HORMONAL CYTOLOGY

Question 1

produced by proliferating granulose theca cells of the ovarian follicles

Answer 1

estrogen

Question 2

estrogen acts upon

Answer 2

superficial cells

Question 3

• large; polyhedral flat cells
• cytoplasm; may be acidophilic or basophilic
• presence of small dark pyknotic nuclei

Answer 3

superficial cells (SUPER=LARGE)

Question 4

• polyhedral or elongated
• cytoplasm: basophilic with vacuoles
• vesicular nuclei
• medium large

Answer 4

intermediate cells

Question 5

BOAT shaped intermediate cells with a strong tendency to FOLD and CURL their edges

Answer 5

NAVIcular (BOAT=NAVY)

Question 6

• expression of the combined estrogen-progesterone effect
• found in the latter half of menstrual cycle, during pregnancy, menopause
• may also be found as a result of abnormal androgen stimulation

Answer 6

Navicular cells

Question 7

• round to oval shaped cell
• has a translucent basophilic cytoplasm
• double wall appearance

Answer 7

pregnancy cells

Question 8

fried egg/sunny side up appearance

Answer 8

parabasal cells

Question 9

found from 2 weeks of age to puberty, after childbirth, abortion or miscarriages, and after menopause

Answer 9

parabasal cells

Question 10

round, slightly oval cells, with relatively large nucleus that occupying half or more of the cell volume

Answer 10

basal cells

Question 11

found in vaginal smears ONLY BEFORE PREGNANCY and AFTER MENOPAUSE

Answer 11

basal cells

Question 12

Cytohormonal Maturation Index

Answer 12

Parabasals:Intermediate:Superficials (PIS)

Question 13

what is the highest during SHIFT TO THE RIGHT; ESTROGEN EFFECT; MENOPAUSAL WHO ARE TAKING ESTROGEN

Answer 13

Superficial (0/10/90)

• shift to the right kasi nasa right ‘yung S sa PIS
• increased ESTROGEN sa Superficial cells

Question 14

shift to the MIDZONE; PROGESTERONE effect; during PREGNANCY

Answer 14

Intermediate cells (0/70/30)

• midzone nasa gitna I sa PIS
• increased progesterone sa Intermediate cells

Question 15

shift to the LEFT; PRE-MENARCHE (hindi pa nireregla); PREMENOPAUSAL

Answer 15

Parabasal cells

• shift to the left - nasa left side P sa PIS

Question 16

found during menstruation period and 1-4 days after the cessation of the period

Answer 16

endometrial cells

Question 17

endometrial cells in post-menopausal woman

Answer 17

possible endometrial carcinoma or endometrial hyperplasia

Question 18

slightly cylindrical appearance; columnar epithelial cells

Answer 18

endocervical cells

Question 19

denotes satisfactory specimen collection

Answer 19

endocervical cells

Question 20

what does satisfactory specimen collection means

Answer 20

T-zone is reached

Question 21

characteristic appearance of endocervical cells

Answer 21

honeycomb

Question 22

gram (+) slender rod bacteria

Answer 22

doderlein bacilli

Question 23

predominant organism of the vaginal normal flora; establishes the low pH that inhibits the growth of pathogens

Answer 23

Doderlein Bacilli

Question 24

other term for doderlein bacilli

Answer 24

lactobacillus acidophilus

Question 25

agar of choice for doderlein bacilli

Answer 25

tomato juice agar

Question 26

long thin filamentous bacilli; increased in high vaginal pH; indirectly tells possibility of infection

Answer 26

Leptothrix spp.

Question 27

normally increased just before. during,

Answer 27

neutrophil

Question 28

usual contaminant; ovoid bodies

Answer 28

talcum

Question 29

budding yeast, seen among diabetics, taking oral, immunocompromised patients, prolonged steroid therapy

Answer 29

Candida albicans

Question 30

(+) Candida albicans

Answer 30

Thrush, Candidiasis (Moniliasis before)

Question 31

STD; pear shaped organism; granular cytoplasm; eccentric dark nucleus

Answer 31

Trichomonas vaginalis

Question 32

tiny pleomorphic coccobacilli that clings to cytoplasm of epithelial cells

Answer 32

Gardnerella vaginalis

Question 33

presence of clue cell

Answer 33

Gardnerella vaginalis

Question 34

presence of many coccobacilli

Answer 34

clue cell

Question 35

squamous epithelial cells that show cytopathic effects of HPV

Answer 35

Koilocytes

Question 36

cytopathic effect of cell is characterized as macrosomia, multinucleation, nuclear molding and ground glass chromatin pattern

Answer 36

HSV II

Question 37

ferning is due to salt crystal formation under the influence of ________

Answer 37

estrogen (absence of progesterone)

Question 38

basis for the diagnosis of early pregnancy; rupture of amniotic sac (premature labor)

Answer 38

(+) ferning: high persistent estrogen effect in the ABSENCE OF PROGESTERONE (which is abnormal kasi increased dapat ang progesterone sa pregnancy)