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OBGYN > Benign gynecologic lesions > Flashcards

Benign gynecologic lesions Flashcards

1
Q

Apocrine sweat gland cyst that is microcystic

A

Fox-Fordyce Disease

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2
Q

Located at the entrance of the vagina at 5 to 7 o clock position

A

Bartholin’s Glands

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3
Q

___ remnant of mesonephric duct of the wolffian system; submucosal along anterior or lateral wall of the upper vagina’ dysontogenic cyst

A

Gartner Duct Cyst

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4
Q

What is the most common benign solid tumor of the vulva?

A

fibroma

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5
Q

What is the second most frequent type of benign vulvar mesenchymal tumor?

A

Lipoma

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6
Q

What is the most common benign neoplastic newgrowth of the cervix?

A

Cervical polyp
- grayish white

Endocervical polyp - cherry red

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7
Q

___ refers to smooth, firm, solitary mass arising from the isthmus

A

cervical myoma

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8
Q

What are the histologic components of an endometrial polyp?

A
  1. Endometrial glands
  2. Endometrial stroma
  3. Central vascular channels
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9
Q

___ refers to a benign tumor of the muscle cell origin located in the uterus

A

Leiomyoma

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10
Q

What is the most frequent pelvic tumor and the most common tumor in women

A

leiomyoma

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11
Q

What are the 3 most common types of leiomyoma?

A
  1. Intramural
  2. Subserous
  3. Submucous
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12
Q

What are the components of the Halban triad in corpus luteum cyst?

A
  1. Spotting with delay in menses
  2. Unilateral pelvic pain
  3. Small, tender adnexal mass
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13
Q

___ multiple luteinized follicular cyst

A

hyperreactio luteinalis

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14
Q

What is the most frequent ovarian epithelial tumors; resembles fallopian tube?

A

Serous cystadenoma

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15
Q

___ is an epithelial, transitional cell tumor, similar to transitional epithelium of the urinary bladder; coffee-bean appearing nucleus

A

Brenner Tumor

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16
Q

What is the most common neoplasm in prepubertal female

A

benigh cystic teratoma

17
Q

What is the most common solid tumor of the ovary?

18
Q

__ syndrom

Ovarian fibroma
Ascites
Hydrothorax

A

Meig’s syndrome

19
Q

[Serum markers]

beta hCG
LDH

A

Dysgerminoma

20
Q

[Serum markers]

AFP only

A

endoderma sinus tumor

21
Q

[Serum markers]

beta hCG only

A

choriocarcinoma

22
Q

[Serum markers]

AFP
LDH
Ca-125

A

Immature teratoma

23
Q

[Serum markers]

beta hCG
AFP

A

embryonal CA

24
Q

[Management of adnexal masses]

Asymptomatic with simple cysts <5cm

A
  1. expectant management

2. Timing of UTZ in the first half of the follicular phase (day 4 to 6)

25
Q

[Management of adnexal masses]

Asymptomatic with simple cyst 5-7cm

A
  1. Yearly UTZ
  2. MRI or surgery
  3. Persisitent: repeat UTZ at 6 months with CA 125 determination
26
Q

[Management of adnexal masses]

persistent asymptomatic ovarian cyst or with suspicion fo malignancy

27
Q

[Management of adnexal masses]

asymptomatic woman when the evaluation shows CA-125 level <200 and not TVS finding suspicious CA

28
Q

[Management of adnexal masses: Postemnopausal]

Symptomatic
Suspicious or persistent complex adnexal cyst >7cm in diameter

29
Q

What is the most frequent symptom of acute PID?

A

new onset lower abdominal and pelvic pain

30
Q

Empiric treatment can be started for PID to these patients

A

Sexually active young woman with

  1. Lower abdominal tenderness
  2. Adnexal tenderness
  3. Cervical motion tenderness
31
Q

What are the criteria to diagnose PID?

A
  1. Lower abdominal tenderness
  2. Adnexal tenderness
  3. Cervical motion tenderness

Add:

  1. Temo >38
  2. mucupurulent discharge
  3. Abundant WBC
  4. Elevated ESR
  5. Elevated CRP
  6. Documentation of N. gonorrhea and C. trachomatis
32
Q

What are the hospitalization criteria for PID?

A
  1. Surgical emergency cannot be excluded
  2. Tubo-ovarian abscess
  3. Pregnancy
  4. Severe illness, nausea, vomiting, high fever
  5. Unable to follow or tolerate an OPD regimen
  6. No clinical response to oral antibiotics
33
Q

What are the recommended IV treatment for PID?

A
  1. Cefotetan + Doxycycline
  2. Cefoxitin + Doxycycline
  3. Clindamycin + Gentamicin

Aternative

  1. AmpiSul + Doxycyline
34
Q

What are recommended IM/Oral regiment for PID?

A
  1. Ceftri 250mg IM SD + Doxycycline 100mg BID x 14 days With or without metronidazole 500mg BID x 14 days
  2. Cefoxitin 2g IM + Doxycycline 100mg BID x 14 days with or without metronidazole 500mg BID PO
35
Q

Clinical improvement in patients with PID is expected after ?

A

3 days after initiation of therapy

admit if no improvement

36
Q

When will you do retesting for women who was recently treated with PID?

37
Q

What are the PID sequelae?

A
  1. Ectopic Pregnancy
  2. Infertility
  3. Chronic pelvic pain
  4. Subsequent PID

OBGYN (33 decks)

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