GYN Flashcards

(88 cards)

1
Q

Portion of Menstrual Cycle that is Constant

A

Secretory

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2
Q

What is considered a pituitary gonadotropin?

A

Luteinizing hormone

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3
Q

Cells resembling histiocytes normally found in the endocervical canal with some vacuoles and poorly defined cytoplasm?

A

reserve cells

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4
Q

Luteinizing hormone peaks which day of cycle

A

14

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5
Q

Presence of mitotic figures means?

A

No pathological diagnosis

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6
Q

Example of protective reaction of uterine cervix is?

A

Hyperkeratosis

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7
Q

Type of cells indicate abortion?

A

Large cells with tight cluster of nuclei

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8
Q

Vaginal smear with ciliated glandular cells and metaplastic cells and inflammatory exudate is?

A

vaginal adenosis

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9
Q

Estrogen reaches its highest level at day?

A

14

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10
Q

Masculinizing tumor of the ovary is?

A

Sertoli-Leydig Cell tumor

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11
Q

Which structure in the ovary must degenerate for menses to occur?

A

Corpus Luteum

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12
Q

Ration of estrogen to follicle stimulating hormone is?

A

Inverse

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13
Q

Micro glandular hyperlasia is commonly associated with?

A

Birth Control

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14
Q

Which oart of the menstrual cycle is directly related to degenerated corpus albicans?

A

Menses

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15
Q

Pituitary hormone stimulates the follicles of the ovary to grow?

A

Follicle stimulating hormone

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16
Q

Maturation indenx of a patient with amenorrhea, low hair line, short webbing of neck?

A

100/0/0

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17
Q

Explanation why some pm patients have an intermediate cell maturation and others have deep atrophy?

A

increased vacuolization near the basal lamina

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18
Q

Advanced cirrhosis may show up on a pap with?

A

Increased estrogen effect

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19
Q

Secondary amenorrhea shows up with maturation index of?

A

Cant be determined without more information

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20
Q

Hyperkeratosis and Parakeratosis are significant because?

A

maybe overlie a possible lesion

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21
Q

Hypothyroidism possible maturation index of?
0/100/0
0/0/100
0/50/50
75/25/0

A

75/25/0

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22
Q

Tamoxifen citrate in pm breast cancer patients increases?

A

Cellular maturation

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23
Q

Cells with spinelike processes protruding from cytoplasmic membrane (spider cells) pvcurring singularly and rarely in sheets with smooth nuclear margins found proximal to the endocervical canal are?

A

immature metaplastic cells

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24
Q

Toeulopsis glabrata is simlar to candida except?

