Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Women's Health > Benign Ovarian Tumors > Flashcards

Benign Ovarian Tumors Flashcards

1
Q

what do symptoms of unilateral, intermittent, and then acutely worsening pelvic pain indicate?

A

ovarian torsion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what do symptoms of progressive pelvic pain associated with fevers, chills, vomiting, and vaginal discharge

A

tubo-ovarian abscess

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

women who report acute or chronic dysmenorrhea or pain with intercourse may have an _______

A

endometrioma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

persistent bloating, generalized abdominal pain, and early satiety may be signs of _____

A

malignancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

abnormal uterine bleeding or postmenopausal bleeding may he caused by estrogen produced by sex ___-_____ _____

A

cord-stromal tumors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the most commonly used imaging technique for the evaluation of adnexal masses? 2nd line?

A

transvaginal ultrasound

abdominal ultrasound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what lab may help to distinguish between benign and malignant masses?

A

CA-125

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

the most widely method of screening for ovarian cancer

A

CA-125

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

23 yo G1P1 presents to clinic with a new crampy pain in her right pelvic over the last 3 days. last menstrual period was 3 weeks ago and was normal. she uses condoms and her urine pregnancy test is negative. on pelvic exam, a 3-4 cm tender cystic mass is found in the right adnexa. The remainder of exam is negative. next step?

A

transvaginal US

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

23 yo G1P1 presents to clinic with a new crampy pain in her right pelvic over the last 3 days. last menstrual period was 3 weeks ago and was normal. she uses condoms and her urine pregnancy test is negative. on pelvic exam, a 3-4 cm tender cystic mass is found in the right adnexa. The remainder of exam is negative. the best management would be to schedule….

A

return visit to office in 6 weeks

patient will be in diff menstrual cycle so US to be repeated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

follicle diameter of at least 3cm that causes pelvic pain, a dull sensation, or heaviness in the pelvis; it is mobile, unilateral and not associated with ascites

A

functional ovarian cyst

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what will be noted on a bimanual exam to indicate a functional ovarian cyst?

A

5-8 cm cystic adnexal mass

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

23 yo G1P1 presents to clinic with a new crampy pain in her right pelvic over the last 3 days. last menstrual period was 3 weeks ago and was normal. she uses condoms and her urine pregnancy test is negative. on pelvic exam, a 3-4 cm tender cystic mass is found in the right adnexa. The remainder of exam is negative. During f/u visit, the patient feels better and pelvic exam is unremarkable. transvaginal US shows no ovarian cyst bilaterally. what should you offer her?

A

OCPs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what agents may be given to suppress gonadotropin levels and prevent development of another cyst?

A

low-dose contraceptives

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

when to refer to gynecology for a cyst? (4)

A

cyst persists over 6 weeks
symptomatic
large cyst (10cm or more)
ovarian torsion cannot be ruled out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

32 yo G1P1 comes to ER c/o sudden onset of LLQ pain that started 2 hours ago. The pain is sharp and comes in waves and is associated with nausea and vomiting. PE is remarkable for a left adnexal fullness and rebound and guarding. Transvaginal US shows 5cm ovarian cyst. No blood flow to left ovary. Dx? treatment?

A

ovarian torsion

left salpingoophorectomy

17
Q

in adult females, what is the most likely factor to predispose to ovarian torsion?

A

functional ovarian cyst

18
Q

25 yo G0 complains of painful full sensation in her right lower quadrant. She has had regular periods since menarche and has no history of STDs. on PE, you find a mobile mass in her right adenxae about 8x8 cm. Her urine pregnancy is negative and you order a transvaginal US, which shows an 8cm right adnexal mass that is composed of mixed and solid components, some which are calcified. No evidence of ascites and the left adnexa is unremarkable. Dx?

A

dermoid cyst

19
Q

what is the most common ovarian neoplasm that is a germ cell tumor?

A

dermoid cyst

20
Q

what is the treatment for a dermoid cyst if it is symptomatic or large?

A

cystectomy or oophectomy

21
Q

what is the treatment for a dermoid cyst if it is small without symptoms?

A

expectant management (wait and see / observe)

22
Q

32 yo patient comes for routine annual exam. Does not have any complaints. Gyn history is remarkable for chlamydia infection 2 yrs ago and was treated successfully. on pelvic exam, there is a 4x4 cm left adnexal fullness. Pregnancy test is negative. transvaginal US shows tubular structure adjacent to left ovary without pelvic fluid. Dx?

A

hydrosalpinx

23
Q

the 2 most benign tumors of the fallopian tubes are called:

A

hydrosalpinx
pyosalpinx

24
Q

how to definitively diagnose a fallopian tube tumor?

A

salpingectomy

25
Q

35 yo G2P1001 c/o pelvic pain and pressure, she is currently 10 weeks pregnant. serum quantitative pregnancy hormone is 250,000 IU. transvaginal US shows a uterus with heterogeneous material and bilateral 10cm ovarian cysts. based on US, you suspect the patient has a molar pregnancy. what type of cyst does this patient have?

A

theca-lutein cyst

26
Q

what is the treatment for theca-lutein cysts? (3)

A

discontinuation of medications
IV fluids
correct electrolytes

27
Q

what is the treatment for a theca-lutein cyst in a patient with a molar pregnancy?

A

evacuation of uterine contents (dilation + curettage)

28
Q

what causes theca-lutein cysts to occur?

A

elevated HCG hormone (pregnancy)

29
Q

28 yo G0P0 woman presents to ER with sudden onset of RLQ pain that started after sexual intercourse. patient has hx of ovarian cysts and is not using any contraceptives. PE is remarkable for right lower quadrant tenderness to palpation. TVUS shows pelvic fluid and pregnancy test is negative. Dx?

A

ruptured cyst

30
Q

what may prevent the development of new ovarian cysts, but cannot prevent rupture of existing ones?

A

hormonal treatments

31
Q

which ovary is most commonly associated with a ruptured ovarian cyst?

A

right ovary

not protected by rectosigmoid colon like left side

32
Q

what imaging should be ordered if a ruptured ovarian cyst is suspected?

A

pelvic ultrasound

33
Q

treatment for uncomplicated ruptured ovarian cyst?

A

observation

34
Q

treatment for complicated ruptured ovarian cyst?

A

inpatient +/- surgery

35
Q

what 2 signs indicate a complicated ruptured ovarian cyst?

A

hypotension
tachycardia

Women's Health (20 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions