Revision

Question 1

Strong association of with endometriosis of the ovary

Association with Lynch syndrome

Answer 1

Endometrioid and clear cell carcinoma

Question 2

May produce oestrogen causing uterine bleeding

Answer 2

Fibroma/thecoma

Question 3

May secrete oestrogen, may cause precocious puberty/post menopausal bleeding

Answer 3

Granulosa cell tumour

Question 4

May cause thyrotoxicosis

Answer 4

Dermoid cysts (as it contains mature tissue, it may contain thyroid tissue!)

Question 5

May produce androgens, which may cause hirsutism/virilisation

Answer 5

Thecal tumour

Question 6

CEA may be elevated in which type of tumour

Answer 6

Mucinoid tumour

Question 7

Tumour markers in mucinoid tumours

Answer 7

May have raised CEA and CA19-9

May have normal CA125

Question 8

Malignant germ cells may produce which hormones?

Answer 8

HCG/AFP

Question 9

Dysgerminoma

Answer 9

LDH
Beta HCG
PLAP

Question 10

Seminoma

Answer 10

Beta HCG

Question 11

Choriocarcinoma

Answer 11

Beta HCG

Question 12

Yolk sac

Answer 12

AFP

Question 13

Embryonal

Answer 13

AFP and beta HCG

Question 14

Stromal tumours (granulosa cell/sertoli-leydig/ fibroma)

Answer 14

Estradiol

Question 15

What do you need for a diagnosis of labour?

Answer 15

Cervical dilatation
Regular uterine contractions
Descent of presenting part

Question 16

Treatment of obstetric cholestasis (bile <40 and bile >40)

Answer 16

<40 = colestyramine and hydroxyzine
>40 = urseodeoxycholic acid

Question 17

May be presenting feature of testicular cancer in young men

Answer 17

Hydrocele

Question 18

May be presenting feature of renal carcinoma

Answer 18

Varicocele

Question 19

What stimulates the granulosa cells to produce oestrogen?

Answer 19

LH

Question 20

Treatment for puerperal pyrexia?

Answer 20

Clindamycin and gentamicin

Question 21

Caused by a defective decidua basalis

Answer 21

Placenta accreta

Question 22

Reflexes in placental abruption

Answer 22

Hyperreflexia

Question 23

Fetal anomalies which can cause polyhydramnios

Answer 23

Duodenal atresia

Anencephaly

Question 24

Fetal abnormalities which can cause oligohydramnios

Answer 24

Fetal urinary tract problems - e.g. renal agenesis (Potter’s) and GU obstruction

Question 25

Biggest risk factor for chorioamnionitis?

Answer 25

Premature rupture of membranes

Question 26

Treatment for hyperemesis gravidarum?

Answer 26

Promethazine

Question 27

Causes of folic acid deficiency?

Answer 27

Phenytoin Methotrexate Pregnancy Alcohol excess

Question 28

How much vitamin D should pregnant ladies take?

Answer 28

10 micrograms per day

Question 29

When is the fetus palpable at the xiphoid sternum?

Answer 29

36 weeks

Question 30

When is the fetus palpable at the umbilicus?

Answer 30

20 weeks

Question 31

Sertoli-leydig tumours are associated with what syndrome?

Answer 31

Peutz-Jegher syndrome

Question 32

This type of tumour contains Call-Exner bodies

Answer 32

Granulosa cell tumour

Question 33

This type of tumour is associated with Turner's syndrome

Answer 33

Dysgerminoma

Question 34

Mucin secreting ring cell adenocarcinoma

Answer 34

Krukenberg tumour

Question 35

Strawberry cervix

Answer 35

Trachimonas vaginalis

Question 36

Coffee bean nuclei

Answer 36

Brenner tumour

Question 37

COC redcues risk of which type of cancer?

Answer 37

Ovarian