Ovarian disorders

Question 1

• Too much LH
• Insulin resistance
• Hirtuisum
• obesity
• acne

Answer 1

PCOS

Question 2

• Infertility
• Amenorrhea
• Hirutisim
• obesity
• acne
• male baldness

Answer 2

PCOS

Question 3

string of perls on abdominal US

Answer 3

• PCOS

Question 4

what is the measure of testoserone with PCOS

Answer 4

Increased

Question 5

treatment for PCOS

Answer 5

• weight loss
• OCP
• Metformin
• spirolactone

Question 6

5 PCOS risks:

Answer 6

• endometrical cancer
• DM II
• HTN
• Hyperlipedemia
• Infertility

Question 7

4 findings for benign oocytes

Answer 7

• < 3 cm
• Hyperechoic w/ distal shadowing
• network of leiner pattern
• homogenous echos

Question 8

Hyperechoic w/ distal shadowing (finding)

Answer 8

beign terotoma

Question 9

network of leiner pattern (finding)

Answer 9

hemorragic cyst

Question 10

homogenous echos (finding)

Answer 10

endometrioma

Question 11

3 findings of malignant tumor

Answer 11

• Thick walled
• solid component
• • blood flow

Question 12

3 types of functional cysts

Answer 12

• follicular cysts
• corpus luteum cysts
• theca lutein cysts

Question 13

3 main types of non functional cysts

Answer 13

1. epithelial
2. germ
3. Stromal

Question 14

3 subtypes of epithilial functional cysts

Answer 14

• Serous
• mucinous
• endometroid

Question 15

1 subtype of germ cell cyst

Answer 15

beign cystic terotoma (dermoid cyst)

Question 16

3 subtypes of stomal cell tumor

Answer 16

• Granulosa, theca
• sertoli leydig
• ovarian fibroma

Question 17

what are the most common type of functional cysts

Answer 17

Follicular

- these are non malignant - regress after 1-2 cycles

Question 18

what type of cysts have an increase in HcG

Answer 18

• Theaca Lutein

Question 19

what type of eputhlial cyst is most common

Answer 19

serous

Question 20

what type of epithelial cyst is most malignant

Answer 20

endometroid

Question 21

what type of non functional cysts have hair and teeth

Answer 21

• germ cell: benign terotoma

Question 22

what is the primary risk for ovarian cancer

Answer 22

prolonged estrogen exposure

Question 23

what are the four types of germ cell TUMORS not cysts

Answer 23

• dysgeminoma (high AFP, High HcG)
• endometrial sinus (High AFP)
• Immature terotoma (high AFP)
• Mixed

Question 24

what is the name of the tumor that mets to the ovaries

Answer 24

kurkenburg tumor

Question 25

physical exam for ovarian cancer

Answer 25

• ascites
• inguinal lymphadenopathy
• pelvic mass