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Gynecology > Ovarian Disorders > Flashcards

Ovarian Disorders Flashcards

0
Q

MCC simple cystic adnexal mass in reproductive age

A

Functional cysts

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1
Q

MC ovarian mass in women of reproductive age

A

Function cysts

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2
Q

MCC complex adnexal mass

A

Benign cystic teratoma

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3
Q

MCC pelvic mass

A

Pregnancy

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4
Q 
Vague pelvic pain
Unilateral cystic movable mass
Translucent thin walled
Less than 8 cm
Solitary
A

Follicular cyst

Persistent dominant follicle

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5
Q

Vague pelvic pain
Unilateral cystic movable mass
Smooth red brown if acute or gray if chronic
Solitary

A

Corpus luteum cyst

Failure of corpus luteum to regress

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6
Q 
Vague pelvic pain
Unilateral cystic movable mass
Multiple leutinized follicular cyst or hyperreactio lutealis
Honeycomb appearance 
Straw colored fluid
Bilateral
A

Theca lutein cyst

Prolonged excessive stimulation of gonadotropins

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7
Q

Management of ovarian cyst
Premenarcheal
Reproductive
Post menopausal

A

> 2 cm EL

8 cm EL

PALPABLE EL

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8
Q

Fixed solid irregular bilateral adnexal masses
Prepubertal postmenopausal OCP
On ultrasound: >8 cm solid or mixed multilocular multicystic nodular masses with ascites peritoneal masses and lymphadenopathy

A

Malignant tumor

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9
Q

Adnexal mass with calcifications on utz

A

Benign tumor

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10
Q

MC ovarian epithelial tumor

A

Serous cystadenoma

Epith

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11
Q

Resembles cells of endocervix or intestines

Large multilocular mass with mucoid substance

A

Mucinous cystadenoma

Epith

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12
Q

Transitional cell tumor

Coffee bean appearing nucleus

A

Brenner tumor

Epith

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13
Q

MC neoplasm in prepubertal female

A

Benign Cystic teratoma

Germ cell

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14
Q

MC benign solid tumor of ovary

Whorled pattern

A

Fibroma

Stromal

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15
Q

Meig’s syndrome

A

Ovarian fibroma
Ascites
Hydrothorax

16
Q

Benign ovarian tumor tx

A

Tumor resection or USO

17
Q

Cells with abundant glycogen
DES exposure
Hobnail cells

A

Clear cell

Epith

18
Q

Tumor markers for epithelial ovarian ca

A

CA 125

CEA

19
Q

Tumor markers for germ cell tumor

A

LDH dysgerminoma
AFP endodermal sinus or yolk sac, immature teratoma (benign)
hCG choriocarcinoma

20
Q

Tumor markers for stromal

A

Estrogen granulosa theca

Testosterone sertoli leydig

21
Q 
Ovarian ca staging
1
2
3
4
A

Ovaries
Pelvis
Peritoneum, regional LN, liver capsule
Distant

22
Q

MC ovarian malignancy in women <30
Rapid growth
Pelvic pain and pressure sx

A

Germ cell tumors

23
Q

Schiller Duval bodies with hyaline droplets

A

Endodermal sinus or yolk sac tumor

Germ cell

24
Q

Hemorrhagic

Highly malignant

A

Choriocarcinoma

Germ cell

25
Q 
Call Exner bodies
Coffee bean nuclei
Pre menarcheal precocious puberty
Pre menopausal menstrual irregularities
Post menopausal bleeding
A

Granulosa theca

Sex cord stromal

26
Q

Resemble fetal testes

A

Sertoli leydig

Sex cord stromal

Gynecology (11 decks)

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