Pelvic Pathology

Question 1

Mullerian Ducts

Answer 1

The embryonic tubes that give rise to the female genitalia

Question 2

Uterus Didelphys

Answer 2

Complete duplication of the uterus

Question 3

Most common congenital problem of the Fallopian tubes

Answer 3

Atresia of the tubes

Question 4

T- shaped uterus is associated with:

Answer 4

Women whose mothers took DES during their pregnancies

Question 5

Gartner’s duct cysts

Answer 5

Cysts that may occur in the vagina

Question 6

Most common tumor in the female organs

Answer 6

Leiomyoma

Question 7

Another name for endometrioma

Answer 7

Chocolate cyst

Question 8

Most definitive method to diagnose endometrial cancer

Answer 8

D & C

Question 9

Most common type of endometrial cancer

Answer 9

Adenocarcinoma

Question 10

Mets of endometrial cancer is usually to:

Answer 10

Para Aortic nodes and Liver

Question 11

Least common type of fibroid tumor is:

Answer 11

Submucosal

Question 12

Fitz Hugh Curtis syndrome

Answer 12

Complication of PID.
Inflammation of the peritoneum, glysson’s capsule. Diaphragm may be affected. Severe RUQ pain, fever, chills, headaches, malaise. Fluid tracks up in the paracolic gutters of the pelvis

Question 13

Avg ovarian vol of polycystic ovaries

Answer 13

12 cm

Question 14

90% of ovarian cancers are:

Answer 14

Serous Cystadenocarcinomas

Question 15

Pseudomyxoma Peritoneii

Answer 15

Implants on the visceral surfaces caused by a ruptured mucinous cystadenocarcinoma

Question 16

Tumor associated with patients who have endometrial cancer

Answer 16

Endometriod

Question 17

Tumor associated with cystadenomas or cystic teratomas

Answer 17

Brenner tumor

Question 18

A tumor which is a variation of the endometriod with its origin from the Müllerian duct:

Answer 18

Clear cell carcinoma

Question 19

What tumor is associated with Meigs syndrome?

Answer 19

Ovarian Fibroma

Question 20

A pelvic mass, hydrothorax, and ascites describe which syndrome that resolves after the tumor is removed

Answer 20

Meigs syndrome

Question 21

Mostly benign germ cell layer tumor:

Answer 21

Cystic teratoma

Question 22

Tumors that contain bits of bone, teeth and hair are:

Answer 22

Cystic teratomas and solid teratomas

Question 23

Malignant germ cell layer tumor

Answer 23

Dysgerminoma

Morphologically the same as male testicular seminoma

Question 24

Krukenberg tumor

Answer 24

Ovarian tumor which is mets from primary GI tract malignancy

Question 25

Incidence of ectopic pregnancy is 6-10 times greater in patients with H/O PID

Answer 25

True

Question 26

Tuboovarian abscesses can stimulate growth of which other masses

Answer 26

Endometrial cyst, hemorrhagic cyst, ectopic preg

Question 27

The parietal peritoneum is also referred to as

Answer 27

Peritoneum, perimetrium and serous coat

Question 28

Other names for post cul de sac

Answer 28

Rectouterine pouch, | Pouch of Douglas

Question 29

Portion of the Fallopian tube that connects to the uterine wall:

Answer 29

Interstitial area

Question 30

Inner layer of Fallopian tube

Answer 30

Mucous layer

Question 31

Which is the ligament that connects the ovary to the broad ligament

Answer 31

Mesovarian ligament

Question 32

Where does the right ovarian vein drain into

Answer 32

IVC

Question 33

Where does the left ovarian vein drain into?

Answer 33

Left renal vein

Question 34

Where do the ovarian arteries arise from?

Answer 34

Anterolaterally from Aorta. Inf to renal arteries and superior to Inf mesenteric A.

