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Genicology Pathology > Ovaryes Pathology > Flashcards

Ovaryes Pathology Flashcards

1
Q

Cervical polyps

A

Hyper plastic protrusions of the epithelium

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2
Q

Squamous cell carsinoma

A

Most common type of cervical cancer

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3
Q

Garthner’s duct cyst

A

Small cyst whitin the vigina.

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4
Q

Leiomyoma

A

Most common benign genicological tumer in women during their reproductive system.

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5
Q

Cervical stenosis

A

Acquired condition with obstruction of the cervical canal

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6
Q

Ectocervix

A

Portion of the canal of the uterin cervix that is lined with the squamous epithelium

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7
Q

Adenomyosis

A

Benign invasive growth the endometrium that cause heavy painful menstru bleeding

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8
Q

Intramural leiomyoma

A

Most common form of leionyama deforms the myometrium

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9
Q

Metrorrhea

A

Irregular acyclic bleeding

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10
Q

Submucosal liomyama

A

Deform the endometrial cavity cause heavy menstrual bleeding

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11
Q

Subserosal leiomyoma

A

Type of lieomyama that becomes pedunculated and appears as extrauterin mass

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12
Q

Endometrial carcinoma

A

Pedunculated or sessile well defined pedunculated mass attached to endometrial cavity

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13
Q

Endometrial hyperplasia

A

Benign condition that results from estrogen stimulation of the endometrium without the influence of the progesterone. Frequent cause of bleeding

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14
Q

Hematometra

A

Obstruction of the vagina and uterus,accumulation of blood

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15
Q

Tamoxifen

A

An anti estrogen drug used in treating breast carcinomas. Cause growth leiomyoma

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16
Q

Most common finding in middle aged women

A

Nabothian cyst

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17
Q

Clinical finding of irregular bleeding maybe the result of

A

Cervical polyps

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18
Q

Seen in hysterectomy patients after surgery

A

Vaginal cuff/ larger than 2.1cm modularity echogenisity(malignancy)

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19
Q

The most common incidentally found cystic lesion of vigina

A

Garthners cyst

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20
Q

The most common congenital abnormality of the female genital tract resulting in obstruction

A

In perforate hymen

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21
Q

The most common gynecology benign tumor in 20 to 30 percent of women over the 30 higher in African American women.

A

Leiomyoma

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22
Q

Estrogen dependent may increase in size during pregnancy

A

Myomas

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23
Q

Types of leiomyromas

A

Submucosal
Intramural
subserosal

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24
Q

Submucosal myoma

A

May erode in to the endometrial cavity , cause irregular or heavy bleeding.displacing or distorting endometrial cavity/ subsequent irregular or heavy menstrual bleeding

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25
Q

The earliest Sonographic finding of myomass

A

Uterin enlargement with a hérogenous texture and contour distortion along the interface bit the uterus andthe bladder

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26
Q

The most common cause of uterine calcification

A

Myomass

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27
Q

The less common cause of uterine calcification

A

Arcuate artery calcification in the periphery of the uterus

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28
Q

Ectopic occurrence of nests of endometrial tissue within the myometrium, more extensive in the posterior wall.

A

Adenomyosis

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29
Q

AVMS without an intervening capillary network

A

Uterine artery venous malformation consist of vascular plexus of arteries and veins

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30
Q

The most common cause of abnormal uterine bleeding in both premenopausal and postmenopausal from unopposed estrogen stimulation

A

Endometrial hyperplasia

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31
Q

Hypoechoic region within the hyperechoic endometrium ,toward the end of luteal phase.