A

lacks hyphae

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25
A abortive attempt at keratinization is?
parakeratosis
26
Effect of progesterone on an estrogen primed epithelium?
Decrease maturation to intermediate level
27
Accident that causes head injury followed with menometrorrhagia may be caused by?
Pituitary hypogoadism
28
Atypical feature verses nonkeratinizing squamous cell carcinoma is distinguished by?
coarse irregular chromatin
29
Pap smear with pools of mature and immature lymphocytes and tingible body macrophages is called?
follicular cervicitis
30
Pap smear pattern from Stein-Leventhal syndrome reveals?
superficial predominance and intermediate cells without folding or clustering
31
Vulvar itching with a Vulvar smear that showed parabasal cells in sheets, perinuclear halos, regular to coarse chromatin is likely
Pemphigus vulgaris
32
Pregancy deficiency causes multinucleated giant cells with normal n/c ratios
Folic Acid
33
Cytoplasmic streaming with moderate anisocytosis, fine to coarse chromatin, scattered throughout cervical smear is consistent with?
reparative/regenerative changes
34
Radiation effects include
macrocytic changes and polychromasia
35
Ovarian tumor that presents bilaterally?
Serous
36
Schiller tests identifies
Glycogenated areas with iodine
37
Micro Organism that maintains ph
lacto bacillus
38
Ssc is associated with hpv?
16 and 18 viral dna
39
Most common ovarian tumor is
Mature cystic teratoma
40
Associated with both Endometrial Adeno and hyperesteimism?
Endometrial hyperplasia
41
Endocervical adenocarcinoma verses Endometrial adeno can be distinguished by?
columnar shapeand granular cytoplasm
42
Mullerian tumor described as heterologous can be?
oateosarcoma andrndometrial carcinoma
43
vagina ovaries and uterus are from which germ cell?
mesoderm
44
hpv testing and cervicography are
adjunctive methods that lack specificity to determine the progression history
45
small to medium round single cells with hyperchromasia evenly distributed and compromising most of cellular area
nonkeratinizing dysplasia severe high grade
46
Endometrial adeno that is aggressive in atrophic endometrium of older pm woman
Poorly differentiated
47
An insitu of vulva is called
Bowen disease
48
Benign proliferation of undifferentiated cells under endocervical type is called
reserve cell hyperplasia
49
Condyloma of the cervix presents as
smudged nuclear features cavelike perinuclear vacuoles
50
Order of chromatin degeneration
Pyknosis, karyorrhexis, karyolysis
51
Low risk hpv
6 and 11
52
Reparative verses malignant process
normochromasia and cytoplasmic streaming
53
Clinical finding would place patient at risk for Candida
Diabetes
54
Mullerian ducts that fail to fuse result in?
bicornuate uterus (urerus with 2 cavities)
55
Strawberry cervix or petechial hemorrages of the vaginal wall and fornices are from which organism?
Trichomonas
56
Puerperal endometritis may present as
Reactive trophoblasts
57
irregular spherical structure associated with hemorragic artifact
hematoidin crystals
58
esteogenic effect upon normal squamous epithelium during follicular phase causes
increased deposition of glycogen in the cytoplasm
59
cells in late secretory and pregnancy are
navicular cells
60
42 nulliparous woman with irregular menses with midluteal endometrium shedding would be suggested to get
dilation and currettage to rule out hyperplasia in the endometrium
61
radiated crystalline arrays in late pregnancy
cockle burs
62
what clinical feature is associated with well differentiated endometrial cancer
nulliparous
63
hypothesized to promote squamous cell carcinoma of uterine cervix
oncogene activation secondary to hpv
64
human chorionic gonadotropin is produced
early oregnancy
65
What embryological duct system develops internal genetalia in females
paramesonephric
66
which tissue is most rediosrnsitive
gi epithelium
67
what finding helps diagnose well differentied endometrial carcinoma
basophillic watery diathesis
68
what condition is associated with development of endometrial
granulosa theca cell tumor
69
most common metastatic carcinoma
ovarian
70
columnar formation in malignant smear and no enocervical abnormality suggests considering
colon malignancy
71
glandular cells with cillia hyperchromatic and irregular chromatin
tubal metaplasia
72
psammomma bodies common in which malignancy
serous adenocarcinoma ovarian
73
frobdlike papillary projections birds eye macronucleoli irregular chromatin would be
ovarian in origin
74
vulvar lesions cells are like these shapes
round to oval
75
vulvar infection presents as a vesiculopustule
hoemophilus ducreyi
76
homologous mixed mullerian tumor of uterus is
leiomyosatcoma
77
differential diagnosis for keratinizing dysplaisa
dyskeratosis
78
differential diagnosis for bare nuclei of bormal endocervixal cells in pm parients
atypia of atrophy and maturity
79
large 3d clusters in 41 yr patient in clean background should be recommended for
endometrial biopsy to rule out endometriosis
80
blue blobs india ink eosinophilic and orangeopgilic diagnostic of
degenerated parabasal cells of atrophy
81
cells that can mimic follicular cervicitis
malignant lymphoma
82
important to note with repair
no single cells only sheets of cells
83
features with signet ring mucicarmine positive scalloped borders
mucinous endometrial carcinoma
84
adejocanthoma is odentofied cytologically by presence of
squamous metaplastic component
85
smooth chromatin loss of polarity and feathering effect is characteristic of
agus/wndocervical dysplasia
86
pseudo stratification micronucleoli columnar formation
endocervical adenocarcinoma
87
endometrial cells are identified in intrauterine devices as
large distended vacuoles
88
precursor for adenocarcinoma
endometrial polyps