Benign gynecologic lesions

Question 1

Apocrine sweat gland cyst that is microcystic

Answer 1

Fox-Fordyce Disease

Question 2

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

Answer 2

Bartholin’s Glands

Question 3

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

Answer 3

Gartner Duct Cyst

Question 4

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

Answer 4

fibroma

Question 5

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

Answer 5

Lipoma

Question 6

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

Answer 6

Cervical polyp
- grayish white

Endocervical polyp - cherry red

Question 7

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

Answer 7

cervical myoma

Question 8

What are the histologic components of an endometrial polyp?

Answer 8

1. Endometrial glands
2. Endometrial stroma
3. Central vascular channels

Question 9

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

Answer 9

Leiomyoma

Question 10

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

Answer 10

leiomyoma

Question 11

What are the 3 most common types of leiomyoma?

Answer 11

1. Intramural
2. Subserous
3. Submucous

Question 12

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

Answer 12

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

Question 13

___ multiple luteinized follicular cyst

Answer 13

hyperreactio luteinalis

Question 14

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

Answer 14

Serous cystadenoma

Question 15

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

Answer 15

Brenner Tumor

Question 16

What is the most common neoplasm in prepubertal female

Answer 16

benigh cystic teratoma

Question 17

What is the most common solid tumor of the ovary?

Answer 17

Fobroma

Question 18

__ syndrom

Ovarian fibroma
Ascites
Hydrothorax

Answer 18

Meig’s syndrome

Question 19

[Serum markers]

beta hCG
LDH

Answer 19

Dysgerminoma

Question 20

[Serum markers]

AFP only

Answer 20

endoderma sinus tumor

Question 21

[Serum markers]

beta hCG only

Answer 21

choriocarcinoma

Question 22

[Serum markers]

AFP
LDH
Ca-125

Answer 22

Immature teratoma

Question 23

[Serum markers]

beta hCG
AFP

Answer 23

embryonal CA

Question 24

[Management of adnexal masses]

Asymptomatic with simple cysts <5cm

Answer 24

1. expectant management

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

Question 25

[Management of adnexal masses] Asymptomatic with simple cyst 5-7cm

Answer 25

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

Question 26

[Management of adnexal masses] persistent asymptomatic ovarian cyst or with suspicion fo malignancy

Answer 26

Surgery

Question 27

[Management of adnexal masses] asymptomatic woman when the evaluation shows CA-125 level <200 and not TVS finding suspicious CA

Answer 27

observe

Question 28

[Management of adnexal masses: Postemnopausal] Symptomatic Suspicious or persistent complex adnexal cyst >7cm in diameter

Answer 28

Surgery

Question 29

What is the most frequent symptom of acute PID?

Answer 29

new onset lower abdominal and pelvic pain

Question 30

Empiric treatment can be started for PID to these patients

Answer 30

Sexually active young woman with 1. Lower abdominal tenderness 2. Adnexal tenderness 3. Cervical motion tenderness

Question 31

What are the criteria to diagnose PID?

Answer 31

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

Question 32

What are the hospitalization criteria for PID?

Answer 32

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

Question 33

What are the recommended IV treatment for PID?

Answer 33

1. Cefotetan + Doxycycline 2. Cefoxitin + Doxycycline 3. Clindamycin + Gentamicin Aternative 4. AmpiSul + Doxycyline

Question 34

What are recommended IM/Oral regiment for PID?

Answer 34

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

Question 35

Clinical improvement in patients with PID is expected after ?

Answer 35

3 days after initiation of therapy admit if no improvement

Question 36

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

Answer 36

3 months

Question 37

What are the PID sequelae?

Answer 37

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