Cervix, Uterus, Ovaries, Vagina Flashcards Preview

OB GYN > Cervix, Uterus, Ovaries, Vagina > Flashcards

Flashcards in Cervix, Uterus, Ovaries, Vagina Deck (94):
1

When to start pap smear

Within 3 years of onset of sexual activity
At 21 years old

2

How often does a woman need to undergo pap smear?

Annually until age 30 then every 2-3 years thereafter if negative for 3 consecutive years

3

When to discontinue pap smear?

65-70 years old provided that negative for 3 consecutive years

No abnormal results for the past 10 years, no new sexual partner

Post hysterectomy

4

Management of CIN 1 biopsy result

Repeat cytology at 12 months if previously LSIL
Colposcopy and cytology at 6 months interval for 1 year if previously HSIL

5

Evaluation for squamous cell abnormalities in Pap smear

Colposcopy

6

Management of CIN 2,3 biopsy result

Colposcopy, excision or ablation of transformation zone

7

2nd most common cancer among women

Cervical

8

Necessary cause of cervical cancer

HPV

9

Most common type of cervical cancer

Squamous cell CA

10

Squamous cell CA of the cervix arises from what structure

Ectocervix

11

Most common symptom in cervical cancer

Vaginal bleeding

12

Cervical cancer stage where lower 1/3 of the vagina is affected

Stage 3

13

Cervical cancer stage where it extends beyond the uterus

Stage 2

14

Cervical cancer stage where there is bladder or rectal invasion

Stage 4

15

First line combination chemotherapy for cervical cancer

Cisplatin Paclitaxel

16

Single agent chemotherapy for cervical cancer

Cisplatin

17

Treatment for stage 1 cervical cancer if not desirous of pregnancy

Hysterectomy

18

Treatment of cervical cancer from stage 2 onwards

Chemotherapy

19

Treatment for simple endometrial hyperplasia without atypia for premenopausal and post

OCP x 6 cycles

20

Treatment for complex endometrial hyperplasia without atypia for premenopausal and post

MPA 10-20mg OD x 14 days

UTS and sample endometrium after 3 months:
Normal- MPA x 12 months
Persistent- increase dose x 3 months then repeat biopsy

21

Treatment for endometrial hyperplasia with atypia for premenopausal

If desirous of pregnancy: MPA x 3 months then do biopsy after 3 months

Normal: MPA x 12 months
Persistent: increase dose x 3 months then repeat biopsy, if persistent EHBSO

Not desirous of pregnancy- EHBSO

22

Treatment for endometrial hyperplasia with atypia for postmenopausal

EHBSO

23

Most common type of endometrial CA

Adenocarcinoma

24

Stage of endometrial cancer reaching the cervix

Stage 2

25

Stage of endometrial cancer outside the uterus

Stage 3

26

Stage of endometrial cancer reaching the bladder

Stage 4

27

Treatment for endometrial cancer

EHBSO
Chemotherapy if stage 3

28

Most popular theory for endometriosis

Retrograde menstruation

29

Classic symptoms of endometriosis

Cyclic pelvic pain and infertility

30

Classic PE finding in endometriosis

Fixed retroverted uterus with scarring and tenderness posteriorly

31

Definitive treatment for endometriosis

Hysterectomy

32

Medical treatment for endometriosis to induce pseudomenopause

Danazol-atrophic changes to implants
GnRH agonists like leuprolide
OCP, NSAID
Aromatase inhibitors like letrozole

33

Size of the ovaries that may suggest malignancy

>8cm

34

Most common cause of simple cystic adnexal mass in the reproductive age

Functional cyst

35

Most common cause of complex adnexal mass

Benign cystic teratoma

36

Most common cause of pelvic mass

Pregnancy

37

This type of ovarian cyst can rupture and cause intraperitoneal bleeding

Corpus luteum cyst

38

This ovarian cyst can cause adnexal torsion and massive bleeding

Theca lutein cyst

39

Halban triad in a corpus luteum cyst

Spotting with delayed menses
Unilateral pelvic pain
Small, tender adnexal mass

40

Functional ovarian cyst that is usually more than 10cm in size, due to prolonged stimulation by HCG, honeycomb appearance and tends to be bilateral