A

Polyps

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32
Q

Intrauterine synechiae

A

Endometrial adhesion/Ashermans syndrome

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33
Q

The earliest change with endometrial carcinoma and endometrial hyperthrophy and polyps

A

A thickened endometrium

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34
Q

Vagina

A

In staging not used to diagnose carcinoma of vagina

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35
Q

Vaginal tumors

A

Vaginal adenocarcinoma or rhabdomyosarcoma / solid mass occasional areas of necrosis

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36
Q

Modular areas in vaginal cuff

A

Post Irradiation fibrosis

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37
Q

Vaginal remnant

A

Vaginal cuff/ tissue after hysterectomy

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38
Q

Reasons to check the dagruan cuff vaginal

A

Tumor Recurrence and endometria’s carcinoma or cervical carcinoma

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39
Q

Posterior cul-de-sac/ pouch of Douglas

A

Most posterior and inferior reflection of the peritoneal cavity/ rectouterine recess

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40
Q

Frequently site for intraperitoneal fluid collections

A

Pouch of Douglas
5ml fluid by TVs can detect

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41
Q

Pathologic fluid collection in pouch of Douglas with

A

Ascites
Blond from ruptured ectopic pregnancy
Hemorrhagic cyst
Pus resulting infection
Pelvic abscesses or hematoma

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42
Q

Cervix

A

Posterior to the bladder btw lower uterine seg and vaginal canal /

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43
Q

Cervical canal

A

From internal os where joins uterine cavity to external os which projects into vaginal vault

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44
Q

Cervix length /

A

2 in 4 Cm
TVs with empty bladder

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45
Q

Probe in TVs to cervix length

A

After utrin examined
Slowly pulled back
In image internal and external os
Saj view handle moved upward
Coronal images rotate Td and angulation to the L and R

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46
Q

Cervical polyps in women

A

In late middle aged women
Pedunculated or broad-based

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47
Q

Leiomyomas

A

Small percentage in cervix
When enlarges bladder or bowel obstruction
May pedunculate prolapse into vaginal canal

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48
Q

Sonohysterography

A

Enhance visualization of the location and thickness of the stalk in cervix mass

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49
Q

Benign uterine myoma or cervical myoma with

A

Endometrial adenocarcinoma without color Doppler

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50
Q

Cervical stenosis

A

Obstruction of cervical canal at internat or external os

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51
Q

Cervical stenosis condition

A

Radiation therapy
Cone biopsy
Postmenopausal cervical atrophy
Chronic infection
Laser orcryosurgery
Cervical carcinoma

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52
Q

Indirect indicator of cervical stenosis

A

Intracavity fluid collections

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53
Q

Distended fluid-filled uterus
In menopausal patient

A

Cervical stenosis
The result of accumulation of uterine secretions
Fluid hydrometer
Pyometra
Hematometra

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54
Q

Serviceable stenosis in premenopausal patients

A

Abnormal bleeding
Oligomenorrhea
amenorrhea
Cramping dysmenorrhea
Infertility

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55
Q

Appearance of Hematometrocolpos

A

Moderately echogenic collection in cervical area

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56
Q

Cervical carcinoma

A

Squamous cell carcinoma
The most type
Cervical dysplasia
Mild - moderate- severe

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57
Q

Cervical carcinoma in sits

A

Fun thickness of epithelium_ undifferentiated neoplastic cells

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58
Q

Cervical carcinoma clinical symptoms

A

Vaginal discharge or bleeding

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59
Q

Cervical carcinoma us finding

A

Retrovesical mass
Obstruction of ureters
Invasion bladder
Indistinguishable from cervical myoma
Bladder ureteral vaginal rectal involvement in TVs and translabial
Ct MRI _LYMPHatic spread

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60
Q

Cervical carcinoma in us

A

Increased echo
Hypeechoic areas
Irregular outline areas
Multiple cystic area in a solid mass arising from endocervical gland
ADENOMA MALIGNUM

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61
Q

For cervical area visualization

A

Trans labial or perineal in saj plane
With partial bladder filling
Rotation of TD obliquely in counterclockwise direction coronal plane

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62
Q

Body of uterus

A

Lie obliquely on either side of midline
MAY MIMIC MASS ON PHYSICAL EXAM

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63
Q

Flexion

A

Axis of uterine body to cervix

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64
Q

Version

A

axis of cervix to vagina

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65
Q

Excellent for assessing retroverted retroflexed uterus

A

TV s bcs TD is closer posterior located fundus

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66
Q

Complete bicornuate uterus

A

Separatory cleft extended to internal os

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67
Q

Partial bicornuate

A

Lesser degree of separation of the 2 uterine
Hornes

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68
Q

Differential considerations for the uterus

A

Pregnancy
Posiparitum
Leiomyoma
Adenmyosis
Bicornuate
Didelphys

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69
Q

Uterine tumor

A

Leiomyoma
Carcinoma
Leiomyosarcoma
Adnomyosis

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70
Q

Differential for thickened endometrium

A

Early intrauterine pregnancy
Hyperplasia
Incompletely abortion
trophoblastic disease
Endoméritis
Adhesions
Polyps
Inflammation disease
Endometrial carcinoma

