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Reproduction > 4th Year Repro > Flashcards

4th Year Repro Flashcards

1
Q

Cause of a strawberry cervix and treatment?

A

Trichomonas and metronidazole

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2
Q

What type of ovarian cyst is more likely to be be malignant?

A

Complex

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3
Q

What organism causes Syphillis?

A

Treponema pallidum

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4
Q

Treatment of syphilis?

A

Penicillin or Doxycycline

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5
Q

What are the 3 main classes of ovarian tumours?

A

Germ cell tumours
Sex cord stromal
Epithelial

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6
Q

Name 5 types of epithelial cell ovarian tumour?

A 
Serous - fluid filled
Endometrioid 
Muscinous - mucus filled
Clear cell
Brenner (transitional)
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7
Q

2 types of serous epithelial tumours?

A

serous cystadenoma - benign

Serous cystuadenocarcinoma - malignant

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8
Q

What are the 2 types of muscinous epithelial carcinoma?

A

Muscinous cyst adenomas - bening

Muscinous cystadenocarcinomas - malignant

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9
Q

What cells for edometrioid tumours?

A

Ectopic endometrial cells

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10
Q

What are malignant endometrioid tumours often associated with?

A

Endometrial cancer

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11
Q

What are benign endometriomas often called?

A

Chocolate cysts

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12
Q

What is the prognosis of clear cell tumours?

A

Poor

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13
Q

What cells form transitional cell ovarian tumours?

A

Ectopic transitional cells from the bladder

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14
Q

Name the 4 types of germ cell ovarian tumour?

A

Teratoma
Choriocarcinoma
Dysgerminoma
Yolk sac tumours

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15
Q

Two types of teratoma?

A

Mature cystic - benign

Immature - malignant

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16
Q

Where do dysgerminonas originate from?

A

The oocyte

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17
Q

What are dysgerminomas sensitive to?

A

radiotherapy

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18
Q

What marked is raised in choriocarcinomas?

A

Beta HCG

19
Q

What age group are yolk sac tumours commoner in?

A

Children

20
Q

What are the 3 types of sex cord stroll ovarian tumours?

A

Granulosa
Fibromas
Sertoli/leydig

21
Q

Are granulosa cell tumours benign or malignant?

A

Malignant

22
Q

What symptom may granulosa cells present with?

A

Vaginal bleeding - produced oestrogen

23
Q

Are fibromas benign or malignant?

A

Usually benign

24
Q

What do sertoli/leydig tumours secrete?

A

Testorsterone - hirsutism

25
Q

What is Meigs syndrome?

A

Ascities, pleural effusion and ovarian tumour (fibromas)

26
Q

What is Lynch syndrome?

A

Colon cancer, endometrial cancer, ovarian (serous) and gastric

27
Q

Where do ovarian metastases commonly come from?

A

Breast and GI tract

28
Q

What % of endometrial cancers occur in pre menopausal women?

A

15%

29
Q

What is the most common type of endometrial cancer?

A

Adenocarcinoma

30
Q

What are the precursor lesions for endometrial cancer?

A

Simple hyperplasia - low risk
Complex hyperplasia - 1-2% risk
Atypical hyperplasia - high risk

31
Q

Wha is the pre curse lesion for serous endometrial cancer?

A

Serous intra epithelial carcinoma

32
Q

Which type of endometrial cancer is not associated with oestrogen?

A

Serous

33
Q

What is a dermoid cyst also known as?

A

Teratoma

34
Q

What is the definition of POF?

A

<40 years

35
Q

What are the 3 forms of emergency contraception and the maximum time they can be used?

A

Levonorgestrel - 72 hours
Ullipristal - 120 hours
IUD - 5 days

36
Q

Where is the most common site of an ectopic?

A

Ampulla

37
Q

Should you give anti-D in an ectopic pregnancy?

A

Yes

38
Q

What can be used to shrink a fibroid before surgery?

A

GnRH analogue

39
Q

What can be used as an indication of ovulation?

A

Surge in progesterone at day 21

40
Q

What causes bacterial vaginosis?

A

Gardnerella vaginallis

41
Q

Treatment of chlamydia?

A

Azithromycin or doxycycline

42
Q

What is the treatment of gonorrhoea?

A

Ceftriaxone IM or/and Azithroycine

43
Q

3 diagnostic criteria of PCOS?

A

Clinical hyperangrogenism - hirsutism
Oligo/amenorrhoea
Polycystic ovaries on scan

Reproduction (7 decks)

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