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Chapter 41. 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

The correct answer is D. Luteal cyst

All of the following are true about cervical cancer, except

A. Most cases are related to high-risk human papillomavirus 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 limit prevalence of infection.

The correct answer is 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

The correct answer is 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 Caucasian women than in those of African or Asian descent

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

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

E. Require treatment by hysterectomy

The correct answer is 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 uterine leiomyoma

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