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71
Q

Differential for uterus endometrial fluid

A

Endeméritis
Products of conception
Servic inflammatory disease
Cervical obstruction

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72
Q

Endometrial shadowing
Differential consideration

A

Gas - abscess
Intrauterine device
Calcified myoms or vessels
Products of conception

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73
Q

MosT common gynaecological tumors in 20 % to 30 % women over 30

A

Leiomysmas

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74
Q

Spindle_shapped
Smooth muscle
Whorl-like pattern tumor/ variable amounts of fibrous connective tissue / can degenerate

A

Leiomyomas

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75
Q

Most common pelvic tumor

A

Leiomyomas

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76
Q

Clinical finding of Leiomyomas

A

Enlarged uterus
Pain

bleeding in regular
Metrorrhagia
Heavy mensiral bleeding menorrhagia
Infertility by distorting fallopian tube or endometrial cavity

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77
Q

Leiomyomas location

A

Submucosal
Intramural
Subserosal

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78
Q

Submucosal Leiomyomas

A

Disruption into endometrial cavity
Heavy bleeding
Infertility

79
Q

Intramural Leiomyomas

A

Within myometrium
May enlarge cause pressure to adjacent organs
Infertility
Recurrent pregnancy loss

80
Q

Subserosal Leiomyomas

A

Arise from myometrium
Exophytically
May be pedunculated
May enlarge to cause pressure to adjacent organs

81
Q

Uterine Estrogen_dependent tumors

A

Leiomyomas/ myomas
Increase in size during pregnancy I/2 changes

82
Q

Rarely develop in postmenoposal women
Decrease in size in menopause

A

Leiomyomas
Bcs of lack of estrogen

83
Q

Rapid increase in myoma size in postmennapausal would be

A

Suspicious for neoplasm

84
Q

Most common type of leiomyoma

A

Intramural
Confined to my myometrium

85
Q

Can becomepedunculated like a extrauterine masses

A

Leiomyanas subserosal

86
Q

Which type of myomas cause anemia

A

Submucosal leiomyomas

87
Q

Treatment of lieonyoma in infertility and menorrhagia

A

Submucosal myoma surgery
Myomecomy
Hormonal suppression to stop bleeding
Endometrial ablation
UAE uterine artery embolization
Hifu

88
Q

Most common cause of uterine calcifications

A

Myomas

89
Q

Less commences of uterine calcification

A

Arcuare artery calcification in periphery uterus

90
Q

Monkebergs’s arteriosclerosis

A

Calcification s sclerosis within acute arteries bcs of diabetes or hyper tension chronic renal failure such calcification in arteries throughout body

91
Q

Adenemyosis
Adenomyoma

A

Isolated implants cause
Reactive hypertrophy of surround ding
Myometrium
Cause diffuse enlargement uterine

92
Q

Clinical finding of adenomyosis

A

60%
Abnormal uterine bleeding. hypermeno
Prolonged bleeding menormhagia
Irregular acyclic bleeding. merrorrhea

93
Q

US finding of adenomyosis

A

Diffuse uterine enlargement
Thickening of posterior myometrium
Indistinct border between endometrium and myometrium
Myometrium cysts

94
Q

Most common presentation of adenomyosis

A

Diffuse uterine enlargement
Thickening of the myometrium
In distinct border between endometrium and my ometrium
Myometrium cyst

95
Q

Adenomyosis may mimic

A

Fibroid
Bcs of large area of myometrical hetrogenicity focal mass displacing endometrium

96
Q

Swiss cheese
Honeycomb pattern

A

Small hypoechoic myometrial cyst
Because of hemorrhage in endometrial tissue fluid nature of lesions acoustic enhancement seen posterior in uterus

97
Q

Arteriovenous malformations

A

Vascular plexus af arteries and veins without intervening capillary network_ US
Usually myometrium
Rarely endometrium

