GYN Flashcards

1
Q

Portion of Menstrual Cycle that is Constant

A

Secretory

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2
Q

What is considered a pituitary gonadotropin?

A

Luteinizing hormone

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3
Q

Cells resembling histiocytes normally found in the endocervical canal with some vacuoles and poorly defined cytoplasm?

A

reserve cells

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4
Q

Luteinizing hormone peaks which day of cycle

A

14

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5
Q

Presence of mitotic figures means?

A

No pathological diagnosis

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6
Q

Example of protective reaction of uterine cervix is?

A

Hyperkeratosis

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7
Q

Type of cells indicate abortion?

A

Large cells with tight cluster of nuclei

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8
Q

Vaginal smear with ciliated glandular cells and metaplastic cells and inflammatory exudate is?

A

vaginal adenosis

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9
Q

Estrogen reaches its highest level at day?

A

14

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10
Q

Masculinizing tumor of the ovary is?

A

Sertoli-Leydig Cell tumor

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11
Q

Which structure in the ovary must degenerate for menses to occur?

A

Corpus Luteum

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12
Q

Ration of estrogen to follicle stimulating hormone is?

A

Inverse

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13
Q

Micro glandular hyperlasia is commonly associated with?

A

Birth Control

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14
Q

Which oart of the menstrual cycle is directly related to degenerated corpus albicans?

A

Menses

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15
Q

Pituitary hormone stimulates the follicles of the ovary to grow?

A

Follicle stimulating hormone

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16
Q

Maturation indenx of a patient with amenorrhea, low hair line, short webbing of neck?

A

100/0/0

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17
Q

Explanation why some pm patients have an intermediate cell maturation and others have deep atrophy?

A

increased vacuolization near the basal lamina

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18
Q

Advanced cirrhosis may show up on a pap with?

A

Increased estrogen effect

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19
Q

Secondary amenorrhea shows up with maturation index of?

A

Cant be determined without more information

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20
Q

Hyperkeratosis and Parakeratosis are significant because?

A

maybe overlie a possible lesion

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21
Q

Hypothyroidism possible maturation index of?
0/100/0
0/0/100
0/50/50
75/25/0

A

75/25/0

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22
Q

Tamoxifen citrate in pm breast cancer patients increases?

A

Cellular maturation

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23
Q

Cells with spinelike processes protruding from cytoplasmic membrane (spider cells) pvcurring singularly and rarely in sheets with smooth nuclear margins found proximal to the endocervical canal are?

A

immature metaplastic cells

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24
Q

Toeulopsis glabrata is simlar to candida except?

A

lacks hyphae

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25
Q

A abortive attempt at keratinization is?

A

parakeratosis

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26
Q

Effect of progesterone on an estrogen primed epithelium?

A

Decrease maturation to intermediate level

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27
Q

Accident that causes head injury followed with menometrorrhagia may be caused by?

A

Pituitary hypogoadism

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28
Q

Atypical feature verses nonkeratinizing squamous cell carcinoma is distinguished by?

A

coarse irregular chromatin

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29
Q

Pap smear with pools of mature and immature lymphocytes and tingible body macrophages is called?

A

follicular cervicitis

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30
Q

Pap smear pattern from Stein-Leventhal syndrome reveals?

A

superficial predominance and intermediate cells without folding or clustering

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31
Q

Vulvar itching with a Vulvar smear that showed parabasal cells in sheets, perinuclear halos, regular to coarse chromatin is likely

A

Pemphigus vulgaris

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32
Q

Pregancy deficiency causes multinucleated giant cells with normal n/c ratios

A

Folic Acid

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33
Q

Cytoplasmic streaming with moderate anisocytosis, fine to coarse chromatin, scattered throughout cervical smear is consistent with?

A

reparative/regenerative changes

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34
Q

Radiation effects include

A

macrocytic changes and polychromasia

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35
Q

Ovarian tumor that presents bilaterally?

A

Serous

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36
Q

Schiller tests identifies

A

Glycogenated areas with iodine

37
Q

Micro Organism that maintains ph

A

lacto bacillus

38
Q

Ssc is associated with hpv?

A

16 and 18 viral dna

39
Q

Most common ovarian tumor is

A

Mature cystic teratoma

40
Q

Associated with both Endometrial Adeno and hyperesteimism?

A

Endometrial hyperplasia

41
Q

Endocervical adenocarcinoma verses Endometrial adeno can be distinguished by?

A

columnar shapeand granular cytoplasm

42
Q

Mullerian tumor described as heterologous can be?

