Benign Diseases Of The Ovary

Question 1

What are the most common clinically detectable lesions

Answer 1

Functional ovarian cysts

Question 2

Functional ovarian cysts are markedly reduced in woman using what?

Answer 2

COCP’s

Question 3

Follicular cysts are diagnosed when passing what size in growth?

Answer 3

3cm

Question 4

Follicular cyst appearance under US?

Answer 4

Anechoic

Question 5

Follicular cyst treatment?

Answer 5

They resolve spontaneously

Question 6

Corpus Luteum cysts are less common than follicular cysts, but how dangerous are they?

Answer 6

They might rupture, causing an acute abdomen needing surgical intervention

Question 7

Corpus luteum cyst general treatment?

Answer 7

Conservative management

Question 8

Theca Lutein cyst cause and occurrence

Answer 8

HCG, occurs with molar pregnancy

Question 9

Serous Cystadenomas contain calcifications called?

Answer 9

Psammoma bodies

Question 10

Mucinous cystadenoma is large and bilateral, what’s their characteristic histological feature

Answer 10

Goblet cells

Question 11

The most diagnosed ovarian neoplasm in women 20-40 years is?

Answer 11

Dermoid Cyst

Question 12

Dermoid cysts may contain…

Answer 12

Hair, nails, bone, or teeth

Question 13

Adenxal torsion signs

Answer 13

Acute Lower abdominal pain associated with nausea and vomiting

Question 14

Adnexal torsion management

Answer 14

Emergency surgical treatment to untwist the ovary, after confirmation via Doppler US ofc

Question 15

A 35-year-old woman with a benign ovarian fibroma develops ascites and right pleural effusion. What syndrome is this associated with?
A) Meig’s syndrome
B) Cushing syndrome
C) Ovarian hyperstimulation syndrome
D) Stein-Leventhal syndrome

Answer 15

Meig’s syndrome

Question 16

A 19-year-old woman with a molar pregnancy is found to have bilateral large ovarian cysts. What is the most likely type of cyst?
A) Follicular cyst
B) Theca-lutein cyst
C) Corpus luteum cyst
D) Endometrioma

Answer 16

Theca-lutein cyst

Question 17

A 50-year-old woman with a 12-cm multiloculated ovarian cyst undergoes surgery. The cyst ruptures intraoperatively, releasing mucinous material. What complication is she at risk for?
A) Pseudomyxoma peritonei
B) Meig’s syndrome
C) Ovarian hyperstimulation syndrome
D) Hemoperitoneum

Answer 17

A

Question 18

A 45-year-old woman with a pelvic mass has an elevated inhibin B level. What is the most likely tumor type?
A) Granulosa cell tumor
B) Mucinous cystadenoma
C) Serous cystadenocarcinoma
D) Dysgerminoma

Answer 18

A

Question 19

Which of the following is a risk factor for ovarian torsion?
A) Ovarian mass <3 cm
B) Postmenopausal status
C) Pregnancy
D) Oral contraceptive use

Answer 19

C

Question 20

A 60-year-old woman with a complex ovarian mass has a CA-125 of 600 IU/mL and psammoma bodies on histology. What is the most likely diagnosis?
A) Serous cystadenocarcinoma
B) Mature cystic teratoma
C) Fibrothecoma
D) Endometrioid carcinoma

Answer 20

A

Question 21

Which tumor marker is most specific for mucinous ovarian tumors?
A) CA-125
B) Inhibin B
C) CA-19.9
D) AFP

Answer 21

CA-19.9

Question 22

Which of the following is a characteristic feature of theca-lutein cysts?
A) Unilateral, anechoic on ultrasound
B) Associated with high levels of hCG
C) Commonly malignant
D) Require surgical excision

Answer 22

B

Question 23

Meig’s syndrome is characterized by:

a) Ascites and hydrothorax with ovarian fibroma
b) Hemoperitoneum with ruptured cyst
c) Pseudomyxoma peritonei with mucinous cystadenoma
d) Hyperthyroidism with dermoid cyst

Answer 23

Ascites and hydrothorax

Question 24

Which tumor marker is elevated in granulosa cell tumors?

a) CA-125
b) Inhibin B
c) AFP
d) CA-19.9

Answer 24

Inhibin B

Question 25

Which ovarian tumor is most common in women aged 20–40? a) Serous cystadenoma b) Mucinous cystadenoma c) Dermoid cyst d) Fibroma

Answer 25

Dermoid cyst/teratoma