Ovarian Dz

Question 1

Treatment of endometrial hyperplasia

Answer 1

Add progesterone during luteal phase

Question 2

2 primary factors for assessing and diagnosing a pelvic mass of GYN origin

Answer 2

1. pt age

2. menopause status

Question 3

Meig’s Triad

Answer 3

a/w ovarian fibroma
Triad:
Ascities
R. pleural effusion
Ovarian fibroma

Question 4

Endometriomas TRIAD

Answer 4

dysmenorrhea, menorrhagia, dyspareuria

Question 5

Dx acute unilateral Low R side sharp pain, vomit, fever, WBC elevations

Answer 5

ovarian torsion

Question 6

Dx criteria of PCOS

Answer 6

must have 2 of the following:

1. polycycystic ovaires
2. signs of androgen excess, acne, hirsutism, hair loss
3. menstrual irregularities

Question 7

Estrogen secreting tumor

Answer 7

Thecoma (stromal)

Question 8

Androgen secreting tumors

Answer 8

Luteoma of pregnancy

Hilus Cell stromal tumore

Question 9

Classic presentation: obeses, nullparous, infertile, HTN, DM, white women who has post menopausal bleeding

Answer 9

Uterine CA

Question 10

ectopic pregnancy TRIAD

Answer 10

pelvic pain
vag bleeding
tender mass
+HCG

Question 11

Dx: Menorrhagia, irregular enlarged uterus

Answer 11

Leiomyoma (Fibroids)

Question 12

Dx: Pelvic pain, bloating, increased girth, early satiety, vague GI sx

Answer 12

Ovarian Torsion

Question 13

Dx: Oligomenorrhea, hirsutism, infertility, obesity

Answer 13

PCOS

Question 14

Dx: Pelvic pain, fever, N/V, Rebound tenderness, very tender mass

Answer 14

Tubo-ovarian abscess