98
Q

Clinical symptoms of arterio venous malformations

A

Women of childbearing years metrorrhagia with blood loss and anemia
Dilation and curettage_ lead to hemorrhage

99
Q

US finding in arterio venous malformations

A

Serpiginous anechoic structures within the pelvis
Myameírial inhemogenicity
Tubular spaces within myometrium
Intramural uteri mass
Endometrial or cervical mass
Prominent parametrial vessels

100
Q

arterio venous malformations color Doppler

A

Anechoic structure showing blood flow
Florid-colored mosaic pattern
Flow reversal and color aliasing
Doppler spectral high velocity low resistance arterial flow coupled
With high-velocity venous flow with arterial component

101
Q

Uterine leiomyosarcoma

A

Rare-solid tumor arising from myometrium or endometrium
Commonly fundus
40 to 60
Rapid growth

102
Q

Most common in women 40 to 60

A

-Uterine leiomyosarcoma

103
Q

Very rare condition in children by grapelike clusters of tumor mass

A

Sarcoma botryoides

104
Q

US findings

A

Resemble endometrial myomas Er endometrial carcinoma with features of solid or mixed-solid and cystic texture
Rapid enlargement of solid uterine mass

105
Q

Uterine leiomyosarcoma can resemble

A

Myomas or
Endometrial carcinoma with feature of solid or mixed solid and cystic texture

106
Q

Landmark for identification of lung axis of the uterus

A
  • Endometrial canal
107
Q

The most-feature of endometrial pathology

A

Abnormal bleeding especially in postmenopausal patient
Hyperplasia
Polyps
Carcinoma

108
Q

Valuable for further evaluation abnormally thickened endometrium

A

Sonohysterography SIS
By distending endometriAL cavity with saline

109
Q

Contradiction of sononystrography

A

With acute pelvic inflammatory disease

110
Q

Endometrial hyperplasia

A

Follow prolonged endogenous or exogenous estrogenic stimulation

111
Q

Precursor of endometrial cancer

A

Endometrial Hyperplasia

112
Q

Us finding of encemetrial hyperplasia

A

Abnormal thickening of endometrium

113
Q

Majority of Women with pastmenpausal uterine bleeding experience

A

Endometrial atrophy

114
Q

Thickness of atrophic
Endometrium

A

{ Less than 5 mm

115
Q

Us used to help which patients are candidate for biopsy in endometrial hyperplasia

A

Mey use endometrial measurement alone
>5 to 8mm without bleeding
Or use symptoms as criteria
<5 to 8mm with bleeding

116
Q

Common hormonal regimens in menopausal women

A

l. No hormones
2.unopposed estrogen( Premarin)
3.combined estrogen and progesterone
4.sequential estrogen and progesterone(Premarin and provera)

117
Q

Unopposed estrogen if uterus is present

A

Increased risk for endemérial hyperplasia or carcinoma

118
Q

Break through in which regimen hormones

A

Combined
Bleeding during mouth
annoying progesterone side effect

119
Q

Have predictable withdrawal bleeding at end of each mouth

A

Sequential estrogen and progesterone

120
Q

Endometrial polyps types

A

Pedunculated
broad based
Have thin stalk

121
Q

Cause diffuse or focal endometrial thickening
Frequently seen in peri and posímenospausal

A

Polyps

122
Q

US findingin polyps

A

Appear toward end of laurel phase
Hypo-echoic isoechoic region within hypo echoic endometrium
May appear nonspecific echogenic endometrial thickening
-maybe diffuse or focal and also appear as round echogenic mass within endometrial cavity

123
Q

TV endometrial polyp

A

Focal thickening within the endometrial cavity

124
Q

Most often endemeiritis reason reason

A

With PID
In postpartum state
Instrumentation of uterus

125
Q

Clinicaly endemetritis

A

Intense pelvic pain

126
Q

Nyometrium highly vascularized

A

Endemetritis

127
Q

US finding in endometritis

A

Prominem, irregular,with small amount ofendometrial fluid
! Pus may be in cul-de-sac as echogenic particle particles or debris
! Enlarged ovaries with multiple cyst and indistinct margins secondary to preovarian inflammation
! Dilation of Fallopian tube