Question 35

The muscles that make up the pelvic diaphragm are:

Answer 35

Lavatory Ani and coccygeus

Question 36

What are the lateral landmarks of the true pelvis?

Answer 36

Psoas muscles

Question 37

Where does the uterine artery arise from?

Answer 37

Hypogastric artery. Aka internal iliac artery

Question 38

What is retrocession?

Answer 38

Cervix displaced posteriorly

Question 39

Longest portion of Fallopian tube

Answer 39

Ampulla

Question 40

Name portions of the Fallopian tube from distal to prod aspect

Answer 40

Fimbria, infundibulum, ampulla, isthmus, interstitial

Question 41

Another name for the ovarian fossa

Answer 41

Fossa of weldeyer

Question 42

Ligament that extends from the Fallopian tube to the side wall of the pelvis is:

Answer 42

Suspensory ligament

Question 43

What are the termination points of the hypogastric artery?

Answer 43

Internal pudendal and inferior gluteal arteries

Question 44

The fimbria of the Fallopian tube are:

Answer 44

Attached to the ovary and move the egg into the Fallopian tube

Question 45

Cancer of ovaries commonly mets to

Answer 45

Liver

Question 46

Most common cause of precocious puberty?

Answer 46

Idiopathic (unknown, spontaneous)

Question 47

Precocious puberty is defined as:

Answer 47

The early onset of puberty in girls before the age of 8

Question 48

Turners syndrome is caused by:

Answer 48

A congenital endocrine disorder

Question 49

Calcification seen in the post menopausal uterus may be:

Answer 49

Foreign bodies Calcified leiomyomas Cystic medial necrosis or the arcuate arteries

Question 50

The RI in the normal post menopausal ovarian artery should be:

Answer 50

> 0.7

Question 51

Decreased estrogen levels in the post menopausal female may cause:

Answer 51

Osteoporosis Emotional symptoms Accelerated atherosclerosis

Question 52

Standard hormone therapy for post menopausal women who still have their uterus is:

Answer 52

Estrogen and progesterone

Question 53

Hormone replacement therapy is contraindicated in women with what kind of history?

Answer 53

Endometrial cancer Breast cancer Liver disease

Question 54

The most common cause of bleeding in the post menopausal woman is:

Answer 54

Atrophy of the endometrium

Question 55

What is the normal endometrial thickness in the post menopausal patient

Answer 55

4-10 mm

Question 56

Factors in patients with endometrial cancer

Answer 56

Nulliparity Obesity Unopposed estrogens

Question 57

An elevated CA-125 blood level is found in more than ___% of patients with epithelial ovarian cancer

Answer 57

80

Question 58

Most common IUD recalled:

Answer 58

Dlakon shield

Question 59

A follicle that is a good size for aspiration ranges in size from:

Answer 59

18-24 mm

Question 60

Why is hCG administered while undergoing ovulation induction therapy?

Answer 60

To induce ovulation

Question 61

During ovulation the basal body temp:

Answer 61

Rises

Question 62

After administration of hCG, ovulation should occur in approx:

Answer 62

24-36 hrs

Question 63

How many grades of ovarian hyperstimulation syndrome are there?

Answer 63

There is 3 Grade 1- ovaries measure => 6x6 cm Grade 2- ovaries => 10x10 + nausea and vomit Grade 3- equal to grade 2 plus one ore more of the following: ascites, pleural effusion, hemoconcentration

Question 64

Preovulatory phase of the menstrual cycle is aka

Answer 64

Proliferative phase

Question 65

Which hormone is the controlling factor in the activity of the hypothalamus and pituitary gland

Answer 65

Estrogen

Question 66

The secondary follicle matures into the:

Answer 66

Graafian follicle

Question 67

HCG is produced by the:

Answer 67

Graafian follicle

Question 68

hCG in the pregnant female is usually at its highest level between:

Answer 68

10-12 weeks

Question 69

Women on drugs that are phenothiazine derivatives may have a false positive preg test

Answer 69

True