GYN Flashcards
Portion of Menstrual Cycle that is Constant
Secretory
What is considered a pituitary gonadotropin?
Luteinizing hormone
Cells resembling histiocytes normally found in the endocervical canal with some vacuoles and poorly defined cytoplasm?
reserve cells
Luteinizing hormone peaks which day of cycle
14
Presence of mitotic figures means?
No pathological diagnosis
Example of protective reaction of uterine cervix is?
Hyperkeratosis
Type of cells indicate abortion?
Large cells with tight cluster of nuclei
Vaginal smear with ciliated glandular cells and metaplastic cells and inflammatory exudate is?
vaginal adenosis
Estrogen reaches its highest level at day?
14
Masculinizing tumor of the ovary is?
Sertoli-Leydig Cell tumor
Which structure in the ovary must degenerate for menses to occur?
Corpus Luteum
Ration of estrogen to follicle stimulating hormone is?
Inverse
Micro glandular hyperlasia is commonly associated with?
Birth Control
Which oart of the menstrual cycle is directly related to degenerated corpus albicans?
Menses
Pituitary hormone stimulates the follicles of the ovary to grow?
Follicle stimulating hormone
Maturation indenx of a patient with amenorrhea, low hair line, short webbing of neck?
100/0/0
Explanation why some pm patients have an intermediate cell maturation and others have deep atrophy?
increased vacuolization near the basal lamina
Advanced cirrhosis may show up on a pap with?
Increased estrogen effect
Secondary amenorrhea shows up with maturation index of?
Cant be determined without more information
Hyperkeratosis and Parakeratosis are significant because?
maybe overlie a possible lesion
Hypothyroidism possible maturation index of?
0/100/0
0/0/100
0/50/50
75/25/0
75/25/0
Tamoxifen citrate in pm breast cancer patients increases?
Cellular maturation
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?
immature metaplastic cells
Toeulopsis glabrata is simlar to candida except?
lacks hyphae
A abortive attempt at keratinization is?
parakeratosis
Effect of progesterone on an estrogen primed epithelium?
Decrease maturation to intermediate level
Accident that causes head injury followed with menometrorrhagia may be caused by?
Pituitary hypogoadism
Atypical feature verses nonkeratinizing squamous cell carcinoma is distinguished by?
coarse irregular chromatin
Pap smear with pools of mature and immature lymphocytes and tingible body macrophages is called?
follicular cervicitis
Pap smear pattern from Stein-Leventhal syndrome reveals?
superficial predominance and intermediate cells without folding or clustering
Vulvar itching with a Vulvar smear that showed parabasal cells in sheets, perinuclear halos, regular to coarse chromatin is likely
Pemphigus vulgaris
Pregancy deficiency causes multinucleated giant cells with normal n/c ratios
Folic Acid
Cytoplasmic streaming with moderate anisocytosis, fine to coarse chromatin, scattered throughout cervical smear is consistent with?
reparative/regenerative changes
Radiation effects include
macrocytic changes and polychromasia
Ovarian tumor that presents bilaterally?
Serous
Schiller tests identifies
Glycogenated areas with iodine
Micro Organism that maintains ph
lacto bacillus
Ssc is associated with hpv?
16 and 18 viral dna
Most common ovarian tumor is
Mature cystic teratoma
Associated with both Endometrial Adeno and hyperesteimism?
Endometrial hyperplasia
Endocervical adenocarcinoma verses Endometrial adeno can be distinguished by?
columnar shapeand granular cytoplasm
Mullerian tumor described as heterologous can be?
oateosarcoma andrndometrial carcinoma
vagina ovaries and uterus are from which germ cell?
mesoderm
hpv testing and cervicography are
adjunctive methods that lack specificity to determine the progression history
small to medium round single cells with hyperchromasia evenly distributed and compromising most of cellular area
nonkeratinizing dysplasia severe high grade
Endometrial adeno that is aggressive in atrophic endometrium of older pm woman
Poorly differentiated
An insitu of vulva is called
Bowen disease
Benign proliferation of undifferentiated cells under endocervical type is called
reserve cell hyperplasia
Condyloma of the cervix presents as
smudged nuclear features cavelike perinuclear vacuoles
Order of chromatin degeneration
Pyknosis, karyorrhexis, karyolysis
Low risk hpv
6 and 11
Reparative verses malignant process
normochromasia and cytoplasmic streaming
Clinical finding would place patient at risk for Candida
Diabetes
Mullerian ducts that fail to fuse result in?
bicornuate uterus (urerus with 2 cavities)
Strawberry cervix or petechial hemorrages of the vaginal wall and fornices are from which organism?
Trichomonas
Puerperal endometritis may present as
Reactive trophoblasts
irregular spherical structure associated with hemorragic artifact
hematoidin crystals
esteogenic effect upon normal squamous epithelium during follicular phase causes
increased deposition of glycogen in the cytoplasm
cells in late secretory and pregnancy are
navicular cells
42 nulliparous woman with irregular menses with midluteal endometrium shedding would be suggested to get
dilation and currettage to rule out hyperplasia in the endometrium
radiated crystalline arrays in late pregnancy
cockle burs
what clinical feature is associated with well differentiated endometrial cancer
nulliparous
hypothesized to promote squamous cell carcinoma of uterine cervix
oncogene activation secondary to hpv
human chorionic gonadotropin is produced
early oregnancy
What embryological duct system develops internal genetalia in females
paramesonephric
which tissue is most rediosrnsitive
gi epithelium
what finding helps diagnose well differentied endometrial carcinoma
basophillic watery diathesis
what condition is associated with development of endometrial
granulosa theca cell tumor
most common metastatic carcinoma
ovarian
columnar formation in malignant smear and no enocervical abnormality suggests considering
colon malignancy
glandular cells with cillia hyperchromatic and irregular chromatin
tubal metaplasia
psammomma bodies common in which malignancy
serous adenocarcinoma ovarian
frobdlike papillary projections birds eye macronucleoli irregular chromatin would be
ovarian in origin
vulvar lesions cells are like these shapes
round to oval
vulvar infection presents as a vesiculopustule
hoemophilus ducreyi
homologous mixed mullerian tumor of uterus is
leiomyosatcoma
differential diagnosis for keratinizing dysplaisa
dyskeratosis
differential diagnosis for bare nuclei of bormal endocervixal cells in pm parients
atypia of atrophy and maturity
large 3d clusters in 41 yr patient in clean background should be recommended for
endometrial biopsy to rule out endometriosis
blue blobs india ink eosinophilic and orangeopgilic diagnostic of
degenerated parabasal cells of atrophy
cells that can mimic follicular cervicitis
malignant lymphoma
important to note with repair
no single cells only sheets of cells
features with signet ring mucicarmine positive scalloped borders
mucinous endometrial carcinoma
adejocanthoma is odentofied cytologically by presence of
squamous metaplastic component
smooth chromatin loss of polarity and feathering effect is characteristic of
agus/wndocervical dysplasia
pseudo stratification micronucleoli columnar formation
endocervical adenocarcinoma
endometrial cells are identified in intrauterine devices as
large distended vacuoles
precursor for adenocarcinoma
endometrial polyps
