GYN

Question 1

which HPV strain causes the most amount of cervical cancer cases

Answer 1

HPV-16

Question 2

what is the CPT code for a cervical biopsy or ECC

Answer 2

88305

Question 3

define ASCUS

Answer 3

atypical cells of undetermined significance

Question 4

define AGUS

Answer 4

atypical glandular cells of underdetermined significance

Question 5

when would you use LGISL and HGSIL language

Answer 5

describing results of a Pap smear (cytology)

Question 6

define LEEP

Answer 6

loop electrosurgical excision procedure

Question 7

what is a LEEP

Answer 7

removal of a cone of tissue from the cervix that is a same day procedure

Question 8

what is a cold knife cone

Answer 8

removal of a cone of tissue from the cervix that is performed in a hospital under anesthesia

Question 9

what is the CPT code for a LEEP and top-hat LEEP

Answer 9

88307

Question 10

what is a top-hat LEEP

Answer 10

second excision of the cervix following a LEEP

Question 11

what is considered stage 0 cervical cancer

Answer 11

carcinoma in-situ

Question 12

what is considered stage 1 cervical cancer

Answer 12

confined to cervix

Question 13

what is considered stage 2 cervical cancer

Answer 13

disease beyond cervix but not into pelvic wall or lower third of vagina

Question 14

what is considered stage 3 cervical cancer

Answer 14

diseases to pelvic wall or lower 1/3rd of vagina

Question 15

what is considered stage 4 cervical cancer

Answer 15

invades bladder, rectum, or has metastasized

Question 16

which two stains can be useful for confirming cervical intraepithelial lesions

Answer 16

Ki-67 and p16

Question 17

what is the CPT code for fallopian tubes for sterilization

Answer 17

88302

Question 18

what is the CPT code for fallopian tubes for ectopic pregnancy

Answer 18

88305

Question 19

what is an impertinent negative in a fallopian tube specimen for ectopic pregnancy

Answer 19

chorionic villi

Question 20

what is the CPT code for a hydrosalpinx/hemosalpinx

Answer 20

88305

Question 21

what is a hydrosalpinx

Answer 21

fluid in the fallopian tube due to obstruction
causes: surgery, infections, adhesions, and torsion

Question 22

what does a radical hysterectomy include

Answer 22

uterus
adenexa
parametria
vaginal cuff

Question 23

what does a total hysterectomy include

Answer 23

ovaries (possibly)
tubes (possibly)
uterus

Question 24

what does a subtotal hysterectomy include

Answer 24

only a certain part of the uterus
ex. supra cervically amputated uterus

Question 25

what is a morcelated hysterectomy

Answer 25

removal of all or part of the uterus laparoscopically

Question 26

what is a myomectomy

Answer 26

removal of leiomyoma from the uterus

Question 27

what is the difference between a didelphys uterus and a bicornuate uterus

Answer 27

didelphys: two cervices bicornuate: one cervix

Question 28

how do you gross a morcelated uterus

Answer 28

weigh measure in aggregate endometrial (shiny) and myometrial thickness

Question 29

where are you most likely to find serosal endometriosis

Answer 29

corneal regions and posterior cul-delsac

Question 30

define nullipara

Answer 30

never birthed a child

Question 31

what is the difference in the appearance of a cervix in a nullipara vs primipara woman

Answer 31

nullipara: circular primipara: slit like

Question 32

how can the endocervical canal be commonly described

Answer 32

herringbone-patterned

Question 33

what is a nabothian cyst

Answer 33

cyst on the cervix or in the endocervical canal - note and submit one section

Question 34

what is an important measurement for an endometrial cavity

Answer 34

cornu to cornu

Question 35

what two descriptors can be used for a thickened (>3cm) endometrium

Answer 35

heaped up or lush

Question 36

what is a pertinent negative for a uterus

Answer 36

with or without adenexa (tubes and ovaries)

Question 37

what is important about grossing uterine polyps

Answer 37

you should submit them all in their entirety

Question 38

what is important to note about an IUD within a specimen

Answer 38

is it free or embedded within the cavity

Question 39

how can you identify a Mirena IUD

Answer 39

3.2 cm white used postpartum

Question 40

how can you identify a jaydess/kyleena/skyla IUD

Answer 40

2.8 cm pink/white with blue strings

Question 41

what is a common appearance of adenomyosis

Answer 41

trabeculation

Question 42

what does it mean if you see a puckering defect in an endometrial cavity

Answer 42

likely from a C-section

Question 43

how much of an atypical endometrial hyperplasia specimen should you submit

Answer 43

all of it

Question 44

what is important about grossing endometrial carcinoma/sarcomas

Answer 44

need to submit full thickness sections note how deep (< or > 50%) the invasion is into the myometrium

Question 45

what is important about grossing adenosarcomas of the endometrium

Answer 45

staged based on tumor size (5 cm) and infiltration

Question 46

how would you gross a malignant cervical case

Answer 46

amputate cervix and gross like a leep in gross description) gross the uterus as you normally would

Question 47

what is cervical malignancy staging based on

Answer 47

parametrial invasion

Question 48

what is an endometrioma

Answer 48

chocolate cyst caused by endometriosis

Question 49

in which GYN condition would you see thyroid tissue

Answer 49

stuma ovarri

Question 50

what is Rokitansky's protuberance

Answer 50

nipple-like structure covered with hair in an ovarian teratoma important to submit as it has the highest possibility to undergo malignant change

Question 51

what is the rule for submitting serous ovarian neoplasms

Answer 51

1-2 sections per cm

Question 52

what can a blunted fallopian tube indicate

Answer 52

pelvic inflammatory disorder

Question 53

what is SEE-FIM and what is its importance

Answer 53

sectioning and extensively examination the fimbriated end a specific way of grossing a fallopian tube for a prophylactic removal due to BRCA gene

Question 54

what is the important size for omentum staging

Answer 54

2 cm

Question 55

what is the most common malignancy of the vulva

Answer 55

squamous cell carcinoma

Question 56

what is the important size for staging vulva

Answer 56

2 cm

Question 57

what is the CPT code for uterine prolapse

Answer 57

88305

Question 58

what is the CPT code for the uterus for something other than prolapse or malignancy

Answer 58

88307