Lady Part Problems

Question 1

Disordered epithelial growth at basal layer of squamoucolumnar junction

Answer 1

Dysplasia and carcinoma in situ

Question 2

koilocytes

Answer 2

Cervical condyloma; wrinkled “raisinoid” nuclei with clearing or perinuclear halo

Question 3

HPV vaccine

Answer 3

Quadrivalent vaccine that covers HPV 6, 11, 16, 18

Question 4

Inflammation of endometrium with plasma cells and lymphocytes - usually associated with retained products of conception

Answer 4

Endometritis

Question 5

Tx of Endometritis

Answer 5

Gentamicin + Clindamycin w/ or w/o ampicillin

Question 6

Non-neoplastic endometrial glands/stroma outside of the endometrial cavity

Answer 6

Endometriosis

Question 7

Cyclic pelvic pain, bleeding, dysmenorrhea, dyspareunia, dyschezia (pain with defecation), infertility, normal-sized uterus

Answer 7

Endometriosis

Question 8

Chocolate cyst

Answer 8

Endometriosis of the ovaries (most common site)

Question 9

Extension of endometrial tissue into the uterine myometrium caused by hyperplasia of basalis layer

Answer 9

Adenomyosis

Question 10

Uniformly enlarged, soft, globular uterus; dysmenorrhea, menorrhagia

Answer 10

Adenomyosis

Question 11

Well-circumscribed collection of endometrial tissue within the uterine wall. May contain smooth muscle and can extend into endometrial cavity

Answer 11

Adenomyoma polyp

Question 12

Abnormal endometrial gland proliferation usually caused by excess estrogen stimulation; post menopausal vaginal bleeding

Answer 12

Endometrial hyperplasia

Question 13

Most common gynecologic malignancy that occurs at 55-65y/o

Answer 13

Endometrial carcinoma; typically preceded by endometrial hyperplasia

Question 14

Most common tumor in females

Answer 14

Leiomyofibroma, benign smooth muscle tumor

Question 15

Whorled pattern of smooth muscle bundles with well-demarcated borders

Answer 15

Leiomyofibroma

Question 16

Signs of menopause after puberty before the age of 40; premature atresia od ovarian follicles

Answer 16

Premature ovarian failiure

Have decreased estrogen and increased LH and FSH

Question 17

Enlarged BL cystic ovaries; presents with amenorrhea/oligomenorrhea, hirsutism, acne, infertility

Answer 17

PCOS or Stein-Leventhal Syndrome

Question 18

Distention of unruptured graafian follicle; may be associated with hyperestrogenism and endometrial hyperplasia

Answer 18

Follicular cyst

Question 19

Hemorrhage into persistent corpus luteum; common regresses spontaneously

Answer 19

Corpus luteum cyst

Question 20

Often BL/multiple; gonadotropin stimulation; associated with choriocarcinoma and moles

Answer 20

Theca-lutein cyst

Question 21

Blood vessel rupture in cyst wall. Cyst grows with increased blood retention

Answer 21

Hemorrhagic cyst

Question 22

Mature teratoma. Cystic growths filled with various types of tissue such as fat, hair, teeth, bits of bone and cartilage

Answer 22

Dermoid Cyst

Question 23

CA-125

Answer 23

way to monitor progression of ovarian neoplasms

Question 24

Most common malignant ovarian neoplasm; psammoma bodies

Answer 24

cystadenocarcinoma

Question 25

Multiloculated, large. Lined by mucus-secreting epithelium

Answer 25

Mucinous Cystadenoma

Question 26

Mass arising from growth of ectopic endometrial tissue. Complex mass on US; pelvic pain, dysmenorrhea, dyspareunia

Answer 26

Endometrioma

Question 27

Struma ovarii

Answer 27

Mature Teratoma with functional thyroid tissue

Question 28

Solid tumor that is pale yellow-tan in color and appears encapsulated. "coffee bean" nuclei; looks like bladder

Answer 28

Brenner Tumor

Question 29

triad of ovarian fibroma, ascites and hydrothorax | Pulling sensation in groin

Answer 29

Meigs Syndrome

Question 30

Tumor that may produce estrogen, usually present as abnormal uterine bleeding in a postmenopausal woman

Answer 30

Thecoma

Question 31

Agressive neoplasm with fetal tissue, neuroectoderm

Answer 31

Immature teratoma

Question 32

Most common sex cord stromal tumor. Call-Exner bodies

Answer 32

Granulosa Cell tumor

Question 33

Intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor

Answer 33

Pseudomyxoma peritonei (mucinous cystadenocarcinoma)

Question 34

Equivalent to male seminoma

Answer 34

Dysgerminoma

Question 35

Sheet of uniform "fried egg" cell; uses hCG and LDH as tumor markers

Answer 35

Dysgerminoma

Question 36

Malignant ovarian neoplasm that can develop during or after pregnancy in mother or baby; no chorionic villi; presents with abnormal hCG, SOB, hemoptysis

Answer 36

Choriocarcinoma

Question 37

Schiller-Duval Bodies (resemble glomeruli)

Answer 37

Yolk sac (endodermal sinus) tumor

Question 38

GI malignancy that metastasizes to the ovaries

Answer 38

Krukenberg tumor

Question 39

mucin-secreting signet cell adenocarcinoma

Answer 39

Krukenberg tumor