OB/GYN BOARD REVIEW LATEST 2025
REVISED EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED COMPLETE
SOLUTION) HIGHEST TEST SCORE A+ GRADE
Fibroadenoma
MC breast mass in late teens and early 20s
Change with menstrual cycle
Worsen with caffeine
Dx of fibroadenoma
US
Management of fibroadenoma
observation
can do biopsy and or excision
Rule of thirds for fibroadenoma
,1/3 stay the same, go away or grow
Fibrocystic changes
- Bengin, MC 30-50
- Worse before menses w/ consumption of caffeine, red wine, spicy foods etc.
- upper outer
Dx of fibrocystic changes
US, FNA showing straw colored fluid and NO blood
Treatment of fibrocystic changes
- Supportive bra, avoid caffeine, NSAIDS, OCP
- Evening primrose oil or vitamin E
Galactorrhea
Non-pathologic spontaneous flow of milk from breast
Differential diagnosis to galactorrhea
- CNS lesions (pituitary adenoma - hyperprolactinemia)
,- thyroid disorders (hypothyroidism)
- Medication side effects: H2 blockers (cimetidine); anti=psychotic (risperidone)
Grading for breast density
A, B, C, D
D for dense
Treatment of galactorrhea
Dopamine agonist
Gynecomastia
- breast enlargement in men
- caused by anabolic steroids, Klinefelter syndrome, spironolactone, estrogen
Glandular gynecomastia vs pseudogynecomastia
Glandular may be tender
When is gynecomastia concern for malignancy?
asymmetrical, not only under areola, firm, nipple retration/bleeding/dc
, Gynecomastia labs
-b-hCG, LH, free testosterone, serum estradiol
- B-hCG and estradiol may indicated testicular tumor
Medication treatment of gynecomastia
SERM: Raloxifene
Aromasase inhibitor (anastrozole)
Mastitis
- most common reason for fever after the immediate puerperium in nursing
mothers
- MC agent: S. aureus
treatment of mastitis
- warm compresses and breast pump frequently
- dicloxacillin, nafcillin, cephalosporins
if no improvement think BC
Congestive mastitis
REVISED EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED COMPLETE
SOLUTION) HIGHEST TEST SCORE A+ GRADE
Fibroadenoma
MC breast mass in late teens and early 20s
Change with menstrual cycle
Worsen with caffeine
Dx of fibroadenoma
US
Management of fibroadenoma
observation
can do biopsy and or excision
Rule of thirds for fibroadenoma
,1/3 stay the same, go away or grow
Fibrocystic changes
- Bengin, MC 30-50
- Worse before menses w/ consumption of caffeine, red wine, spicy foods etc.
- upper outer
Dx of fibrocystic changes
US, FNA showing straw colored fluid and NO blood
Treatment of fibrocystic changes
- Supportive bra, avoid caffeine, NSAIDS, OCP
- Evening primrose oil or vitamin E
Galactorrhea
Non-pathologic spontaneous flow of milk from breast
Differential diagnosis to galactorrhea
- CNS lesions (pituitary adenoma - hyperprolactinemia)
,- thyroid disorders (hypothyroidism)
- Medication side effects: H2 blockers (cimetidine); anti=psychotic (risperidone)
Grading for breast density
A, B, C, D
D for dense
Treatment of galactorrhea
Dopamine agonist
Gynecomastia
- breast enlargement in men
- caused by anabolic steroids, Klinefelter syndrome, spironolactone, estrogen
Glandular gynecomastia vs pseudogynecomastia
Glandular may be tender
When is gynecomastia concern for malignancy?
asymmetrical, not only under areola, firm, nipple retration/bleeding/dc
, Gynecomastia labs
-b-hCG, LH, free testosterone, serum estradiol
- B-hCG and estradiol may indicated testicular tumor
Medication treatment of gynecomastia
SERM: Raloxifene
Aromasase inhibitor (anastrozole)
Mastitis
- most common reason for fever after the immediate puerperium in nursing
mothers
- MC agent: S. aureus
treatment of mastitis
- warm compresses and breast pump frequently
- dicloxacillin, nafcillin, cephalosporins
if no improvement think BC
Congestive mastitis
