Ovarian Disorders Worksheet

Question 1

an anatomic variation arising from normal ovarian function

Answer 1

functional cysts

Question 2

follicle fails to rupture

Answer 2

functional cysts

Question 3

no ovulation can lead to…

Answer 3

functional cysts

Question 4

these can cause a lengthening of the follicular phase

Answer 4

functional cysts

Question 5

secondary amenorrhea can cause…

Answer 5

functional cysts

Question 6

mild-moderate unilateral lower abdominal pain

Answer 6

functional cysts

Question 7

PE shows palpable, mobile, cystic adnexal mass

Answer 7

functional cysts

Question 8

Pelvic U/S shows a unilocular simple cyst

Answer 8

functional cysts

Question 9

functional cysts tx

Answer 9

spontaneously resolve in ~6 wks

Question 10

functional cyst rupturing causes

Answer 10

acute pain

Question 11

primarily hyperandrogenism is the cause of

Answer 11

PCOS

Question 12

pt has:
hirsutism
anovulation (or oligo-ovulation)
infertility

Answer 12

PCOS

Question 13

PE shows
excessive hair
acne
obesity
metabolic syndrome

Answer 13

PCOS

Question 14

LH/FSH ratio has a > 3 increase

Answer 14

PCOS

Question 15

fast blood sugar
lipids
testosterone (in normal upper limits)
estrone levels are > estradiol levels

Answer 15

suggests PCOS

Question 16

u/s shows a “necklace”

Answer 16

PCOS

Question 17

U/S shows a “string of pearls”

Answer 17

PCOS

Question 18

simple cysts seen on U/S

Answer 18

PCOS

Question 19

PCOS tx

Answer 19

oral contraceptives

metformin

Question 20

PCOS requires an…

Answer 20

endocrine referral

Question 21

endometrial hyperplasia can become malignant in…

Answer 21

PCOS

Question 22

an ischemic condition that occurs >50% of the time on the right side of the uterus/affects right ovary

Answer 22

ovarian torsion

Question 23

enlarged ovary
pregnancy
tumors

common causes of

Answer 23

ovarian torsion

Question 24

severe sudden onset of unilateral lower abdominal pain

Answer 24

ovarian torsion

Question 25

PE shows
chandelier sign
TENDERNESS

Answer 25

ovarian torsion

Question 26

Doppler U/S shows lack of blood flow to ovary

Answer 26

ovarian torsion

Question 27

ovarian torsion tx

Answer 27

surgery as this is a medical emergency

Question 28

of the 25,000 new ovarian cancer cases dx ____, about ___% will die in ____ yrs

Answer 28

of the 25,000 new ovarian cancer cases dx yearly, about 60% will die in 5 yrs

Question 29

malignant epithelial cells spread by direct extension within the peritoneal cavity

Answer 29

how ovarian cancer spreads

Question 30

MC type of ovarian cancer

Answer 30

malignant epithelial cells

Question 31

germ cell ovarian cancer occurs in those individuals that are

Answer 31

< 20 yrs old with ovarian cancer

Question 32

due to hormonal production; also referred to as “functioning tumors” and commonly occurs in older women

Answer 32

stromal cell ovarian cancer

Question 33

increased abdominal girth
fatigue
abdominal pain/bloating
nausea or anorexia

are all common sx of

Answer 33

ovarian cancer

Question 34

incontinence, increased frequency, and increased urgency are all common urinary sx of

Answer 34

ovarian cancer

Question 35

PE shows adnexal mass that is fixed, firm, mobile, cystic, bilateral, or unilateral

Answer 35

suggests ovarian cancer

Question 36

what tumor marker is associated with ovarian cancer but does not dx ovarian cancer?

Answer 36

CA-125

only to monitor tx or recurrent disease

Question 37

how do you tx ovarian cancer

Answer 37

REFER THAT SHIZ