Theca lutein

41

Most frequent ovarian epithelial tumor

Serous cystadenoma

42

Transitional cell tumor that has similar lining to the urinary bladder

Coffee bean appearing nucleus

Brenner tumor

43

Most common neoplasm in prepubertal female

Benign cystic teratoma

44

Most common benign solid tumor of the ovary

Whorled pattern on cross section

Fibroma

45

Triad of:
Ovarian fibroma
Ascites
Hydrothorax

Meig syndrome

46

Tumor markers for epithelial ovarian tumors

CA 125, CEA

47

Tumor markers for germ cell ovarian tumors

AFP
LDH
HCG

48

Tumor markers for sex cord ovarian tumors

Estrogen
Testosterone

49

Stage of ovarian cancer where it spread to the fallopian tube

Stage 1

50

Stage of ovarian cancer where it spread to the pelvis

Stage 2

51

Stage of ovarian cancer where it spread to the peritoneal surface

Stage 3

52

Epithelial ovarian tumor that is associated with DES exposure

Clear cell

53

These are cells in clear cell ovarian tumor where the cells contain abundant glycogen

Hobnail cells

54

Chemotherapy for epithelial ovarian cancer

Paclitaxel + carboplatin

55

Most common ovarian malignancy in women <30 years old

Germ cell tumor

56

Tumor marker for dysgerminoma

LDH

57

Tumor marker for endodermal sinus/ yolk sac tumor

AFP

58

Schiller Duval bodies

Yolk sac tumor

59

Tumor marker for immature teratoma

AFP

60

Chemotherapy for germ cell and sex cord tumors

BEC VAC
Bleomycin
Etoposide
Cisplatin

Vincristine
Actinomycin
Cyclophosphamide

61

Call Exner bodies

Granulosa cell tumor

62

Nipple projections in dermoids

Tubercle of rokitansky

63

Ovarian tumor that Presents as virilization

Sertoli leydig

64

Ovarian tumor with numerous hyaline droplets

Yolk sac

65

Presence of thyroid tissue in the ovary

Struma ovarii

66

Analogous to seminoma in males

Dysgerminoma

67

Ovarian tumor that presents as vaginal bleeding in adults

Granulosa theca cell tumor

68

Most common MALIGNANT tumor in patients less than 30 years old

Dysgerminoma

69

Eosinophilic bodies surrounded by granulosa cells ovarian tumor

Granulosa theca tumor

70

Epithelial vulvar lesions that result from reactive changes to chronic scratching and rubbing

Lichen simplex chronicus

71

Multiple shiny flat purple papiles usually on inner aspect of the labia minora, vagina and vestibule

Atrophic inflammatory condition usually seen in postmenopausal

Lichen planus

72

Histology:
Liquefaction degeneration at the basal layer

Well defined band like infiltrate below the basal layer

Lichen planus

73

Most common tumor found in the vulva

Epidermal inclusion cyst

74

Benign cyst in the vulva due to occlusion of apocrine sweat glands

Hidradenitis suppurativa

75

Obstruction cyst in the vulva at 4 and 8 o clock position, usually asymptomatic

Bartholin duct cyst

76

Bartholin duct cysts must be biopsied in women this age to rule out carcinoma

40 years old

77

Treatment for recurrent bartholin duct cyst

Marsupialization

78

Paraurethral gland cyst is also called

Skene's gland cyst

79

Dysontogenic cyst that is a remnant of the mesonsphric duct, most commonly found in the anterolateral aspect of the upper part of the vagina

Gartner's duct cyst

80

Most common benign solid tumor of the vulva

Fibroma

81

Permanent epithelialized sac like projection in the anterior bahinal wall

Urethral diverticulum

82

3 Ds of urethral diverticulum

Dysuria
Dyspareunia
Dribbling of urine

83

Hyperplastic dystrophy of the vulva where there is elongation and widening of the rete ridges which may be confluent

White, firm, cartilaginous lesions with hyperkeratotic changes

Squamous cell hyperplasia of the vulva

84

Treatment for vulvar squamous cell hyperplasia

Topical steroids

85

Rare intraepitheloal disorder in the vulva that is associated with adenocarcinoma

Reddish eczematoid appearance

Paget disease of the vulva

86

Most contagious of all STIs

Pediculosis
Phthrius pubis

87

Caused by pox virus
Flesh colored dome shaped papules with umbilicated center

Molluscum contagiosum

88

Treatment for chancroid

Azith

89

Treatment for lymphogranuloma venereum

Doxy

90

Treatment for donovanosis

Azith

91

Most common organisms involved in PID

Chlamydia trachomatis
Neisseria gonorrhea

92

Complication of PID where there are numerous adhesions

Fitz-Hugh-Curtis

93

Treatment for Acute PID

Ceftriaxone 250mg IM single dose

Plus doxycycline 100mg PO BID x 14 days

Metronidazole 500mg PO BID x 14 days

94

Anti retro viral therapy for pregnant women

Tenofovir
Lamivudine
Efavirenz