- Which of the following is not a component of your physical exam for a patient with an adnexal mass:
a. Lymph node survey for lymphadenopathy
b. Respiratory exam for pleural effusions
c. Abdominal examination for ascites or hepatosplenomegally
d. Nervous system exam for para-neoplastic symptoms - A post-menopausal patient is diagnosed with an 8 cm complex adnexal mass with an elevated CA125. What is the next best step in her management?
a. Laparoscopic ovarian cystectomy
b. Laparoscopic oophorectomy
c. Refer to gynecologic oncology
d. Repeat ultrasound in 8-12 weeks
- A 25 year old nulliparous patient is diagnosed with an asymptomatic 5 cm simple ovarian cyst, with a negative CA125. What is the next best step in management?
a. Laparoscopic ovarian cystectomy
b. Laparoscopic oophorectomy
c. Refer to gynecologic oncology
d. Repeat ultrasound in 8-12 weeks
Scroll down for answers!
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1. d
2. c
3. d