Ovarian Disorders

Question 1

what are the 4 types of ovarian cysts

Answer 1

follicular cyst

corpus luteum cyst

theca-lutein cysts

hemorrhagic cysts

Question 2

which type of ovarian cyst is MC?

Answer 2

follicular cyst

Question 3

when do follicular cysts occur?

Answer 3

when there is failure to ovulate

Question 4

how do you manage a follicular cyst?

Answer 4

resolves on its own

Question 5

which type of ovarian cyst occurs after ovulation?

Answer 5

corpus luteum cyst

Question 6

which type of ovarian cyst is known as a “false pregnancy”

Answer 6

theca-lutein cysts

Question 7

which type of ovarian cyst may occur with endometriosis?

Answer 7

hemorrhagic cysts

Question 8

how do you manage fluid-filled ovarian cysts?

Answer 8

monitor with ultrasound

Question 9

how do you manage a non-fluid-filled ovarian cyst?

Answer 9

laproscopic removal*

Question 10

at what size cyst is a person at risk for torsion?

Answer 10

greater than 6cm

Question 11

what can you prescribe to prevent ovarian cysts?

Answer 11

OCPs

Question 12

which common disease is related to having multiple cysts on the ovary?

Answer 12

polycystic ovarian syndrome (PCOS)

Question 13

for PCOS, you can do a clinical diagnose with two out of these three findings:

Answer 13

1. oligo or amenorrhea + anovulation
2. hyperandrogenism (obesity and hirsutism)
3. US evidence of many cysts

Question 14

what findings may also be involved with PCOS

Answer 14

infertility

insulin resistance

unopposed estrogen

Question 15

how do you treat PCOS?

Answer 15

OCPs

treat insulin resistance

Question 16

what is the most common cause of infertility?

Answer 16

PCOS

Question 17

is it more common to have an ovarian neoplasm that is benign or malignant?

Answer 17

benign

Question 18

when do you remove an ovarian neoplasm?

Answer 18

enlarging

solid component

change in character

especially post-menopause

Question 19

what are the 3 classifications of ovarian cancer?

Answer 19

1. epithelial
2. germ cell tumors
3. stromal carcinoma

Question 20

which type of ovarian cancer classification is most common?

Answer 20

epithelial

Question 21

which type of ovarian cancer classification is seen in young women?

Answer 21

germ cell tumors

Question 22

which type of ovarian cancer classification is found in connective tissue?

Answer 22

stromal carcinoma

Question 23

what are the 2 categories of benign epithelial ovarian tumors?

Answer 23

serous cystadenomas

mucinous

Question 24

what are the 3 cancerous types of epithelial ovarian tumors?

Answer 24

epithelial carcinomas

clear cell

transitional cell

Question 25

what are the 2 types of germ cell ovarian tumors?

Answer 25

teratomas

dermoid cysts

Question 26

which type of ovarian cancer produces hormones

Answer 26

stromal tumors

Question 27

which type of ovarian cancer contains hair, teeth, excuse me what the fuck

Answer 27

germ cell tumors

Question 28

which of the following is not a protective factor for ovarian cancer:

a) infertility
b) OCPs
c) 1+ full-term pregnancy before age 35
d) breast feeding
e) tubal ligation

Answer 28

a - infertility is actually a risk factor of ovarian cancer

Question 29

what are s/s of ovarian cancer?

Answer 29

it’s basically all GI issues + peeing changes

Question 30

is it normal to palpate an ovary after menopause?

Answer 30

no - workup for ovarian cancer

Question 31

how do you dx ovarian cancer?

Answer 31

US, transvaginal US, laproscopy

Question 32

which type of cancer causes the most deaths of all gynecologic cancers?

Answer 32

ovarian, surprise!

Question 33

how do you treat ovarian cancer?

Answer 33

surgery, oophorectomy, chemo +/- rad

Question 34

how is the 5y survival rate for ovarian cancer?

Answer 34

about 45% - not great.