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Repro 2 Final AH > B9 Conditions Of Uterus, Cervix, Etc - Moulton > Flashcards

B9 Conditions Of Uterus, Cervix, Etc - Moulton Flashcards

1
Q

Which is more common: endo or ectocervical polyps?

Which is beefy red in color?

Pale?

A

Endo

Endo

Ecto

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2
Q

What fx ovarian cyst is reddish-brown nodule and spontaneously regress postpartum?

A

Luteoma of pregnancy

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5
Q

Definitive therapy for leiomyomas?

A

Hysterectomy

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6
Q

What is a small, smooth solid ovarian neoplasm, usually b9, w/large fibrotic component that resemble transitional cells of bladder?

A

Brenner tumor

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8
Q

Most common presenting sx of fibroids?

A

Prolonged or heavy bleeding

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10
Q

What is a normal variant in which columnar cells secrete mucus and a retention cyst is formed resulting from squamous metaplasia?

A

Nabothian cyst

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11
Q

Endometrial hyperplasia is a precursor to what?

Diagnose how?

A

Endometrial cancer

US reveals endometrial lining > 4 mm in post-menopausal female

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12
Q

What presents w/acute onset of u/l pain, nausea and vomiting?

Diagnose how?

A

Ovarian torsion

US then direct visualization

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13
Q

Most common congenital cervical anomalies?

A

Didelphys and septate cervix

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14
Q

Hydrosalpinx is what?

A

Previous infection of fallopian tubes

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15
Q

What % of endometrial polyps are cancerous?

A

2% pre-menopause

5% post

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16
Q

Pyosalpinx is what?

A

ACTIVE infection of fallopian tube

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17
Q

What tumor marker is useful in diagnosing epithelial type ovarian cancer in post-menopausal woman?

A

CA 125

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19
Q

Epithelial b9 ovarian tumors usually managed how?

Stromal cell tumors?

A

U/l salpingo-oophorectomy

SAME

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20
Q

Primary RF for ovarian torsion?

Tx if necrotic or malignant?

A

Ovarian mass > 5cm

Salpingo-oophorectomy

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24
Q

What is the most common b9 SOLID ovarian tumor?

Part of what syndrome?

A

Fibroma

Meigs

25
Q

DES exposure causes what abnormality?

A

T shaped endometrial cavity

Cervical collar deformity

26
Q

How to diagnose b9 ovarian tumor?

To remove it?

A

US or laparoscopy

Laparotomy

29
Q

Upper vagina, cervix, uterus and fallopian tubes formed from what?

A

Paramesonephric (mullerian) ducts

32
Q

What functional cyst is more likely to cause sx?

Caused by what?

A

Hemorrhagic cyst

Hemorrhage in CL cyst 2-3 days after ovulation

33
Q

What is usually b/l and can become large (> 30cm) and may have high hCG levels?

A

Theca-lutein cyst

35
Q

Serous ovarian tumors resemble what?

Mucinous?

A

Lining of fallopian tubes

Endocervical epithelium

37
Q

What tumor is assoc. w/Rokintanksy’s protuberance?

Rupture can lead to what?

A

Cystic teratoma

Peritonitis

39
Q

What is the single most common B9 ovarian neoplasm in pre-meno female?

A

Dermoid cyst (B9 cystic teratoma)

40
Q

Top 3 locations for uterine fibroids?

A

Intramural - #1, myometrium
Subserosal - beneath uterine serosal surface
Submucosal - prolonged/heavy bleeding, beneath endometrium

41
Q

Incomplete dissolution of the midline fusion of the paramesonephric ducts leads to what?

A

Septate uterus

43
Q

Fx ovarian cyst can do what?

Management?

A

Become large and undergo torsion

Asx - OCP
Sx and pre-meno - r/o ectopic, torsion, tubo-ovarian abscess

44
Q

What can endometrial polyps cause?

A

Menorrhagia, spontaneous or post menopausal bleeding

50
Q

Tx for simple and complex hyperplasia w/out atypia?

W/atypia?

A

Progestin and resample in 3mo

Hysterectomy

52
Q

Benign tumors derived from localized proliferation of smooth muscle cells of the myometrium are what?

When do they arise?

A

Leiomyomas (fibroids)

> 70% by 5th decade

53
Q

What are spherical, well-circumscribed, white firm lesions w/whorled appearance?

What happens to these during pregnancy?

A

Fibroids

5-10% get painful degen caused by bleeding into the tumor

55
Q

What location has increased incidence of infertility for fibroids?

A

Submucosal

56
Q

Tx of leiomyomas (fibroids)?

A

Combo estrogen and progesterone
Progesterone only
GnRH agonists

57
Q

Absence of uterus and most of vagina seen in what?

A

MRKH syndrome

Repro 2 Final AH (9 decks)

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