These PANRE review questions are designed to be a brief active review of the previous article and podcast covering PID and disorders of the breast. If for some reason something doesn’t make sense or you want to go back and check something click here for the article and podcast.
1. A 22 year old female presents to the ER complaining of diffuse abdominal pain and an unusual vaginal discharge. Upon physical exam you find that she is exquisitely tender at her cervix and you can not complete the exam. You attempt to culture the discharge with some difficulty. What do you expect on the gram stain.
- Gram positive cocci in clusters
- Gram negative diplococci
- Large gram positive rods
- Gram negative bacteria that are long, thin, helical and motile
2. Which describes a fibrocystic breast exam
- Single, rubbery, poorly defined mass
- Single, tender, poorly defined mass
- Multiple, well defined masses which are nontender
- Multiple well defined masses which are tender
3. A patient who is well known to you presents to your office two and a half months after delivering her first child. Her left breast is red, swollen and very tender. She is concerned about continuing to breastfeed. The best treatment for her at this time is…
- Place her on augmentin and reassure her that it is alright to continue breast feeding
- Place her on augmentin and have her her stop breast feeding on the left side
- Place her on gentamicin and reassure her that it is alright to continue breast feeding
- Place her on gentamicin and have her her stop breast feeding on the left side
4. What is the current recommendation for breast cancer screening?
5. Which of the following will increase a woman’s risk of breast cancer? (choose all that apply)
- Nulliparity
- Advanced age at first pregnancy
- Late menarche > 12 years old
- Late menopause > 50 years old
- Long term estrogen exposure
- Caucasian
- African American
