trigger - ovarian disorders Flashcards

1
Q

which type of cyst can mimic an ectopic pregnancy

A

corpus luteum cyst

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

These cysts are created due to failure to develope during ovulation

A

follicular cysts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

General tx for follicular cysts (4 options)

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

These cysts may be more likely when taking Clomid

A

corpus luteum cysts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

which type of cyst can rupture and lead to acute abdomen and/or hypovolemic shock

A

corpus luteum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

these cysts are caused by elevated levels of hCG

A

theca lutein cysts

These gradually resolve as hCG levels return to normal! but may take months!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

these cysts often occur bilaterally and are filled with clear fluid

A

theca lutein cysts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

these cysts may present with elevations in CA-125

A

endometriomas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

which cysts are filled w hair, teeth, bone, cartilage and fat

A

dermoid cysts

PREmenopausal cysts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what type of cyst is benign but grows to be HUGE

A

cystadenoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

oyster ovaries on pelvic US is suggestive of which diagnosis

A

PCOS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

leading cause of female infertility

A

PCOS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

In which diagnosis would you see a generally decreased SHBG

A

PCOS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

tx for hyperandrogenism in a pt who cannot take estrogen

A

GnRH agonists

Leuprolide, goserelin, triptorelin and histrelin

BONE LOSS RISK

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

this medication has risk of BONE LOSS

A

GnRH agonists

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is the word for hair removal ABOVE the skin

A

depilation

17
Q

what is the word for complete hair removale

A

epilation

18
Q

when do you use eflornithine hydrochloride (vaniqa) cream? what are the cons vs other treatments

A

cream that stops hair growth!

cons: doesnt permanently remove hair, just stops growth while applied

19
Q

CI for spirinolactone

A

Pregnancy

I remember this cuz my friend takes spirinolactone for acne and was suggested to start a COC with it!

20
Q

what are the uses of 5-alpha-reductase inhibitors and what is their MOA and CI

A
  • used for hirstuism and male pattern hair loss
  • decreases testosterone conversion
  • not safe if pregnant w male fetus

finasteride dutasteride

21
Q

what should always be attempted FIRST prior to pharm treatments for ovulation induction in PCOS

A

weight loss and exercise

22
Q

what is the MOA of letrozole

A

inhibits aromatase (which converts androgens to estrogens)
causes increased production of FSH and LH from GnRH

23
Q

which ovulation induction agent is associated with ovarian hyperstimulation syndrome as a SE

A

comiphen citrate/clomid

also exogenous gonadotropins

24
Q

what is the MOA of clomiphene citrate/clomid

A

SERM - binds to hypothalamus, blocking estrogen receptors

leads to increased GnRH —> FSH/LH production

25
Q

what is the presentation of mild, moderate and severe ovarian hyperstimulation syndrome

I know, its annoying, but just list em out I believe in you.

A
26
Q

what procedure may induce ovulation in patients who are unresponsive to medical therapy

A

laparoscopic ovarian surgery

i guess you just poke em a bunch of times and hope they ovulate lol i am unsure.

27
Q

Pelvic ultrasound shows a snail shell appearance with blood flow that appears as a whirl pool

A

ovarian torsion

28
Q

what is associated with AFP, hCG and LDH

A

germ cell tumors

more common in younger patients!

29
Q

these tumors are most associated with inhibin

A

granulosa cell tumors

30
Q

these tumors are most associated with estrogen and androgens

A

sex cord-stromal tumors

31
Q

How common is ovarian tumors caused by metastases

A

5%

32
Q

serous cystadenocarcinomas result from what types of cells

A

epithelial ovarian cells

33
Q

if a patient has ________ they have a higher risk of not only ovarian cancer, but also colon, breast and endometrial cancer

A

hereditary nonpolyposis colorectal cancer syndrome

34
Q

What is HE4 used for?

A

MONITORING previously diagnosed ovarian cancer. NOT a screening tool

35
Q

Would you be more likely to remove the contralateral adnexa in a germ cell cancer or in an epithelial ovarian cell cancer?

A

Epithelial Ovarian Cell Cancer

If contralateral adnexa looks normal in germ cell, can leave it!:)

36
Q

What is the MC gyn malignancy?

A

Endometrial cancer

37
Q

What is the MCC of death in gyn malignancy

A

ovarian cancer