4th Year Repro

Question 1

Cause of a strawberry cervix and treatment?

Answer 1

Trichomonas and metronidazole

Question 2

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

Answer 2

Complex

Question 3

What organism causes Syphillis?

Answer 3

Treponema pallidum

Question 4

Treatment of syphilis?

Answer 4

Penicillin or Doxycycline

Question 5

What are the 3 main classes of ovarian tumours?

Answer 5

Germ cell tumours
Sex cord stromal
Epithelial

Question 6

Name 5 types of epithelial cell ovarian tumour?

Answer 6

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

Question 7

2 types of serous epithelial tumours?

Answer 7

serous cystadenoma - benign

Serous cystuadenocarcinoma - malignant

Question 8

What are the 2 types of muscinous epithelial carcinoma?

Answer 8

Muscinous cyst adenomas - bening

Muscinous cystadenocarcinomas - malignant

Question 9

What cells for edometrioid tumours?

Answer 9

Ectopic endometrial cells

Question 10

What are malignant endometrioid tumours often associated with?

Answer 10

Endometrial cancer

Question 11

What are benign endometriomas often called?

Answer 11

Chocolate cysts

Question 12

What is the prognosis of clear cell tumours?

Answer 12

Poor

Question 13

What cells form transitional cell ovarian tumours?

Answer 13

Ectopic transitional cells from the bladder

Question 14

Name the 4 types of germ cell ovarian tumour?

Answer 14

Teratoma
Choriocarcinoma
Dysgerminoma
Yolk sac tumours

Question 15

Two types of teratoma?

Answer 15

Mature cystic - benign

Immature - malignant

Question 16

Where do dysgerminonas originate from?

Answer 16

The oocyte

Question 17

What are dysgerminomas sensitive to?

Answer 17

radiotherapy

Question 18

What marked is raised in choriocarcinomas?

Answer 18

Beta HCG

Question 19

What age group are yolk sac tumours commoner in?

Answer 19

Children

Question 20

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

Answer 20

Granulosa
Fibromas
Sertoli/leydig

Question 21

Are granulosa cell tumours benign or malignant?

Answer 21

Malignant

Question 22

What symptom may granulosa cells present with?

Answer 22

Vaginal bleeding - produced oestrogen

Question 23

Are fibromas benign or malignant?

Answer 23

Usually benign

Question 24

What do sertoli/leydig tumours secrete?

Answer 24

Testorsterone - hirsutism

Question 25

What is Meigs syndrome?

Answer 25

Ascities, pleural effusion and ovarian tumour (fibromas)

Question 26

What is Lynch syndrome?

Answer 26

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

Question 27

Where do ovarian metastases commonly come from?

Answer 27

Breast and GI tract

Question 28

What % of endometrial cancers occur in pre menopausal women?

Answer 28

15%

Question 29

What is the most common type of endometrial cancer?

Answer 29

Adenocarcinoma

Question 30

What are the precursor lesions for endometrial cancer?

Answer 30

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

Question 31

Wha is the pre curse lesion for serous endometrial cancer?

Answer 31

Serous intra epithelial carcinoma

Question 32

Which type of endometrial cancer is not associated with oestrogen?

Answer 32

Serous

Question 33

What is a dermoid cyst also known as?

Answer 33

Teratoma

Question 34

What is the definition of POF?

Answer 34

<40 years

Question 35

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

Answer 35

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

Question 36

Where is the most common site of an ectopic?

Answer 36

Ampulla

Question 37

Should you give anti-D in an ectopic pregnancy?

Answer 37

Yes

Question 38

What can be used to shrink a fibroid before surgery?

Answer 38

GnRH analogue

Question 39

What can be used as an indication of ovulation?

Answer 39

Surge in progesterone at day 21

Question 40

What causes bacterial vaginosis?

Answer 40

Gardnerella vaginallis

Question 41

Treatment of chlamydia?

Answer 41

Azithromycin or doxycycline

Question 42

What is the treatment of gonorrhoea?

Answer 42

Ceftriaxone IM or/and Azithroycine

Question 43

3 diagnostic criteria of PCOS?

Answer 43

Clinical hyperangrogenism - hirsutism Oligo/amenorrhoea Polycystic ovaries on scan