Ovary and Oviduct (Lecture)

Question 1

Where does fertilization typically occur?

Answer 1

IN the fallopian tube

Question 2

The presence of cilia rules out malignancy

Answer 2

Yes

Question 3

PID definition and causes

Answer 3

Ascending infection of STIs (Chlamydia and Gonorrhea)

Question 4

Acute phase PID

Answer 4

Suppurative salpingitis with acute inflammation of the mucosa and submucosa.

Question 5

What other condition presents like Acute PID?

Answer 5

Appendicitis

Question 6

Complications of PID

Answer 6

Sepsis and bacteremia
Tubo-ovarian abscess
Chronic pelvic pain
Tubal occlusion/infertility
Ectopic pregnancy
Adhesions (intestinal obstruction)

Question 7

What histology findings do we get with PID?

Answer 7

Edema, neutrophils

Question 8

Ectopic pregnancy risk factors

Answer 8

Adhesions
PID
Endometriosis

Question 9

What is the most common cause of maternal death in the first half of pregnancy?

Answer 9

Ectopic pregnancy

Question 10

Hyperreactio luteenalis

Answer 10

Do not do surgery. This is physiologic, not pathologic

Question 11

PCOS

Answer 11

Elevated astrogen and estrogen levels
Anovulation with oligomenorrhea, menometrorrhagia and infertility
Hirsutism and obesity

Question 12

PCOS histology

Answer 12

thick ovarian capsule, undeveloped primordial follicles and multiple cysts

Question 13

What is the leading cause of cancer deaths in women?

Answer 13

Ovarian cancer

Question 14

what is a dysgerminoma identical to in males?

Answer 14

Seminoma

Question 15

Dysgeminoma presentation

Answer 15

Rapid weight gain of women in their 20’s

Question 16

Strumii ovarii

Answer 16

Benign thyroid tumor in the ovary

Question 17

Metastatic tumor think ______

Answer 17

Appendicitis

Question 18

What will you fin on histology for mucinous cystadenocarcinomas?

Answer 18

Psamomma bodies

Question 19

Ovarian cancer presentation

Answer 19

Vague abdominal pain, abdominal-pelvic mass or asymptomatic, most common stage: 3C

Question 20

What conditions could lead to elevated CA-125?

Answer 20

Present in serous and endometriod carcinomas

Question 21

Why is CA 125 not used for screening?

Answer 21

Normal women can have elevated CA-125

Question 22

What is CA-125 used for?

Answer 22

To monitor the progression of women diagnosed with endometroid or serous carcinomas.