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OB/Gyn > Pelvic Pathology > Flashcards

Pelvic Pathology Flashcards

1
Q

Mullerian Ducts

A

The embryonic tubes that give rise to the female genitalia

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2
Q

Uterus Didelphys

A

Complete duplication of the uterus

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3
Q

Most common congenital problem of the Fallopian tubes

A

Atresia of the tubes

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4
Q

T- shaped uterus is associated with:

A

Women whose mothers took DES during their pregnancies

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5
Q

Gartner’s duct cysts

A

Cysts that may occur in the vagina

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6
Q

Most common tumor in the female organs

A

Leiomyoma

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7
Q

Another name for endometrioma

A

Chocolate cyst

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8
Q

Most definitive method to diagnose endometrial cancer

A

D & C

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9
Q

Most common type of endometrial cancer

A

Adenocarcinoma

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10
Q

Mets of endometrial cancer is usually to:

A

Para Aortic nodes and Liver

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11
Q

Least common type of fibroid tumor is:

A

Submucosal

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12
Q

Fitz Hugh Curtis syndrome

A

Complication of PID.
Inflammation of the peritoneum, glysson’s capsule. Diaphragm may be affected. Severe RUQ pain, fever, chills, headaches, malaise. Fluid tracks up in the paracolic gutters of the pelvis

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13
Q

Avg ovarian vol of polycystic ovaries

A

12 cm

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14
Q

90% of ovarian cancers are:

A

Serous Cystadenocarcinomas

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15
Q

Pseudomyxoma Peritoneii

A

Implants on the visceral surfaces caused by a ruptured mucinous cystadenocarcinoma

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16
Q

Tumor associated with patients who have endometrial cancer

A

Endometriod

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17
Q

Tumor associated with cystadenomas or cystic teratomas

A

Brenner tumor

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18
Q

A tumor which is a variation of the endometriod with its origin from the Müllerian duct:

A

Clear cell carcinoma

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19
Q

What tumor is associated with Meigs syndrome?

A

Ovarian Fibroma

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20
Q

A pelvic mass, hydrothorax, and ascites describe which syndrome that resolves after the tumor is removed

A

Meigs syndrome

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21
Q

Mostly benign germ cell layer tumor:

A

Cystic teratoma

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22
Q

Tumors that contain bits of bone, teeth and hair are:

A

Cystic teratomas and solid teratomas

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23
Q

Malignant germ cell layer tumor

A

Dysgerminoma

Morphologically the same as male testicular seminoma

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24
Q

Krukenberg tumor

A

Ovarian tumor which is mets from primary GI tract malignancy

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25
Q

Incidence of ectopic pregnancy is 6-10 times greater in patients with H/O PID

A

True

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26
Q

Tuboovarian abscesses can stimulate growth of which other masses

A

Endometrial cyst, hemorrhagic cyst, ectopic preg

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27
Q

The parietal peritoneum is also referred to as

A

Peritoneum, perimetrium and serous coat

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28
Q

Other names for post cul de sac

A

Rectouterine pouch,

Pouch of Douglas

29
Q

Portion of the Fallopian tube that connects to the uterine wall:

A

Interstitial area

30
Q

Inner layer of Fallopian tube

A

Mucous layer

31
Q

Which is the ligament that connects the ovary to the broad ligament

A

Mesovarian ligament

32
Q

Where does the right ovarian vein drain into

A

IVC

33
Q

Where does the left ovarian vein drain into?

A

Left renal vein

34
Q

Where do the ovarian arteries arise from?

A

Anterolaterally from Aorta. Inf to renal arteries and superior to Inf mesenteric A.

35
Q

The muscles that make up the pelvic diaphragm are:

A

Lavatory Ani and coccygeus

36
Q

What are the lateral landmarks of the true pelvis?

A

Psoas muscles

37
Q

Where does the uterine artery arise from?

A

Hypogastric artery. Aka internal iliac artery

38
Q

What is retrocession?

A

Cervix displaced posteriorly

39
Q

Longest portion of Fallopian tube

A

Ampulla

40
Q

Name portions of the Fallopian tube from distal to prod aspect

A

Fimbria, infundibulum, ampulla, isthmus, interstitial

41
Q

Another name for the ovarian fossa

A

Fossa of weldeyer

42
Q

Ligament that extends from the Fallopian tube to the side wall of the pelvis is:

A

Suspensory ligament

43
Q

What are the termination points of the hypogastric artery?

A

Internal pudendal and inferior gluteal arteries

44
Q

The fimbria of the Fallopian tube are:

A

Attached to the ovary and move the egg into the Fallopian tube

45
Q

Cancer of ovaries commonly mets to

A

Liver

46
Q

Most common cause of precocious puberty?

A

Idiopathic (unknown, spontaneous)

47
Q

Precocious puberty is defined as:

A

The early onset of puberty in girls before the age of 8

48
Q

Turners syndrome is caused by:

A

A congenital endocrine disorder

49
Q

Calcification seen in the post menopausal uterus may be:

A

Foreign bodies
Calcified leiomyomas
Cystic medial necrosis or the arcuate arteries

50
Q

The RI in the normal post menopausal ovarian artery should be:

A

> 0.7

51
Q

Decreased estrogen levels in the post menopausal female may cause:

A

Osteoporosis
Emotional symptoms
Accelerated atherosclerosis

52
Q

Standard hormone therapy for post menopausal women who still have their uterus is:

A

Estrogen and progesterone

53
Q

Hormone replacement therapy is contraindicated in women with what kind of history?

A

Endometrial cancer
Breast cancer
Liver disease

54
Q

The most common cause of bleeding in the post menopausal woman is:

A

Atrophy of the endometrium

55
Q

What is the normal endometrial thickness in the post menopausal patient

A

4-10 mm

56
Q

Factors in patients with endometrial cancer

A

Nulliparity
Obesity
Unopposed estrogens

57
Q

An elevated CA-125 blood level is found in more than ___% of patients with epithelial ovarian cancer

A

80

58
Q

Most common IUD recalled:

A

Dlakon shield

59
Q

A follicle that is a good size for aspiration ranges in size from:

A

18-24 mm

60
Q

Why is hCG administered while undergoing ovulation induction therapy?

A

To induce ovulation

61
Q

During ovulation the basal body temp:

A

Rises

62
Q

After administration of hCG, ovulation should occur in approx:

A

24-36 hrs

63
Q

How many grades of ovarian hyperstimulation syndrome are there?

A

There is 3
Grade 1- ovaries measure => 6x6 cm
Grade 2- ovaries => 10x10 + nausea and vomit
Grade 3- equal to grade 2 plus one ore more of the following: ascites, pleural effusion, hemoconcentration

64
Q

Preovulatory phase of the menstrual cycle is aka

A

Proliferative phase

65
Q

Which hormone is the controlling factor in the activity of the hypothalamus and pituitary gland

A

Estrogen

66
Q

The secondary follicle matures into the:

A

Graafian follicle

67
Q

HCG is produced by the:

A

Graafian follicle

68
Q

hCG in the pregnant female is usually at its highest level between:

A

10-12 weeks

69
Q

Women on drugs that are phenothiazine derivatives may have a false positive preg test

A

True

OB/Gyn (9 decks)

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