B9 Conditions Of Uterus, Cervix, Etc - Moulton

Question 1

Which is more common: endo or ectocervical polyps?

Which is beefy red in color?

Pale?

Answer 1

Endo

Endo

Ecto

Question 2

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

Answer 2

Luteoma of pregnancy

Question 5

Definitive therapy for leiomyomas?

Answer 5

Hysterectomy

Question 6

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

Answer 6

Brenner tumor

Question 8

Most common presenting sx of fibroids?

Answer 8

Prolonged or heavy bleeding

Question 10

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

Answer 10

Nabothian cyst

Question 11

Endometrial hyperplasia is a precursor to what?

Diagnose how?

Answer 11

Endometrial cancer

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

Question 12

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

Diagnose how?

Answer 12

Ovarian torsion

US then direct visualization

Question 13

Most common congenital cervical anomalies?

Answer 13

Didelphys and septate cervix

Question 14

Hydrosalpinx is what?

Answer 14

Previous infection of fallopian tubes

Question 15

What % of endometrial polyps are cancerous?

Answer 15

2% pre-menopause

5% post

Question 16

Pyosalpinx is what?

Answer 16

ACTIVE infection of fallopian tube

Question 17

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

Answer 17

CA 125

Question 19

Epithelial b9 ovarian tumors usually managed how?

Stromal cell tumors?

Answer 19

U/l salpingo-oophorectomy

SAME

Question 20

Primary RF for ovarian torsion?

Tx if necrotic or malignant?

Answer 20

Ovarian mass > 5cm

Salpingo-oophorectomy

Question 24

What is the most common b9 SOLID ovarian tumor?

Part of what syndrome?

Answer 24

Fibroma

Meigs

Question 25

DES exposure causes what abnormality?

Answer 25

T shaped endometrial cavity

Cervical collar deformity

Question 26

How to diagnose b9 ovarian tumor?

To remove it?

Answer 26

US or laparoscopy

Laparotomy

Question 29

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

Answer 29

Paramesonephric (mullerian) ducts

Question 32

What functional cyst is more likely to cause sx?

Caused by what?

Answer 32

Hemorrhagic cyst

Hemorrhage in CL cyst 2-3 days after ovulation

Question 33

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

Answer 33

Theca-lutein cyst

Question 35

Serous ovarian tumors resemble what?

Mucinous?

Answer 35

Lining of fallopian tubes

Endocervical epithelium

Question 37

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

Rupture can lead to what?

Answer 37

Cystic teratoma

Peritonitis

Question 39

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

Answer 39

Dermoid cyst (B9 cystic teratoma)

Question 40

Top 3 locations for uterine fibroids?

Answer 40

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

Question 41

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

Answer 41

Septate uterus

Question 43

Fx ovarian cyst can do what? Management?

Answer 43

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

Question 44

What can endometrial polyps cause?

Answer 44

Menorrhagia, spontaneous or post menopausal bleeding

Question 50

Tx for simple and complex hyperplasia w/out atypia? W/atypia?

Answer 50

Progestin and resample in 3mo Hysterectomy

Question 52

Benign tumors derived from localized proliferation of smooth muscle cells of the myometrium are what? When do they arise?

Answer 52

Leiomyomas (fibroids) > 70% by 5th decade

Question 53

What are spherical, well-circumscribed, white firm lesions w/whorled appearance? What happens to these during pregnancy?

Answer 53

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

Question 55

What location has increased incidence of infertility for fibroids?

Answer 55

Submucosal

Question 56

Tx of leiomyomas (fibroids)?

Answer 56

Combo estrogen and progesterone Progesterone only GnRH agonists

Question 57

Absence of uterus and most of vagina seen in what?

Answer 57

MRKH syndrome