Gyno Board Study

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Author:
chardy
ID:
267153
Filename:
Gyno Board Study
Updated:
2014-03-19 18:48:33
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Candice Gyno Board Study
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Gyno Board Study
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  1. What is the worst Gyno cancer
    Ovarian
  2. what is the most common GYN Cancer
    Endometrial
  3. What staging is Gyno cancers
    FIGO
  4. What are some risk factors for cervical cancer
    • multiple partners
    • Mothers who took DES while pregnant
    • multiple pelvic infections
    • early sexual activity
    • smoking
  5. What are some risk factors for endometrial cancers
    • use of estrogen
    • high fat diets
    • family history
    • post menopausal
    • diabetes
    • hypertension
  6. What are some risk factors for vaginal and vulvar cancer
    • diabetes
    • STDs
    • poor hygiene
    • mothers who took DES while in utero
  7. What are some risk factors for ovarian cancer
    • late or few pregnancies
    • late menopause
    • lack of birth control
    • family history
    • personal history of breast, colon, or endometrial cancer
    • diets high in meat or animal fat
  8. What are the presenting signs for cervical cancer
    • Most common is bleeding
    • postcoital bleeding
    • increased menstrual bleeding
    • painful sex
    • smell
    • pelvic pain
  9. Where does cervical cancer spread
    • lungs
    • bone
    • liver
  10. What is the pathology for cervical cancer
    squamous cell
  11. what is the tx for cervical cancer
    Usually a TAH which tandem and ovoid brachy therapy to 45-55 point A and then external beam to about 45
  12. What is the staging for the cervix
    • TIS- carcinoma in situ
    • T1-confined to cervix
    •    T1a micro invasive depth of penetration 3mm or less
    •     T2b invasive depth of penetration greater than 3mm
    • T2-extension into the vagina (upper 2/3 parametrium)
    •     T2a extension into vagina
    •     T2b extension into parametrium (not pelvic wall)
    • T3- extension to lower 1/3 vagina/parametrium/pelvic wall
    •     T3a extension to lower 1/3 of vagina
    •     T3b extension into parametrium and pelvic wall
    • T4-extension into bladder/rectum/beyond true pelvis
  13. What are Pt A and B location
    • Point A 2 cm superior and 2 cm lateral to external os
    • Point B 2 cm superior and 5 cm lateral to external os
  14. What is a fletcher apparatus
    • Tandem and ring/ovoids or copolstats
    • Tandem is inserted into the uterus and ovoids lie in the lateral fornices on each side of the cervix
    • Point A is assoc with uterus dose
    • and Point B is assoc with dose to the nodal areas
  15. What is a common symptom of ovarian cancer
    Ascites
  16. Which tumor marker is assoc with ovarian cancer
    CA 125
  17. which pathology are the ovaries
    epithelial
  18. What is the best tx for ovarian cancer
    • surgery and chemo
    • RT is usually just palliative
  19. Women who have taken what drug are at risk for endometrial cancer
    Tamoxifen for breast cancer
  20. What are the most common symptoms for endometrial cancer
    vaginal bleeding and discharge
  21. What is the pathology for the uterus
    adenocarcinoma
  22. What brachytherapy procedure is usually used on the uterus
    cylinder to a .5 depth at 8-7 GY in 3-5 fractions
  23. What pathology is the vulva
    squamous cell
  24. What part of the vulva is cancer usually found
    labia majora
  25. What position is the pt normally treated in for vulvar cancer
    frogleg
  26. What is the #1 cause of vaginal cancer
    Vaginal cancer is rare but the only cause know is previous DES use
  27. What pathology is the vagina
    squamous cell
  28. What is the tx of choice for the vagina
    RT with XRT and brachy therapy up to 80GY
  29. What are some side effects for treating gyno cancers
    • fatigue
    • diarrhea
    • dysuria
    • N&V
    • anal irritation
    • menopause
    • vaginal fibrosis and dryness
    • bowel obstruction
    • dry and moist desquamation
  30. What age is cervical cancer usually found
    Normally young women
  31. as far as gyno cancers, which is the most radiotolerant and which is radiosensitive
    • the uteral canal is radiotolerant
    • the ovaries are radiosensitive
  32. The opening into the pelvis where the baby's head enters
    pelvic inlet
  33. What is the most common side effect for reating the cervix
    anemia
  34. The connective tissue immediately lateral to the uterine cervix is called
    parametrium
  35. Which gyno cancers even if at an early stage will often involve metastatic spread throughout the abdominal cavity
    ovarian
  36. A pt having abdominal pain and distension and/or non specific gastrointestinal symptoms (nausea, heartburn) could be symptomatic to which gyno cancer
    ovarian
  37. The cervix often protrudes into the vagina producing lateral spaces in the vaginal apex called
    fornices
  38. Diabetes, hypertension, overweight and increased use of estrogen relate to which gyno cancer
    endometrium
  39. Since anemia is a big risk factor when treating cervical or ovarian cancer, what is the normal hemoglobin
    12-16 g/dl
  40. Which isotope is used for treating ovarian cancer
    Phosphorus 32
  41. Why is ovarian the most deadly of all female cancers
    few symptoms and widely disseminated at time of dx
  42. If a pt with cervical cancer has periaortic nodal involvement, there is a 35% increase chance of spread to
    scv
  43. Radioisotope used in the tx of vagina cancer
    Cesium 137
  44. What is the most common risk factor for cervical cancer
    HPV
  45. What are the 3 layers of the uterus
    • endometrium
    • myometrium
    • perimetrium
  46. What is the most definitive method of dx for endometrium cancer
    D&C dilation and curettage

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