Gyn Path I

Question 1

Products of conception during an endometrial biopsy include

Answer 1

fetal and placental parts (more likely)

Question 2

Most common cause for endometrial biopsy

Answer 2

abnormal biopsy

Question 3

First evidence of ovulation in an endometrial biopsy

Answer 3

Abundant subnuclear vacuoles after day 17 (single, non stratified row of nuclei)

Question 4

During day 20-21 path shows ____ of the vacuoles

Answer 4

secretion

Question 5

Day 23-25 show ___ arteries

Answer 5

spiral

Question 6

Day 26-27 path shows ___ and ___ of pink cells

Answer 6

lymphocytes; sheets

Question 7

Menorrhagia has ___ bleeding at ___ intervals

Answer 7

excessive; regular

Question 8

Metorrhagia has ___ bleeding at ___ intervals

Answer 8

has non-heavy bleeding at irregular intervals

Question 9

Dysfunctional uterine bleeding (DUB) indicates ___ cycles

Answer 9

anovulatory

Question 10

DUB excludes ____ bleeding (time) and any specific path process

Answer 10

postmenopausal

Question 11

The lack of ___ bc there is no ovulation results in continued proliferation and eventually breakdown due to insufficient ___ supply

Answer 11

progesterone; vascular

Question 12

DUB on path shows aggregates of ____ cells and ___

Answer 12

stromal; blood

Question 13

Stromal blue balls are seen in ___

Answer 13

DUB

Question 14

Endometrial atrophy occurs due to lack of ___ stimulation in postmenopausal women

Answer 14

estrogen

Question 15

Main path change is a __ change to the glands in endometrial atrophy

Answer 15

cystic (thicker, dilated)

Question 16

Endometrial polyps occurs in the __ and _ decades and have no __ potential

Answer 16

4th; 5th; malignant

Question 17

The histology of endometrial polyps show ___ stroma with ___ arteries in order to support the polyp

Answer 17

dense; thick-walled

Question 18

Leiomyomas are benign __ tumors and are the most common tumor of the female genital tract

Answer 18

smooth muscle

Question 19

Leiomyomas are more common during the __ period and may grow in response to the drug ____

Answer 19

reproductive; tamoxifen

Question 20

The cut surface of a leiomyoma has a __, ___ surface which firm and rubbery

Answer 20

white, whirled

Question 21

Gross features of a leiomyosarcoma have a loss of __ pattern, with ___ and ___ (blood features) and are ____ in spread

Answer 21

whirled; necrosis; hemorrhage; diffuse

Question 22

Endometriosis is ___ tissue outside of the ___ cavity

Answer 22

endometrial; uterine

Question 23

Endometriosis is associated with increased exposure to ____

Answer 23

menstruation

Question 24

Endometriosis in common sites is explained by ___

Answer 24

retrograde menses

Question 25

Adenomyosis is the ___ continuously growing into the ___

Answer 25

endometrium; myometrium