A 48-year-old woman had a biopsy of a friable, bleeding lesion on her cervix. She had not had a pelvic examination or Pap smear for about 12 years. The biopsy is reported as invasive squamous cell carcinoma of the cervix. On bimanual examination, there is induration to the side wall of her pelvis.Which of the following is the stage of her cervical cancer?
Answer(s): D
Cancer of the cervix that has not invaded cervical stroma is stage 0 carcinoma in situ. Cancer that has invaded the cervical stroma but has not spread beyond the cervix is stage I. Involvement of the upper vagina or parametria (but not to the pelvic sidewall) is stage II. Stage III is involvement of the lower third of the vagina (IIIA) or parametria to the pelvic sidewall (IIIB). Extension outside the reproductive tract is stage IV.
A 48-year-old woman had a biopsy of a friable, bleeding lesion on her cervix. She had not had a pelvic examination or Pap smear for about 12 years. The biopsy is reported as invasive squamous cell carcinoma of the cervix. On bimanual examination, there is induration to the side wall of her pelvis.To complete the staging of her cancer according o International Federation of Gynecology and Obstetrics (FIGO) standards, she should have hich of the following?
Answer(s): C
The intent of staging is to judge the results of various treatments and to compare treatment results worldwide. Because advanced procedures such as venography, lymphangiography, MRI or CT scans, and laparoscopy are not universally available, staging of cervical cancer remains primarily clinical. Such tests as cystoscopy, proctosigmoidoscopy, barium enema, IVP, and plain radiographs of the abdomen and chest are permitted. Evidence of mucosal cancer confirmed by biopsy at the time of cystoscopy changes her diagnosis to stage IV cervical cancer.
A 48-year-old woman had a biopsy of a friable, bleeding lesion on her cervix. She had not had a pelvic examination or Pap smear for about 12 years. The biopsy is reported as invasive squamous cell carcinoma of the cervix. On bimanual examination, there is induration to the side wall of her pelvis.Which of the following is the most important prognostic factor for 5-year survival after appropriate treatment of cervical cancer?
Answer(s): B
Stage of the cancer is the most important prognostic factor. Women with stage IA cervical cancer have a 95% 5-year survival. This decreases progressively to 80, 64, 38, and 14% for stages IB, II, III, and IV, respectively. The other choices are prognostic factors but relate to the stage of the cancer. Women with high-risk serotypes (strains) of HPV tend to develop cervical neoplasia at a younger age. More advanced stages of cervical cancer tend to have less differentiated tumors and a greater probability of pelvic and paraaortic lymph node metastasis. Pelvic lymph node metastasis will be found in 5% or fewer of women with stage I cervical cancer, with a progressive increase as the stage advances to 55% of women with stage IV cervical cancer
A 35-year-old G3P3 woman has been experiencing bilateral breast pain for the past year. Breast examination and mammography are normal. Conservative measures have failed. Which of the following medications is most likely to bring relief?
Breast discomfort is a problem premenstrually for many women. Simple palliative measures include administration of vitamin E, 600 units daily, and limiting methylxanthines by eliminating coffee and other caffeine-containing substances, although the mechanism of action is not well understood. Danazol (Danocrine), in doses of 200400 mg daily, is often effective in relieving breast pain. Clomiphene may have estrogenic side effects and worsen breast pain. Many women receiving progesterone note breast discomfort secondary to fluid retention. There is no evidence that diuretics such as hydrochlorothiazide relieve breast pain. In one comparison study, tamoxifen (a selective estrogen receptor modulator) was more effective than danazol.
A 23-year-old married woman consults you because she and her husband have never consummated their marriage because she has severe pain with attempts at vaginal penetration. Her pelvic examination is normal except for involuntary tightening of her vaginal muscles when you attempt to insert a speculum. Which of the following conditions would best be treated with the use of vaginal dilators?
Vaginismus is the painful, involuntary spasm of the musculature of the pelvis and lower third of the vagina.It may respond to properly administered dilator therapy, although there is a lack of conclusive evidence.Deepthrust dyspareunia is often the result of pelvic pathology, such as fibroids, endometriosis, ovarian cysts, pelvic adhesions, and others. Anorgasmia is usually a psychological disorder best dealt with by a psychologist or psychiatrist expert in sexual counseling and therapy. Sexual or physical abuse should be considered and the woman questioned about this possibility. Vulvar vestibulitis is an inflammatory condition of uncertain (perhaps multiple) etiology and is usually treated with topical glucocorticoids. Failure of medical therapy may require surgical excision of the affected area.
Share your comments for USMLE STEP2 exam with other users:
very helpful
will post once the exam is finished
relevant questions
just clear exam on 10/06/2202 dumps is valid all questions are came same in dumps only 2 new questions total 46 questions 1 case study with 5 question no lab/simulation in my exam please check the answers best of luck
q.112 - correct answer is c - the event registry is a module that provides event definitions. answer a - not correct as it is the definition of event log
good and useful.
good questions
good content
totally not correct answers. 21. you have one gcp account running in your default region and zone and another account running in a non-default region and zone. you want to start a new compute engine instance in these two google cloud platform accounts using the command line interface. what should you do? correct: create two configurations using gcloud config configurations create [name]. run gcloud config configurations activate [name] to switch between accounts when running the commands to start the compute engine instances.
kindly upload the dumps
still learning
excellent way to learn
help so much
understand sql col.
i would give 5 stars to this website as i studied for az-800 exam from here. it has all the relevant material available for preparation. i got 890/1000 on the test.
this is nice.
q55- the ridac workflow can be modified using flow designer, correct answer is d not a
by far this is the most accurate exam dumps i have ever purchased. all questions are in the exam. i saw almost 90% of the questions word by word.
i cleared the az-104 exam by scoring 930/1000 on the exam. it was all possible due to this platform as it provides premium quality service. thank you!
question # 232: accessibility, privacy, and innovation are not data quality dimensions.
looks wrong answer for 443 question, please check and update
great question
question: a user wants to start a recruiting posting job posting. what must occur before the posting process can begin? 3 ans: comment- option e is incorrect reason: as part of enablement steps, sap recommends that to be able to post jobs to a job board, a user need to have the correct permission and secondly, be associated with one posting profile at minimum
answer to question 72 is d [sys_user_role]
please provide the pdf
hey guys, just to let you all know that i cleared my 312-38 today within 1 hr with 100 questions and passed. thank you so much brain-dumps.net all the questions that ive studied in this dump came out exactly the same word for word "verbatim". you rock brain-dumps.net!!! section name total score gained score network perimeter protection 16 11 incident response 10 8 enterprise virtual, cloud, and wireless network protection 12 8 application and data protection 13 10 network défense management 10 9 endpoint protection 15 12 incident d
useful questions
page :20 https://exam-dumps.com/snowflake/free-cof-c02-braindumps.html?p=20#collapse_453 q 74: true or false: pipes can be suspended and resumed. true. desc.: pausing or resuming pipes in addition to the pipe owner, a role that has the following minimum permissions can pause or resume the pipe https://docs.snowflake.com/en/user-guide/data-load-snowpipe-intro
i want hcia exam dumps
good training
very useful
yes need this exam dumps
these questions are a great eye opener