A nurse is assessing a patient with suspected gynecologic cancer.
The patient complains of abnormal vaginal bleeding and pelvic pain.
Which of the following cancers is most likely indicated by these symptoms?
Cervical Cancer.
Ovarian Cancer.
Uterine Cancer.
Endometrial Cancer.
The Correct Answer is C
Choice A rationale:
Abnormal vaginal bleeding and pelvic pain are more indicative of uterine or endometrial cancer than cervical cancer.
While cervical cancer can cause abnormal vaginal bleeding in later stages, uterine cancer is more commonly associated with these symptoms.
Choice B rationale:
Ovarian cancer may present with pelvic pain, but it is less likely to cause abnormal vaginal bleeding.
Uterine and endometrial cancer are more closely associated with abnormal vaginal bleeding.
Choice D rationale:
Endometrial cancer is a likely possibility, as it often presents with abnormal vaginal bleeding and pelvic pain.
However, uterine cancer is a more precise term for cancer originating in the uterus.
Choice C rationale:
This is the correct answer.
Uterine cancer is most likely indicated by the symptoms of abnormal vaginal bleeding and pelvic pain.
These are common presenting symptoms of uterine cancer, especially in the early stages.
It is essential to perform further diagnostic tests to confirm the diagnosis and determine the extent of the disease.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Ovarian cancer does not originate from the cells of the cervix.
It arises from the cells of the ovaries.
The cervix and ovaries are distinct anatomical structures.
Choice B rationale:
All ovarian cancers do not have the same pathophysiology.
Ovarian cancer is a broad term that includes different histological types, including epithelial ovarian cancer, germ cell tumors, and stromal tumors.
Each of these types has its unique pathophysiology and characteristics.
Choice C rationale:
This statement is incorrect.
There are different types of ovarian cancer, as mentioned in choice D.
Choice D rationale:
Ovarian cancer originates from the cells of the ovaries and has different types, including epithelial ovarian cancer, germ cell tumors, and stromal tumors.
Each of these types has distinct pathophysiological features, prognosis, and treatment approaches.
Epithelial ovarian cancer is the most common type, accounting for the majority of cases.
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale:
Smoking cessation is an important preventive strategy for gynecologic cancers.
Smoking is a risk factor for cervical and ovarian cancers.
Cessation of smoking reduces the risk of developing these cancers.
Nicotine and other chemicals in tobacco can damage DNA and lead to the development of cancerous cells.
Choice D rationale:
Practicing safe sex is crucial in preventing certain gynecologic cancers, especially cervical cancer.
Human papillomavirus (HPV) is a sexually transmitted infection that can lead to cervical cancer.
Using condoms and practicing safe sex can reduce the risk of HPV infection, thus reducing the risk of cervical cancer.
Choice E rationale:
Maintaining a healthy weight is another important preventive strategy for gynecologic cancers, particularly endometrial cancer.
Obesity is a risk factor for endometrial cancer because excess body fat can increase estrogen levels, which can promote the development of cancerous cells in the endometrium.
Maintaining a healthy weight through diet and exercise can help reduce the risk of endometrial cancer.
Now, let's explain why Choices B and C are not correct:
Choice B rationale:
Eating a high-fat diet is not a recommended prevention strategy for gynecologic cancers.
In fact, a high-fat diet is associated with an increased risk of certain cancers, including breast and ovarian cancer.
Encouraging a high-fat diet would be counterproductive to cancer prevention efforts.
Choice C rationale:
Avoiding regular screenings is not a recommended strategy for preventing gynecologic cancers.
Regular screenings, such as Pap smears and mammograms, are essential for early detection and timely treatment of gynecologic cancers.
Avoiding these screenings can increase the risk of cancer going undetected until it reaches an advanced stage.
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