trigger - ovarian disorders

Question 1

which type of cyst can mimic an ectopic pregnancy

Answer 1

corpus luteum cyst

Question 2

These cysts are created due to failure to develope during ovulation

Answer 2

follicular cysts

Question 3

General tx for follicular cysts (4 options)

Answer 3

Question 4

These cysts may be more likely when taking Clomid

Answer 4

corpus luteum cysts

Question 5

which type of cyst can rupture and lead to acute abdomen and/or hypovolemic shock

Answer 5

corpus luteum

Question 6

these cysts are caused by elevated levels of hCG

Answer 6

theca lutein cysts

These gradually resolve as hCG levels return to normal! but may take months!

Question 7

these cysts often occur bilaterally and are filled with clear fluid

Answer 7

theca lutein cysts

Question 8

these cysts may present with elevations in CA-125

Answer 8

endometriomas

Question 9

which cysts are filled w hair, teeth, bone, cartilage and fat

Answer 9

dermoid cysts

PREmenopausal cysts

Question 10

what type of cyst is benign but grows to be HUGE

Answer 10

cystadenoma

Question 11

oyster ovaries on pelvic US is suggestive of which diagnosis

Answer 11

PCOS

Question 12

leading cause of female infertility

Answer 12

PCOS

Question 13

In which diagnosis would you see a generally decreased SHBG

Answer 13

PCOS

Question 14

tx for hyperandrogenism in a pt who cannot take estrogen

Answer 14

GnRH agonists

Leuprolide, goserelin, triptorelin and histrelin

BONE LOSS RISK

Question 15

this medication has risk of BONE LOSS

Answer 15

GnRH agonists

Question 16

what is the word for hair removal ABOVE the skin

Answer 16

depilation

Question 17

what is the word for complete hair removale

Answer 17

epilation

Question 18

when do you use eflornithine hydrochloride (vaniqa) cream? what are the cons vs other treatments

Answer 18

cream that stops hair growth!

cons: doesnt permanently remove hair, just stops growth while applied

Question 19

CI for spirinolactone

Answer 19

Pregnancy

I remember this cuz my friend takes spirinolactone for acne and was suggested to start a COC with it!

Question 20

what are the uses of 5-alpha-reductase inhibitors and what is their MOA and CI

Answer 20

• used for hirstuism and male pattern hair loss
• decreases testosterone conversion
• not safe if pregnant w male fetus

finasteride dutasteride

Question 21

what should always be attempted FIRST prior to pharm treatments for ovulation induction in PCOS

Answer 21

weight loss and exercise

Question 22

what is the MOA of letrozole

Answer 22

inhibits aromatase (which converts androgens to estrogens)
causes increased production of FSH and LH from GnRH

Question 23

which ovulation induction agent is associated with ovarian hyperstimulation syndrome as a SE

Answer 23

comiphen citrate/clomid

also exogenous gonadotropins

Question 24

what is the MOA of clomiphene citrate/clomid

Answer 24

SERM - binds to hypothalamus, blocking estrogen receptors

leads to increased GnRH —> FSH/LH production

Question 25

what is the presentation of mild, moderate and severe ovarian hyperstimulation syndrome | I know, its annoying, but just list em out I believe in you.

Answer 25

Question 26

what procedure may induce ovulation in patients who are unresponsive to medical therapy

Answer 26

laparoscopic ovarian surgery i guess you just poke em a bunch of times and hope they ovulate lol i am unsure.

Question 27

Pelvic ultrasound shows a snail shell appearance with blood flow that appears as a whirl pool

Answer 27

ovarian torsion

Question 28

what is associated with AFP, hCG and LDH

Answer 28

germ cell tumors | more common in younger patients!

Question 29

these tumors are most associated with inhibin

Answer 29

granulosa cell tumors

Question 30

these tumors are most associated with estrogen and androgens

Answer 30

sex cord-stromal tumors

Question 31

How common is ovarian tumors caused by metastases

Answer 31

5%

Question 32

serous cystadenocarcinomas result from what types of cells

Answer 32

epithelial ovarian cells

Question 33

if a patient has ________ they have a higher risk of not only ovarian cancer, but also colon, breast and endometrial cancer

Answer 33

hereditary nonpolyposis colorectal cancer syndrome

Question 34

What is HE4 used for?

Answer 34

MONITORING previously diagnosed ovarian cancer. NOT a screening tool

Question 35

Would you be more likely to remove the contralateral adnexa in a germ cell cancer or in an epithelial ovarian cell cancer?

Answer 35

Epithelial Ovarian Cell Cancer | If contralateral adnexa looks normal in germ cell, can leave it!:)

Question 36

What is the MC gyn malignancy?

Answer 36

Endometrial cancer

Question 37

What is the MCC of death in gyn malignancy

Answer 37

ovarian cancer