Ovarian Cancer
Cervical Cancer
Gestational Trophoblastic Neoplasia
Breast Cancer
Hematologic Cancers
100
1 in BLANK pregnancies is complicated by ovarian malignancy.
What is 1/18,000? 1/1000 pregnant women undergo exploratory surgery to evaluate an adnexal mass, 1%-3% of these masses are malignant.
100
As many as BLANK % of pregnancies may be complicated by an abnormal pap smear result.
What is 5%?
100
Using transvaginal ultrasonography, intrauterine pregnancy can be diagnosed at THIS bHCG level.
What is 1500 - 2000 IU/mL.
100
THIS type of biopsy is the preferred method for tissue confirmation in pregnant women with suspected breast cancer.
What is CORE NEEDLE BIOPSY? This is performed under local anesthesia, no risks unique to pregnancy. Although fine-needle aspiration can be used, the proliferative changes induced by pregnancy may result in an indeterminate score requiring additional evaluation for diagnosis.
100
OLYMPIC TRIVIA! THIS COUNTRY has won more Olympic Winter Games medals than any other country.
What is Norway?
200
THIS TYPE is the most common ovarian malignancy diagnosed in pregnancy.
What is germ cell cancer? Up to 30% of malignancies in pregnancy are dysgerminomas. They often manifest with torsion.
200
True or false: Colposcopy can be safely performed in pregnancy.
What is TRUE? Colposcopy should be performed whenever indicated by cytology results, regardless of pregnancy. Biopsies should be done for the most suspicious lesions; taking many biopsies at one exam should be avoided. Endocervical curettage should be AVOIDED.
200
False-positive bHCG results can occur when heterophilic antibodies or nonactive forms of bHCG interact with the bHCG antibodyto create a false-positive result. THIS is a way to exclude a "false positive" result in your workup.
What is simultaneous urine bHCG? OR - serially dilute the serum. This should show a linear decrease in bHCG levels in a true-positive result.
200
Mammography has a high BLANK during pregnancy.
What is false negative rate? Sensitivity rates are 63-78% in some studies. Ultrasound is usually the preferred imaging modality to evaluate a breast mass in a pregnant woman. It can distinguish between solid and cystic lesions in 97% of patients.
200
A patient presenting with enlarging lymphadenopathy - favoring the lymph nodes of the neck, mediastinum, and axilla may be showing signs of THIS.
What is Hodgkin Lymphoma? Patients with mediastinal adenopathy often notice increasing shortness of breath or cough, symptoms common in normal pregnancies, which may delay diagnosis in pregnant women.
300
Dysgerminoma tumor marker = ? Endodermal sinus tumor marker = ?
What is Dysgerminoma tumor marker = LDH Endodermal sinus tumor marker = AFP CA-125 levels are elevated at the beginning of pregnancy and persist throughout - therefore CA-125 is unreliable for evaluation of risk of epithelial malignancy.
300
Pregnancy BLANK (does or does not) affect survival rates for cervical cancer.
What is DOES NOT? Although pregnancy was once believed to alter the course of cervical cancer, there is actually no difference in survival or disease characteristics. Overall survival rate is 80% in pregnant compared with 82% in nonpregnant patients.
300
OLYMPIC TRIVIA! THESE four sports are the only winter olympic sports that are contested indoors.
What are hockey, figure skating, speed skating, and curling?
300
The incidence of congenital malformation is BLANK if chemotherapy is administered to women in 2nd or 3rd trimesters.
What is LOW. 1.3% risk of fetal malformation with 2nd or 3rd trimester chemotherapy exposure. 16% risk of malformation in 1st trimester. However, 50% of infants who were exposed to chemotherapy in the 2nd or 3rd trimester manifest IUGR, prematurity, low birth weight.
300
Burkitt Non-Hodgkin Lymphoma has a doubling time of THIS.
What is 25 hours? Burkitt Non-Hodgkin Lymphoma has a curable rate up to 84% in young patients, but it has a doubling time of 25 hours and can rapidly progress to involve bone marrow or central nervous system. This makes observation until after delivery almost impossible. Optimal and immediate treatment at diagnosis with multiagent chemotherapy is critical and potentially curative. Typical treatment contains alkylating agents, antimetabolites, antimicrotubule agents, and antitumor antibiotics. All options, including using less-effective but less teratogenic methods must be weighed with the patient.
400
THIS is the optimal time to perform surgical exploration, if indicated, for an ovarian mass.
What is 16-20 weeks?
400
OLYMPIC TRIVIA!!! The five rings on the olympic flag symbolize THIS.
What are the 5 "significant" continents. Created by Pierre de Coubertin in 1914, the Olympic flag contains five interconnected rings on a white background. The five rings symbolize the five significant continents and are interconnected to symbolize the friendship to be gained from these international competitions. The rings, from left to right, are blue, yellow, black, green, and red. The colors were chosen because at least one of them appeared on the flag of every country in the world. The Olympic flag was first flown during the 1920 Olympic Games.
400
Molar pregnancy may coexist with BLANK in 1 of 20,000 to 100,000 pregnancies.
What is NORMAL GESTATION? These pregnancies are associated with higher incidence of complications such as fetal death, vaginal bleeding, pre-eclampsia, and persistent GTN after evacuation. 40% of these patients delivered a live infant at 24 weeks or later (most after 32 weeks).
400
Most oncologists recommend a delay of THIS LONG before contemplating pregnancy after breast cancer.
What is 2-3 years? Most recurrences of breast cancer occur within the first 2 years after initial treatment. There is some data to suggest that the outcome of early breast cancer is improved in women with a subsequent pregnancy - meaning a possible antitumor effect of pregnancy.
400
OLYMPIC TRIVIA! The Olympic motto is "Citius, Altius, Fortius." This translates into English as THIS.
What is "Faster, Higher, Stronger" ? Pierre de Coubertin, considered the father of the modern Olympic games, proposed it in 1894 after hearing the words said by Dominican priest Henri Didon years earlier.
500
THESE TWO TIMES are the most likely times for ovarian torsion to occur in pregnancy.
What is late 1st-early 2nd trimester when the uterus begins to grow out of the true pelvis, and after delivery when the uterus undergoes rapid involution.
500
OLYMPIC TRIVIA Women were first allowed to participate in the games in THIS year.
What is 1900? Of a total of 997 athletes at the 1900 Paris Games, 22 women competed in five sports: tennis, sailing, croquet, equestrianism and golf. At the 2012 Games in London, 44 percent of the participants were women.
500
OLYMPIC TRIVIA! THIS is the only Olympic winter games event where the United States has never won a medal.
What is biathlon? (CROSS-COUNTRY SKIING!!! AND RIFLE!!!)
500
OLYMPIC TRIVIA We all know that the fourth place finisher does not get a medal, but he/she does not go home empty handed. Fourth place finishers at the Olympics receive THIS.
What is a diploma? The first eight athletes in each event receive a diploma from the IOC. The first three finishers receive both a medal and a diploma.
500
OLYMPIC TRIVIA! THIS event has been an Olympic sport for men since the start of the Winter Games. For the first time, women will be able to compete for the gold in Sochi.
What is ski jump? However, the Nordic Combined competition, which is both ski jumping and cross-country skiing, both of which women compete in, remains a male-only event.
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