128
Q

Dilation of fallopian rude in US

A

Fluid-filled tubular shapes seen as well-defined echogenic walls
5 mm or move wan thickness acute disease

129
Q

How to distinguish fluid-filled bowel from fanapian tube

A

By gentle pressure compressionenpelvicwan to look peristalsis or movement of bowel lumen

130
Q

Tubo-ovarian complex

A

As infection worsen, peri ovarian adhesions may form and fuse inflamed tube and every
Further progression tube-ovarian abscess

131
Q

Tuba ovarian abscess appears in US

A

Appears as complex multi-loculated mass
With separations
Irregular shaggy margins
Scattered internal echoes

132
Q

Clinical endometritis

A

Low back pain
Fever
Lower abdominal rain
Dysmenorrhea
Menorrhagia
Sterility
Constipation

133
Q

Synechiae

A

Intravierine/ endometrial adhesions/ asherman’s syndrome/
With post traumatic or post surgical histories
Uterine curettage

134
Q

US in synechiae

A

Bright echoes within endometrial cavity
Better see with fluid distending endemérial cavity
Best teen during Secretary phase when endomárium is more hyperechoic
easily seen in gravid uterus appear as hyper echoic band traversing uterus from anterior to posterior

135
Q

Most common gynecologic malignancy

A

Endometrial carcinoma

136
Q

Most malignany in post menopausal patients

A

Endometrial carcinoma

137
Q

Most common clinical presentation in Endometrial carcinoma

A

Uterine bleeding

138
Q

Strong association with replacement estrogen therapy

A

Endometrial carcinoma

139
Q

Risk factor for Endometrial carcinoma in premenopes

A

Anovulatory cycles and obesity

140
Q

Earliest change of Endometrial carcinoma

A

Thickened endometrium

141
Q

Abnormally thick endometrium associated with

A

Endometrial hyperthrophy
Polyps

142
Q

Thickness of endometriumconsidered cancer

A

> 4 to 5 mm

143
Q

Endometrial carcinoma without color Doppler looks like a

A

Benign myoma

144
Q

Clear evidence for endometrial carcinoma

A

Myometrial invasion

145
Q

Associated with estrogen stimulation
Postmenopausal bleeding

A

Endometrial carcinoma

146
Q

US Endometrial carcinoma

A

Prominent endometrial complex
Enlarged uterus with irregular areas of low-level echoes

147
Q

Superficial invasion of the Endometrial carcinoma in US

A

Intactness of subendométrial halo
Inner layer of myometrium

148
Q

Indicative E of deep invasion of Endometrial carcinoma

A

Obliteration of sub endometrial halo

149
Q

Tamoxifen secondary effects on endometrium

A

Non steroidal anti esrogen compound
Widely used inadjuvant therapy in pre and post menopause with breast cancer

150
Q

Small endometrial fluid collections

A

Ectopic pregnancy
Endemotritis
Degenerating myomas
Recent abortion

151
Q

Large endometrial fluid collections

A

Obstruction of cervical os results in accumulation of secretions, blood.

152
Q

Hydrometrocolpos

A

Accumulation of secretions before menstruation

153
Q

Hematometro colpos

A

‘following menstruation
Retained menstrual blood

154
Q

Clinically symptoms of large endometrial fluid

A

Abdominal pain
Enlarged abdominal mass
May or may not vaginal bleeding
Fever. infection of blood collection

155
Q

Pyometra

A

More in uterine cancer

156
Q

US IN large endometrial fluid collections

A

Large endometrial cavity fluid collections
Central y cystic
Round
Moderately enlarged uterus
May with echogenic material if pus or blood present

157
Q

US in IUCD

A

Malposition
Perforation
Incomplete removal of IUCD

158
Q

Adenoma malignum

A

Multiple cystic areas within the cervical mass
Rare neoplasm of cervix

159
Q

Monkeyburgers’ arteriosclerosis

A

Calcified sclerosis within vessels

160
Q

Adenomyosis

A

Ectopic occurrence of endometrial tissue within myometrium
Benign diffuse or focal
Bulky enlarged uterus without focal mass

