Ovarian Disorders Flashcards

1
Q

what are the 4 types of ovarian cysts

A

follicular cyst

corpus luteum cyst

theca-lutein cysts

hemorrhagic cysts

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2
Q

which type of ovarian cyst is MC?

A

follicular cyst

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3
Q

when do follicular cysts occur?

A

when there is failure to ovulate

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4
Q

how do you manage a follicular cyst?

A

resolves on its own

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5
Q

which type of ovarian cyst occurs after ovulation?

A

corpus luteum cyst

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6
Q

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

A

theca-lutein cysts

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7
Q

which type of ovarian cyst may occur with endometriosis?

A

hemorrhagic cysts

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8
Q

how do you manage fluid-filled ovarian cysts?

A

monitor with ultrasound

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9
Q

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

A

laproscopic removal*

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10
Q

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

A

greater than 6cm

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11
Q

what can you prescribe to prevent ovarian cysts?

A

OCPs

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12
Q

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

A

polycystic ovarian syndrome (PCOS)

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13
Q

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

A
  1. oligo or amenorrhea + anovulation
  2. hyperandrogenism (obesity and hirsutism)
  3. US evidence of many cysts
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14
Q

what findings may also be involved with PCOS

A

infertility

insulin resistance

unopposed estrogen

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15
Q

how do you treat PCOS?

A

OCPs

treat insulin resistance

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16
Q

what is the most common cause of infertility?

17
Q

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

18
Q

when do you remove an ovarian neoplasm?

A

enlarging

solid component

change in character

especially post-menopause

19
Q

what are the 3 classifications of ovarian cancer?

A
  1. epithelial
  2. germ cell tumors
  3. stromal carcinoma
20
Q

which type of ovarian cancer classification is most common?

A

epithelial

21
Q

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

A

germ cell tumors

22
Q

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

A

stromal carcinoma

23
Q

what are the 2 categories of benign epithelial ovarian tumors?

A

serous cystadenomas

mucinous

24
Q

what are the 3 cancerous types of epithelial ovarian tumors?

A

epithelial carcinomas

clear cell

transitional cell

25
what are the 2 types of germ cell ovarian tumors?
teratomas dermoid cysts
26
which type of ovarian cancer produces hormones
stromal tumors
27
which type of ovarian cancer contains hair, teeth, excuse me what the fuck
germ cell tumors
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
a - infertility is actually a risk factor of ovarian cancer
29
what are s/s of ovarian cancer?
it's basically all GI issues + peeing changes
30
is it normal to palpate an ovary after menopause?
no - workup for ovarian cancer
31
how do you dx ovarian cancer?
US, transvaginal US, laproscopy
32
which type of cancer causes the most deaths of all gynecologic cancers?
ovarian, surprise!
33
how do you treat ovarian cancer?
surgery, oophorectomy, chemo +/- rad
34
how is the 5y survival rate for ovarian cancer?
about 45% - not great.