repro 584 - 588

Question 1

what is the consequence of invasive carcinoma of the cervical cancer?

Answer 1

lateral invasion can block ureters –> renal failure

Question 2

define premature ovarian failure

Answer 2

premature atresia of ovarian follicles in women of reproductive age.

pts present with signs of menopause after puberty but before age 40

Question 3

11 most common causes of anovulation

Answer 3

pregnancy
polycystic ovarian syndrome
obesity
HPO axis abnormalities
premature ovarian failure
hyperprolactinemia
thyroid disorders
eating disorders
competitive athletics
cushing
adrenal insufficiency

Question 4

what path is associated with Schiller Duval bodies?

Answer 4

Yolk Sac

Question 5

another name for Yolk Sac tumor?

Answer 5

endodermal tumor

Question 6

what tumor is associated with sacrococcygeal area in young child?

Answer 6

Yolk sac (endodermal tumor)

Question 7

what is Meigs syndrome and what tumor is associated with it?

Answer 7

triad of ovarian fibroma, ascites, hydrothorax

fibromas

Question 8

what is a benign granulosa cell tumor?

Answer 8

thecoma

Question 9

name three conditions that dec ovarian cancer?

Answer 9

1. previous pregnancy
2. hx of brestfeeding
3. OCPs
4. tubal ligation

Question 10

is CA 125 good for screening ovarian cancer?

Answer 10

No, it is just good for monitoring process.

Question 11

treatment for adenomyosis?

Answer 11

GnRH agonist, hysterectomy

Question 12

what endometrial condition is associated with dyschezia (pain with defecation)?

Answer 12

endometriosis

Question 13

what malignancy is associated with PCOS?

Answer 13

inc risk for 2’ endometrial cancer due to unopposed estrogen from repeated anovulatory cycles

Question 14

5 treatments for PCOS?

Answer 14

1. weight loss
2. OCPs
3. clomiphene citrate (GnRH agonist)
4. ketoconazole
5. spironolactone

Question 15

what kind of cyst is associated with gonadotropine stimulation?

Answer 15

theca lutein cyst

Question 16

what two paths are associated with theca lutein cyst?

Answer 16

choriocarcinoma, hydatidiform moles

Question 17

what cyst is due to distention of unruptured graafian follicle?

Answer 17

follicular cyst

Question 18

most common ovarian mass in women?

Answer 18

follicular cyst

Question 19

which tumor has inc beta hCG?

Answer 19

choriocarcinoma

Question 20

2 female paths associated with chocolate cyst

Answer 20

endometrioma, endometriosis

Question 21

what is endometrioma?

Answer 21

endometriosis (ectopic endometrial tissue)

Question 22

what is struma ovarri?

Answer 22

functional thyroid tissue with hyperthyrodism from mature cystic teratoma

Question 23

another name for mature cystic teratoma?

Answer 23

dermoid cyst

Question 24

most common malignant stromal tumor in female?

Answer 24

granulosa cell tumor

Question 25

dx?

you see call exner bodies

Answer 25

granulosa cell tumor

Question 26

what is call exner bodies?

Answer 26

granulosa cells arranged haphazardly around collections of eosinophilic fluid, resembling primordial follicles

Question 27

most common ovarian tumors?

Answer 27

serous cystadenocarcinoma

Question 28

tumor dx?

dysmenorrhea, menorrhagia, uniformly enlarged soft globular uterus

Answer 28

adenomyosis

Question 29

6 treatments for endometriosis?

Answer 29

1. NSAIDs
2. OCPs
3. progestins
4. GnRH agonist
5. danazol
6. laparoscopic removal