Which type of pelvic disorder has the highest rate of mortality ...

[frankwu]

Which type of pelvic disorder has the highest rate of mortality in the United States?
 
  A. Uterine cancer
  B. Cervical cancer
  C. Ovarian cancer
  D. Pelvic inflammatory disease

Question 2

A 17-year-old female patient complains of amenorrhea for the last 8 months, weight gain, excessive hair growth on the arms and chest, and development of acne. Pelvic examination is normal. The clinician should recognize these are signs of:
 
  A. Ovarian cancer
  B. Endometriosis
  C. Hormonal imbalance
  D. Stress-induced anovulation

[chloejackso]

Answer to Question 1

ANS: C
Ovarian cancer has the highest mortality of the gynecological malignancies because as much as 85 of cases have metastases outside the ovaries at the time of diagnosis, and the cancer is usually widespread before the patient has signs or symptoms. It occurs most often in postmenopausal women, in women with a positive family history, and in women with BRCA1 and BRCA2 gene mutations. Use of oral contraceptives may decrease a woman's risk of developing ovarian cancer.

Answer to Question 2

ANS: C
Anovulation may present with amenorrhea but also may present with dysfunctional uterine bleeding, polymenorrhea, or menorrhagia. The symptoms vary with the cause. Overweight may be seen with several of the causes, including hypothyroidism, polycystic ovarian syndrome, and pituitary and adrenal dysfunction. Underweight is seen in anorexia nervosa, excessive exercise, hyperthyroidism, or stress-induced anovulation. Hirsutism, acne, and other skin changes can be seen with imbalances in LH, FSH, and androgens, as seen in polycystic ovary disease. Delayed puberty or regression of sexual characteristics is seen in hypopituitarism; galactorrhea can be the presenting symptom in pituitary tumors.

[frankwu]

Thank you

[chloejackso]

No problemo