MDT 15.8 Genitourinary Test 2
Terms
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- Use of "Black" tobacco and unfiltered cigarettes causes a 2 or 3 fold increase for what?
- Bladder Cancer
- What is considered a growth protruding from the cervix that is usually discovered during annual exam?
- Polyps
- Breast enlargement and tenderness, N/V, amenorrhea are physical findings of what?
- Pregnancy
- Obesity and hirsutism are physical findings of what?
- Ovarian Cystic Dz
- Lactation in the absence of nursing is what?
- Galactorrhea
- Abnormal tissue development or growth of the cervix at the squamocolumnar junction is what?
- Cervical Dysplasia
- Physical findings include a classic triad of dysmenorrhea, dysparenuia, and infertility as well as pelvic pain and adenexal mass or tenderness.
- Endometriosis
- Sx include low midline, wave-like cramping pelvic pain, nausea, diarrhea, headache, and flushing
- Primary Dysmenorrhea
- What are the complications of abortions?
-
Infections
Sepsis
DEPRESSION***
Shock - Unusual vaginal bleeding, particularly post-coital, and vaginal D/C are characteristics associated with what?
- Cervical Carcinoma
- Absence of menstruation by age 14 is called what?
- Primary Amenorrhea
- Absence of menstruation for more than 3 consecutive months is called what?
- Secondary Amenorrhea
- This is an uncommon Dz predominantly among menopausal women averaging age 65
- Vulvar Carcinoma
- Risk factors of this Dz include smoking, early first age of intercourse, MULTIPLE SEX PARTNERS***, non-barrier methods of BC, and HPV infection.
- Cervical Carcinoma
- What is defined as discrete, nodular tumor within the uterus or cervix?
- Uterine Fibroid
- Back pain, constipation, and inguinal LAD, umbilical mass with ascites are physical findings of what?
- Ovarian Tumors (Advanced Dz)
- What can be caused by HERBS & STREET DRUGS**, tumors, medication use such as antidepressants, BP meds, and frequent breast exams
- Galactorrhea
- What is the definition of ectopic pregnancy
- Extrauterine placement of a fertilized ovum
- A triad of Sx combining HTN, edema, and proteinuria
- Preeclampsia
- Px w/menstruation in absence of pathological finding beginning 1 to 2 years after menarche is what?
- Primary Dysmenorrhea
- What is irregular or excessive bleeding during menstruation and between periods?
- Menometrorrhagia
- What are considered permanent choices in family planning?
-
Tubal Ligation
Vasectomy - A neoplasm involving the testis
- Testicular cancer
- The number one non-skin cancer in men
- Prostate cancer
- This is usually asymptomatic and discovered only as a result of a screening examination (PAP)
- Cervical Dysplasia
- Physical findings include a yellow-brown D/C w/loss of the linea alba
- Abortion
- What is extremely prevalent in and intermittently effecting 1/3rd of all premenopausal women?
- PMS
- What is considered an appropriate disposition for a newly Dx cervical dysplasia case?
-
Referral to Dysplasia Clinic
F/U in 3 months - Physical characteristics include nocturia, rectal fullness, decreased urine flow, and rectal mass
- Rectal Cancer
- What is the Dz for irregular intervals of uterine bleeding, excessive bleeding and duration
- Metrorrhagia
- HTN is common in what % of pregnant women?
- 6-8%
- What should be suspected when signs of pregnancy are followed by amenorrhea, irregular vaginal bleeding and adenexal tenderness or mass?
- Ectopic pregnancy
- What is an engorgement of the internal spermatic veins above the testis?
- Varicocele
- Complications of this include SEIZURES**, pulmonary edema, renal failure, thromboembolism and eclampsia.
- Preeclampsia
- What is the #1 cause of secondary amenorrhea?
- Pregnancy
- Abnormal uterine bleeding and/or postmenopausal bleeding are physical characteristics in 90% of these cases.
- Endomentrial Carcinoma
- Abnormal products of conception, lack of ova division, and chromosome abnormality are the etiology of what?
- Abortion
- Expulsion of all products of conception before the 20th week.
- Complete Abortion
- What is the operational treatment for primary dysmenorrhea?
-
OCB
Anti-inflammatory drugs - Excessive vomiting during pregnancy severe enough to cause systemic effects
- Hyperemesis Gravidarum
- A fluid filled sac that develops in the ovary proper. (also referred to as polycystic Dz)
- Ovarian Cystic Dz
- A growth protruding from the cervix or endocervical canal
- Cervical Polyps
- What is the most common benign uterine tumor?
- Uterine Fibroid
- What are the physical findings for early signs of ovarian tumor?
-
Abdominal fullness
Dyspepsia
pelvic pain - Physical findings include decreased urine flow, feeling of incomplete voiding, DIR reveals a hard fixed mass
- Prostate Cancer
- What drug do you avoid in managing dysmenorrhea
- Tylenol
- Physical findings include Oligomenorrhea or amenorrhea, obesity, and hirsutism
- Ovarian Cystic disease
- How old are most women who seek treatment for PMS?
- 30's or 40's
- What Navy instruction provides detailed instructions for dealing with sexual assault?
- NAVMEDCOMINST 6310.3
- A growth that does not spread by mastases or infiltration of tissue.
- Benign Neoplasm
- A growth that infiltrates the tissue, metastasizes, and often reoccurs, even after surgical intervention
- Malignant neoplasm
- Abnormal development of tissue.
- Neoplasm
- A penetration of the basement membrane and infiltration of the stoma and uterine cervix by malignant cells.
- Cervical Carcinoma
- Found in approximately 4% of all GYN patients.
- Cervical Polyps
- What is the more common age range of patents with cervical polyps?
- 30-50
- What is found in 50% of all vulvar carcinoma cases?
- HPV