46. pathology of pregnancy (dysfunctions of implantation, trophoblastic tumors)

Question 1

46-1. dysfunction of implantation

order of most common place of ectopic pregnancy

Answer 1

oviduct, ovary, abdomen

Question 2

46-1. dysfunction of implantation

predisposing factor of ectopic pregnancy (2)

Answer 2

pelvic inflammatory disease

endometriosis

Question 3

46-1. dysfunction of implantation

complications of ectopic pregnancy (2)

Answer 3

hematosalpinx

rupture

Question 4

46-2. trophoblastic tumor

types of trophoblastic tumor (3)

Answer 4

hydatidiform mole
invasive mole
choriocarcinoma

Question 5

46-2. trophoblastic tumor

morphology of hydatidiform mole

Answer 5

mass of swollen, dilated chorionic villi

Question 6

46-2. trophoblastic tumor

types of hydatidiform mole

Answer 6

complete mole

partial mole

Question 7

46-2. trophoblastic tumor

characteristics of complete hydatidiform mole (4)

Answer 7

empty ovum + 2 sperm
diploid
cannot embryogenesis (no fetal tissue)
only composed of abnormal villi

Question 8

46-2. trophoblastic tumor

characteristics of partial hydatidiform mole (4)

Answer 8

normal ovum + 2 sperm
triploidy
with early embryogenesis (presence of fetal tissue)
presence of normal villi

Question 9

46-2. trophoblastic tumor

characteristics of invasive mole

Answer 9

local invasive complete hydatidiform mole

Question 10

46-2. trophoblastic tumor

invasion part of invasive mole (2)

Answer 10

broad ligament

vagina

Question 11

46-2. trophoblastic tumor

etiology of choriocarcinoma

Answer 11

under 20 years old or over 40 years old, asian and afreecan

Question 12

46-2. trophoblastic tumor

clinical features of choriocarcinoma (2)

Answer 12

bloody discharge

increased hCG

Question 13

46-2. trophoblastic tumor

metastasis of choriocarcinoma

Answer 13

hematogenous metastasis

lung, vagina, brain, liver, kidney