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Flashcards in 4th Year Repro Deck (43):
1

Cause of a strawberry cervix and treatment?

Trichomonas and metronidazole

2

What type of ovarian cyst is more likely to be be malignant?

Complex

3

What organism causes Syphillis?

Treponema pallidum

4

Treatment of syphilis?

Penicillin or Doxycycline

5

What are the 3 main classes of ovarian tumours?

Germ cell tumours
Sex cord stromal
Epithelial

6

Name 5 types of epithelial cell ovarian tumour?

Serous - fluid filled
Endometrioid
Muscinous - mucus filled
Clear cell
Brenner (transitional)

7

2 types of serous epithelial tumours?

serous cystadenoma - benign
Serous cystuadenocarcinoma - malignant

8

What are the 2 types of muscinous epithelial carcinoma?

Muscinous cyst adenomas - bening
Muscinous cystadenocarcinomas - malignant

9

What cells for edometrioid tumours?

Ectopic endometrial cells

10

What are malignant endometrioid tumours often associated with?

Endometrial cancer

11

What are benign endometriomas often called?

Chocolate cysts

12

What is the prognosis of clear cell tumours?

Poor

13

What cells form transitional cell ovarian tumours?

Ectopic transitional cells from the bladder

14

Name the 4 types of germ cell ovarian tumour?

Teratoma
Choriocarcinoma
Dysgerminoma
Yolk sac tumours

15

Two types of teratoma?

Mature cystic - benign
Immature - malignant

16

Where do dysgerminonas originate from?

The oocyte

17

What are dysgerminomas sensitive to?

radiotherapy

18

What marked is raised in choriocarcinomas?

Beta HCG

19

What age group are yolk sac tumours commoner in?

Children

20

What are the 3 types of sex cord stroll ovarian tumours?

Granulosa
Fibromas
Sertoli/leydig

21

Are granulosa cell tumours benign or malignant?

Malignant

22

What symptom may granulosa cells present with?

Vaginal bleeding - produced oestrogen

23

Are fibromas benign or malignant?

Usually benign

24

What do sertoli/leydig tumours secrete?

Testorsterone - hirsutism

25

What is Meigs syndrome?

Ascities, pleural effusion and ovarian tumour (fibromas)

26

What is Lynch syndrome?

Colon cancer, endometrial cancer, ovarian (serous) and gastric

27

Where do ovarian metastases commonly come from?

Breast and GI tract

28

What % of endometrial cancers occur in pre menopausal women?

15%

29

What is the most common type of endometrial cancer?

Adenocarcinoma

30

What are the precursor lesions for endometrial cancer?

Simple hyperplasia - low risk
Complex hyperplasia - 1-2% risk
Atypical hyperplasia - high risk

31

Wha is the pre curse lesion for serous endometrial cancer?

Serous intra epithelial carcinoma

32

Which type of endometrial cancer is not associated with oestrogen?

Serous

33

What is a dermoid cyst also known as?

Teratoma

34

What is the definition of POF?

<40 years

35

What are the 3 forms of emergency contraception and the maximum time they can be used?

Levonorgestrel - 72 hours
Ullipristal - 120 hours
IUD - 5 days

36

Where is the most common site of an ectopic?

Ampulla

37

Should you give anti-D in an ectopic pregnancy?

Yes

38

What can be used to shrink a fibroid before surgery?

GnRH analogue

39

What can be used as an indication of ovulation?

Surge in progesterone at day 21

40

What causes bacterial vaginosis?

Gardnerella vaginallis

41

Treatment of chlamydia?

Azithromycin or doxycycline

42

What is the treatment of gonorrhoea?

Ceftriaxone IM or/and Azithroycine

43

3 diagnostic criteria of PCOS?

Clinical hyperangrogenism - hirsutism
Oligo/amenorrhoea
Polycystic ovaries on scan