path pregnancy Flashcards

4. (PA) Describe the clinical presentation and outcomes of ectopic pregnancy 5. (PA) Describe the pathogenesis, clinical and pathologic findings associated with molar pregnancies (partial, complete and invasive) 6. (PA) Describe the clinicopathologic features of gestational choriocarcinoma

1
Q

presentation of ectopic pregnancy rupture

A

sudden onset of intense abdominal pain, and signs of acute abdomen, followed by shock

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2
Q

possible outcomes of ectopic pregancy

A

intratubal hemotoma, intraperitoneal hemorrhage, or both

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3
Q

main risk factor of ectopic pregnancy

A

chronic salpingitis

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4
Q

uterine mass of swollen chorionic villi, apprearing grossly as grape-like structures

A

hydatiform mole

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5
Q

mole with no fetal parts

A

complete

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6
Q

karyotype of complete mole

A

46 XX

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7
Q

karyotype of partial mole

A

69 XXY

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8
Q

mole with some normal villi

A

partial

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9
Q

highly elevated hCG mole

A

complete

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10
Q

mole with risk of subeqquent choriocarcinoma

A

complete

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11
Q

hydropic swellling of poorly vascularized chorionic villi with loose edamematous stroma

A

complete

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12
Q

villious edema is only in some of the villi

A

partial

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13
Q

irrefular scalloped margins

A

partial

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14
Q

mole with risk of uterine rupture

A

invasive mole

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15
Q

choricocarinoma arises from

A

gestational chorionic epithelium or totipotential cells within gonads

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16
Q

brown bloody discharge accomanied with very highly rising beta -hCG in blood and urine

A

choriocarcinoma

17
Q

hemmoraggic, necrotic uterine masses

A

choriocarcinoma

18
Q

gestational tumor with no chorinic villi

A

choriocarcinoma

19
Q

composes choriocarcinoma

A

anaplastic cytotropohoblasts and syncytotiotrophoblasts

20
Q

type of choriocarcinoma easily treated

A

placental

21
Q

type of choriocarcinoma with poor outcome

A

gonadal