
| What findings are suspicious on a mammogram? | Hyperdense regions, calcifications, spiculations |
| Why are core biopsies typically preferred over FNAs? | FNAs carry a 20% chance of false-negative results |
| What is the tx for ductal carcinoma in situ of the breast? | lumpectomy, with or without radiation |
| Once you have ruled out invasive CA, what is the management of LCIS? Why is drug therapy so effective? | Observation, +/- tamoxifen or raloxifen. Optional b/l mastectomy. It's so effective b/c LCIS is ER+/PR+ |
| Which type of breast disease matches the following description: mc breast CA | invasive ductal carcinoma |
| Which type of breast disease matches the following description: often presents with serous or bloody nipple discharge | introductal papilloma |
| Which type of breast disease matches the following description: mc mass in patients 35-50 | fibrocystic changes of the breast |
| Which type of breast disease matches the following description: mc tumor in teen and young women | fibroadenoma |
| Which type of breast disease matches the following description: breast mass accompanied by redness, pain, and warmth | inflammatory carcinoma |
| Suspicious lesion on mammogram are those with ________ regions or ____________. | hyperdense, calcifications |
| Most breast abscesses are related to _________. | breastfeeding |
| Breast abscesses are more common among which population of people? (Hint: related to a substance) | Smokers |
| What are the most common abx used for the tx of breast abscess? | dicloxacillin, cephalexin, amoxicillin, clavulinic acid, bactrim, metronidazole. |
| T/F Mothers with a breast abscess should stop breast feeding while they are getting treated? | False. They should continue to breastfeed or pump and dump |
| _____% of all cases of breast cancers occur in males. BRCA____(1/2) is most commonly associated with male breast CA. | BRAC2 |
| Which type of breast disease is associated with the following description: Presents as eczematous type lesion on the nipple. There may be cracking or weeping of fluid from the nipple. | Paget's disease of breast. |
| What is the tx for ductal carcinoma in situ(DCIS)? | lumpectomy and possible radiation therapy. |
| What is the tx for lobular carcinoma in situ(LCIS)? | treated with close observation and tamoxifex or raloxifen. Prophy b/l mastectomy can be performed in women with LCIS who do not desire lifelong observation. |
| When should a lumpectomy + radiation be performed for invasive carcinoma of the breast? | for early focal cancers |
| When should a mastectomy be performed for invasive carcinoma of the breast? | for multifocal lesions or pts with prior breast radiation. Radiation is performed for tumors >5cm |
| Why should a sentinel lymph node biopsy be performed in patients with invasive carcinoma of the breast? | to look for spread to axillary nodes; positive sentinal nodes biopsy indicates need for axillary node dissection at time of tumor resection. |
| When is systemic therapy indicated for pts with invasive carcinoma of the breast? | for all node positive cancers, tumors >1cm and tumors with aggressive histology. |
Created by:
shelybel
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