40 - Gynecology

Question 1

Ligament that allows anteversion of the uterus

Answer 1

Round ligament

Question 2

Ligament that contains uterine vessels

Answer 2

Broad ligament

Question 3

Ligament that contains ovarian artery, nerve and vein

Answer 3

Infundibular ligament

Question 4

Ligament that holds cervix and vagina

Answer 4

Cardinal ligament

Question 5

Pregnancy on US can be seen at _ weeks

Answer 5

6

Question 6

Gestational sac seen with B-HCG of _

Answer 6

1500

Question 7

Fetal pole seen with B-HCG of _

Answer 7

6000

Question 8

Abortion type with 1st trimester bleeding, CLOSED os, positive sac on US, no heartbeat

Answer 8

Missed

Question 9

Abortion type with 1st trimester bleeding, positive heartbeat

Answer 9

Threatened

Question 10

Abortion type with tissue protruding through os

Answer 10

Incomplete

Question 11

Most common site of ectopic pregnancy

Answer 11

Ampullary portion of fallopian tubes

Question 12

Tx for stable ectopic pregnancy

Answer 12

Methotrexate

Question 13

Tx for unstable ectopic pregnancy

Answer 13

Salpingectomy

Question 14

Most common site of endometriosis

Answer 14

Ovaries

Question 15

Tx for endometriosis

Answer 15

OCPs

Question 16

Tx for PID

Answer 16

ceftriaxone

doxycycline

Question 17

Vesicles with PID

Answer 17

HSV

Question 18

Condylomata with PID

Answer 18

HPV

Question 19

Positive dark field microscopy

Answer 19

Syphilis

Question 20

Rupture of graafian follicle, 14days after 1st day of menses, mistaken for appendicitis

Answer 20

Mittelschmerz

Question 21

Associated with clear cell CA of vagina

Answer 21

DES (diethylstibestrol)

Question 22

Associated with rhabdosarcoma of vagina

Answer 22

Botryoides

Question 23

Tx for most vaginal cancers

Answer 23

XRT

Question 24

Tx for vulvar cancer <2cm

Answer 24

WLE with ipsilateral inguinal node dissection

Question 25

Tx for vulvar cancer >2cm

Answer 25

Radical vulvectomy (b/l labia) with BILATERAL inguinal node dissection, postop XRT if <1cm margins

Question 26

Ovarian cancer with worst prognosis

Answer 26

Clear cell type

Question 27

Ovarian cancer stages 1-4

Answer 27

I - one or both ovaries only II - Limited to pelvis III - Throughout abdomen IV - Distant metastases

Question 28

Most common site of ovarian cancer initial spread

Answer 28

Other ovary

Question 29

Tx for ovarian cancer (6)

Answer 29

``` Total abdominal hysterectomy Bilateral oophorectomy Chemo (Cisplatin, paclitaxel) Pelvic/Aortic LN dissection Omentectomy Four quadrant washes ```

Question 30

Stomach cancer metastasize to ovary

Answer 30

Krukenberg tumor

Question 31

Pathology of Krukenberg tumor shows _

Answer 31

Signet ring cells

Question 32

Meige's syndrome

Answer 32

Ovarian fibroma causing ascites and hydrothorax

Question 33

Most common malignant tumor in female genital tract

Answer 33

Endometrial cancer

Question 34

Cervical cancer goes to _ nodes 1st

Answer 34

Obturator

Question 35

Cervical cancer associated with _

Answer 35

HPV 16 and 18

Question 36

Tx of cervial cancer without basement membrane involvement (microscopic dz)

Answer 36

Cone biopsy

Question 37

Tx of stage I/IIa cervical cancer

Answer 37

Total abdominal hysterectomy

Question 38

Tx of >IIb cervical cancer

Answer 38

Chemo-XRT (Cisplatin and paclitaxel)

Question 39

Abnormal uterine bleeding <40yo likely due to and treatments (2)

Answer 39

Anovulation - Clomiphene citrate | Leiomyomas (fibroids) - GnRH agonist (leuprolide)

Question 40

Abnormal uterine bleeding >40yo likely due to and treatments

Answer 40

Cancer or menopause - Needs biopsy

Question 41

Most common vaginal tumor

Answer 41

Invasion from surrounding or distant structure

Question 42

Tx for hydatidiform mole

Answer 42

Chemo (methotrexate)