161
Q

Adenomyoma

A

Focal Adenomyosis
Isolated implants cause reactive hypertrophy surrounding myometrium

162
Q

Honeycomb or Swiss chess pattern

A

Adenomyosis
Hemorrhage in endometrial tissue cause small cysts in myometrium

163
Q

Sarcoma botryoides

A

Very rare in children with grape like clusters of tumors

164
Q

K.Enlarged ovaries with multiple cysts and indistinct margins

A

Peri ovarian inflammation

165
Q

o 319. Fertilization usually occurs:
A. In the uterus
B. In the cornua
C. In the isthmus
D. In the ampulla
E. In the fimbria

A

D

166
Q

C 325. Doppler waveforms of the uterine arterial flow typically show:
A. Low-velocity, high-resistance pattern
B. High-velocity, low-resistance pattern
C. High-velocity, high-resistance pattern
D. Low-velocity, low-resistance pattern
E. Reverse-flow pattern

A

C

167
Q

Doppler waveforms of the ovarian arterial flow typic
A. Low-velocity, high-resistance pattern
B. High-velocity, low-resistance pattern
C. High-velocity, high-resistance pattern
D. Low-velocity, low-resistance pattern
E. Reverse-flow pattern

A

D

168
Q

E 328. Using the International Reference Preparation for hCG, which of the followi levels should allow us to see an intrauterine gestational sac transabdominally
A. 1200
B. 1800
C. 2500
D. 3000
E. 3600
B329. Using the 2nd International Standard, which of the following levels should to see a normal intrauterine gestational sac transabdominally?
A. 1200
B. 1800
C. 2500
D. 3000
E. 3600

A

E
B

169
Q

Normal follicles should show ovarian parenchyma between them. If no ovar tissue can be seen berween the cysts and the cysts are relatively equal in siz should suspect.

A

Hyper stimulation

170
Q
    1. All of the following are considered physiologic conditions of the ovary EXCEPT:
      A. Follicular cyst
      B. Corpus luteal cyst
      C. Dermoid cyst
      D. Theca lutein cyst
      E. Polycystic ovaries
A

C

171
Q
  1. If the 2nd International Standard for hCG is 2000, the IRP level would be:
    A. 1000
    B. 2000
    C. 3000
    D. 4000
    E. 5000
A

D

172
Q

C 387. The 2nd International Standard for hCG is
Preparation level (IRP).
A. One-fourth
B. One-third
C. One-half
D. Double
E. Triple

A

C

173
Q
  1. If you discover an ovarian cyst measuring 2.5 cm in a 23-year-old fernale, what finding would suggest to you that this cyst is a dominant follicle rather than a corpus luteum cyst?
    A. Cul-de-sac fluid
    B. Debris within the cyst
    C. Clean smooth walls
    D. Fibrinous strands within
    E. Thick walls
A

C

174
Q
  1. It is estimated that 40% of women with the following problem will have trouble conceiving:
    A. Adenomyosis
    B. Salpingitis.
    C. Endometriosis
    D. Endometritis
    E. Leiomyomatosis
A

C

175
Q

D 442. Which of the following disease processes should NOT be seen in the
postmenopausal patient?
A. Endometrial carcinoma
B. Ovarian cancer
C. Endometrial hyperplasia
D. Endometriosis
E. Leiomyomas

A

D

176
Q
  1. On color Doppler sonography, most malignant ovarian tumors yield flow signals that are best characterized as:
    A. Avascular
    B. High impedance
    C. Low impedance
    D. Variable
    E. No flow
A

C

177
Q
  1. If a postmenopausal patient is asymptomatic and fluid is identified within her endometrial cavity, the most likely cause of the fluid would be:
    A. Endometrial carcinoma
    B. Endometritis
    C. Pelvic inflammatory disease
    D. Endometrial atrophy
    E. Vesicovaginal fistula
A

D

178
Q

, 447. An ovarian tumor accompanied by pelvic ascites usually suggests malignancy. An
exception to this rule would be ascites associated with:
A. Dysgerminoma
B. Ovarian fibroma
C. Pseudomyxoma peritonei
D. Yolk sac tumor
E. Cystadenocarcinoma

