4: Uterus, Cervix, Ovaries, Fallopian Tubes

Question 1

embryo structure that forms upper vagina, cervix, uterus, and fallopian tubes

Answer 1

paramesonephric ducts

Question 2

two things that cause development of paramesonephric system + regression of mesonephric system (in female embryo)

Answer 2

1. absence of Y chromosome

2. abscence of mullerian inhibiting substance

Question 3

MC congenital cervical anomalies are due to what?

Answer 3

malfusion of paramesonephric ducts

Question 4

adnexa

Answer 4

ovaries + fallopian tubes + upper part of broad lig + mesosalpinx

Question 5

anomalies of the fallopian tubeare rare, but what is one thing that can happen?

Answer 5

DES-> shortened tube

Question 6

most common group of ovarian neoplasms

Answer 6

epithelial ovarian neoplasms

Question 7

single most common benign ovarian neoplasm in a pre-meno female

Answer 7

dermoid / cystic teratoma

Question 8

overall characteristics of ovarian benign tumors

Answer 8

slow growing, non-specific or asx, mild pain unless torsion or rupture

Question 9

which is preferred for dxing ovarian cysts - laparoscopy or laparotomy

Answer 9

laparotomy

Question 10

feminizing signs, like that which can happen with granulosa-theca cell ovarian tumors

Answer 10

precocious menarche, premenarchal bleeding, menorrhagia, endometrial hyperplasia & CA, breast tenderness, fluid retention, post-meno bleeding

Question 11

Rokintansky’s protuberance

Answer 11

solid prominence at the jxn between teratoma + normal ovarian tissue

Question 12

hydrosalpinx vs pyosalpinx

Answer 12

1. hydrosalpinx: fluid filled tubes from prior infection

2. pyosalpinx: purulent filled tube from active infection

Question 13

adnexal vs isolated ovarian torsion

Answer 13

1. adnexal: ovary and fallopian tube twist

2. isolated: only fallopian tube twists, is rare