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Chapter 39. Gynecology

The differential diagnosis of a vulvar lesion includes all of the following, except

A. Bartholin abscess

B. Melanoma

C. Hidradenitis suppurativa

D. Luteal cyst

E. Epithelial inclusion cyst

D. Luteal cyst

All of these are true about cervical cancer, except

A. Most is related to high-risk HPV types

B. About 75% are squamous type

C. Screening for premalignant lesions is effective because of slow progression through dysplastic precursors

D. Carcinoma occurs most frequently in women between the ages of 20 and 30 years

E. Vaccination is targeted to both protect individuals and to limit prevalence of infection

D. Carcinoma occurs most frequently in women between the ages of 20 and 30 years

Treatment of cervical carcinoma

A. Usually includes hysterectomy for microinvasive disease

B. Consists of radiation therapy and chemotherapy for advanced disease

C. Cannot preserve fertility in women with microinvasive disease

D. Includes systemic therapy only for distant metastases

E. Often requires radiation therapy for bone metastases

B. Consists of radiation therapy and chemotherapy for advanced disease

Uterine leiomyomata

A. Are present in 20%-30% of women of reproductive age

B. Are more common in white women than in blacks or Asians

C. Often appear after menopause if estrogen supplements are not used

D. Are usually monofocal, with a single tumor in the uterine wall

E. Can only be treated by hysterectomy

A. Are present in 20-30% of women of reproductive age

The differential diagnosis of adnexal masses includes

A. Endometrioma

B. Appendiceal mass

C. Pedunculated leiomyoma

D. A, B, and C

E. A and C only

D. ...

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