A

B

179
Q
  1. The most common site for an extrauterine adnexal mass is the:
    A. Ovary
    B. Fallopian tubes
    C. Cervix
    D. Broad ligament
    E. Fornix
A

A

180
Q

O 449. All of the following are solid tumors except:
A. Thecoma
B. Fibroma
C. Brenner’s tumor
D.. Cystadenoma
E. Teratoma
D 450. Which of these masses is considered malignant?
A. Endometrioma
B. Cystadenoma
C. Dermoid
D. Dysgerminoma
E. Pyosalpinx

A

D
D

181
Q
  1. A benign cystic teratoma contains tissues from:
    A. Ectoderm
    B. Ectoderm and mesoderm
    C. Ectoderm and endoderm
    D. Ectoderm, mesoderm, and endoderm
    E. None of the above
A

D

182
Q

B 451. Most adnexal masses are:
A. Cystic, ovarian in origin, and malignant
B. Cystic and ovarian in origin
C. Ovarian in origin and malignant
D. Cystic and malignant
E. None of the above

A

B

183
Q

D 462. On a transverse image of the pelvis, a complex mass is seen displacing the anterior
bladder wall posteriorly. This mass is located in the
A. Pouch of Douglas
B. Uterovesical space
C. Morrison’s pouch
D. Space of Retzius
E. Anterior cul-de-sac

A

D

184
Q

E 457. A granulosa cell tumor is:
A. Androgenic
B. Benign
C. Estrogenic
D. Androgenic and benign
E. Benign and estrogenic

A

E

185
Q

A 466. The most common location for a benign cystic teratoma is:
A. Anterior and superior
B. Posterior and inferior
C. In the right adnexa
D. In the left adnexa
E. In the false pelvis

A

A

186
Q

B 471. One would not expect to see cul-de-sac fluid with:
A. Pelvic inflammatory disease
B. Uterine fibroids
C. Normal ovulation
D. Ectopic pregnancy
E. Pelvic ascites

A

B

187
Q
  1. All of the following could cause for pelvie inflammatory disease EXCEPT
    A. Sexually transmitted diseas
    B. Ruptured appendix
    C. TORCH (toxoplasma, rubella, cytomegalovirus, herpes simplex virus)
    D. Exposure to DES (diethyistilbestrol)
    E. Tuberculosis
A

D

188
Q

B 494. Perihepatitis can be associated with pelvic inflammatory disease, causing right
upper quadrant tenderness and pain. This condition is:
A. PID
B. Fitz-Hugh Curtis syndrome
C. Stein-Leventhal syndrome
D. Indistinct uterus
E. Meigs’ syndrome

A

B

189
Q

D 495. Pelvic ascites and right-sided pleural effusions can be associated with benign
ovarian fibromas. This condition is:
A. Carcinoid syndrome
B. Turner’s syndrome
C. Stein-Leventhal syndrome
D. Meigs’ syndrome
E. Pseudosyndrome

A

D

190
Q
  1. Whenever you suspect pelvic ascites, you should:
    A. Have the patient void and then rescan.
    B. Always check Morison’s pouch.
    C. Scan the liver.
    D. A and B
    E. B and C
A

B

191
Q

A patient presents with abdominal swelling, low back pain, and an extremely elevated CA-125. These clinical findings suggest:
A. Pregnancy
B. Infection
C. Hemorrhage
D. Malignancy
E. Findings are nonspecific

A

D

192
Q
  1. Fitz-Hugh Curtis syndrome consists of:
    A. Hirsutism and infertility
    B. Pelvic ascites and pleural effusion
    C. Webbed neck and gonadal dysgenesis
    D. Right upper quadrant pain and PID
    E. Pelvic ascites and metastases to the liver
A

D

193
Q

E 487. Large pelvic masses, whether benign or malignant, may cause
the
; ther
should be evaluated also:
A. Metastatic lesions, liver
B. Gallstones, gallbladder
C. Biliary obstruction, liver and biliary tree
D. Portal-splenic hypertension, liver and spleen
E. Urinary obstruction, kidneys
E 488. If a primary malignant process is suspected in the pelvis, one should also sc:

A

E

Genicology Pathology (3 decks)

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