q-----8 - medicine_king

[ArchivalUser]

A 45-year-old G3P3 presents for her yearly examination. She last saw a doctor 7 years ago after she had her last child. She had three vaginal deliveries, the last of which was complicated by gestational diabetes and preeclampsia. She has not been sexually active in the past year. She once had an abnormal Pap smear for which she underwent cryotherapy. She denies any medical problems. Her family history is significant for coronary artery disease in her dad and a maternal aunt who developed ovarian cancer at the age of 67. Which of the following is best screening approach for this patient?


a. Pap smear and mammography
b. Pap smear, mammography, and cholesterol profile
c. Pap smear, mammography, cholesterol profile, and fasting blood sugar
d. Pap smear, mammography, cholesterol profile, fasting blood sugar, and serum CA-125

[ArchivalUser]

BB

[ArchivalUser]

-d-

[ArchivalUser]

Answer c

[ArchivalUser]

c.... gestational DM has some chances( may be 10'%) of developing DM later in life.......


CA 125 is not recommneded......

[ArchivalUser]

d. Pap smear, mammography, cholesterol profile, fasting blood sugar, and serum CA-125

[ArchivalUser]

oops ans is cccc

[ArchivalUser]

A......

[ArchivalUser]

The correct answer is c.; Pap smear, mammography, cholesterol profile, and fasting blood sugar.

In women 40 to 64 years old, mammography should be performed every 1 to 2 years until age 50 and then annually.

Cholesterol testing should be performed every 5 years. A fasting blood sugar should be performed periodically in women at high risk. This patient is at an increased risk of developing diabetes because she experienced gestational diabetes during pregnancy.

Measuring CA-125 levels has not been shown to be effective in population-based screening for ovarian cancer. With her previous history of treatment for cervical dysplasia, yearly Pap smear is recommend