A

oateosarcoma andrndometrial carcinoma

43
Q

vagina ovaries and uterus are from which germ cell?

A

mesoderm

44
Q

hpv testing and cervicography are

A

adjunctive methods that lack specificity to determine the progression history

45
Q

small to medium round single cells with hyperchromasia evenly distributed and compromising most of cellular area

A

nonkeratinizing dysplasia severe high grade

46
Q

Endometrial adeno that is aggressive in atrophic endometrium of older pm woman

A

Poorly differentiated

47
Q

An insitu of vulva is called

A

Bowen disease

48
Q

Benign proliferation of undifferentiated cells under endocervical type is called

A

reserve cell hyperplasia

49
Q

Condyloma of the cervix presents as

A

smudged nuclear features cavelike perinuclear vacuoles

50
Q

Order of chromatin degeneration

A

Pyknosis, karyorrhexis, karyolysis

51
Q

Low risk hpv

A

6 and 11

52
Q

Reparative verses malignant process

A

normochromasia and cytoplasmic streaming

53
Q

Clinical finding would place patient at risk for Candida

A

Diabetes

54
Q

Mullerian ducts that fail to fuse result in?

A

bicornuate uterus (urerus with 2 cavities)

55
Q

Strawberry cervix or petechial hemorrages of the vaginal wall and fornices are from which organism?

A

Trichomonas

56
Q

Puerperal endometritis may present as

A

Reactive trophoblasts

57
Q

irregular spherical structure associated with hemorragic artifact

A

hematoidin crystals

58
Q

esteogenic effect upon normal squamous epithelium during follicular phase causes

A

increased deposition of glycogen in the cytoplasm

59
Q

cells in late secretory and pregnancy are

A

navicular cells

60
Q

42 nulliparous woman with irregular menses with midluteal endometrium shedding would be suggested to get

A

dilation and currettage to rule out hyperplasia in the endometrium

61
Q

radiated crystalline arrays in late pregnancy

A

cockle burs

62
Q

what clinical feature is associated with well differentiated endometrial cancer

A

nulliparous

63
Q

hypothesized to promote squamous cell carcinoma of uterine cervix

A

oncogene activation secondary to hpv

64
Q

human chorionic gonadotropin is produced

A

early oregnancy

65
Q

What embryological duct system develops internal genetalia in females

A

paramesonephric

66
Q

which tissue is most rediosrnsitive

A

gi epithelium

67
Q

what finding helps diagnose well differentied endometrial carcinoma

A

basophillic watery diathesis

68
Q

what condition is associated with development of endometrial

A

granulosa theca cell tumor

69
Q

most common metastatic carcinoma

A

ovarian

70
Q

columnar formation in malignant smear and no enocervical abnormality suggests considering

A

colon malignancy

71
Q

glandular cells with cillia hyperchromatic and irregular chromatin

A

tubal metaplasia

72
Q

psammomma bodies common in which malignancy

A

serous adenocarcinoma ovarian

73
Q

frobdlike papillary projections birds eye macronucleoli irregular chromatin would be

A

ovarian in origin

74
Q

vulvar lesions cells are like these shapes

A

round to oval

75
Q

vulvar infection presents as a vesiculopustule

A

hoemophilus ducreyi

76
Q

homologous mixed mullerian tumor of uterus is

A

leiomyosatcoma

77
Q

differential diagnosis for keratinizing dysplaisa

A

dyskeratosis

78
Q

differential diagnosis for bare nuclei of bormal endocervixal cells in pm parients

A

atypia of atrophy and maturity

79
Q

large 3d clusters in 41 yr patient in clean background should be recommended for

A

endometrial biopsy to rule out endometriosis

80
Q

blue blobs india ink eosinophilic and orangeopgilic diagnostic of

A

degenerated parabasal cells of atrophy

81
Q

cells that can mimic follicular cervicitis

A

malignant lymphoma

82
Q

important to note with repair

A

no single cells only sheets of cells

83
Q

features with signet ring mucicarmine positive scalloped borders

A

mucinous endometrial carcinoma

84
Q

adejocanthoma is odentofied cytologically by presence of

A

squamous metaplastic component

85
Q

smooth chromatin loss of polarity and feathering effect is characteristic of

A

agus/wndocervical dysplasia

86
Q

pseudo stratification micronucleoli columnar formation

A

endocervical adenocarcinoma

87
Q

endometrial cells are identified in intrauterine devices as

A

large distended vacuoles

88
Q

precursor for adenocarcinoma

A

endometrial polyps