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PathologyFemalereproductiveMCQ's ViewRandom
ByA.Ali
Post
1)Whichoneofthefollowingendometriallesionsisassociatedwiththehighestriskof
developingendometrialcarcinoma?
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A.Chronicendometritis Emailaddress... Submit

B.Complexhyperplasiawithatypia
C.Complexhyperplasiawithoutatypia
RecommendThisBlog
D.Simplehyperplasia
E.Squamousmetaplasia Like 761peoplelikethis.Bethefirstofyourfriends.

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ThecorrectanswerisB.Ingeneral,anyconditioncharacterizedbyexcessiveestrogenic
stimulationisassociatedwithsomedegreeofendometrialhyperplasiaandincreasedriskof MedPrepOnline
endometrialcancer.Endometrialhyperplasiaisahistologicprecursorofendometrial
adenocarcinoma.Themostseverechangesarepresentincomplexhyperplasiawithatypia. Follow +1

Disorganizationandcrowdingofglands,highmitoticactivity,andnuclearatypiacharacterize
thischange.25%ofwomenwiththisformofhyperplasiadevelopadenocarcinoma.

MedPrepOnline
761likes

2)a36yearoldgravidfemalenotesvaginalbleeding.Ultrasoundrevealssmallgrape
likecysticstructureswitoutevidenceofadevelopingembryo.Adiagnosisofcomplete
hydatidiformmoleismadeatthehospital.Furtheranalysisismostlikelytorevealthat: LikePage Share

A.hCGlevelsaremarkedlyincreased Bethefirstofyourfriendstolikethis
B.serumlevelsofalphafetoproteinareelevated
C.thegenotypeofthemoleis46,XXandiscompletelypaternalisorigin
D.thegenotypeofthemoleistriploid
E.twoormorespermfertilizedtheovum

ThemostcorrectanswerisC.Acompletehydatidiformmoleischaracterizedbyelevated
PopularPosts
hCGandgrapelikecysticstructuresfillingtheuteruswithnodetectableembryoon
ultrasound.Thegenotypeofacompletehydatidiformmoleispurelypaternal,causedby
DIABETICKETOACIDOSIS(DKA)
fertilizationofaneggthathaslostitschromosomes.Hydatidiformmoleisassociatedwith
DEFINITION:Diabeticketo
increasingmaternalage,andmaybeaprecursortochoriocarcinoma. acidosis(DKA)isastateof
inadequateinsulinlevelsresulting
inhighbloodsugarand
hCGlevelsareincreasedrelativetonormalvaluesfordates,ratharthandecreased,ina
accumulationoforganica...
molarpregnancy(choiceA).
RenalCorpuscle
Alphafetoprotein(choiceB)isamarkerforendodermalyolksactumors,embryonaltumors RenalCorpuscleisapartofthe
inmen,andhepatocellularcarcinoma.Itismadebythefetus,hencenotdetectableina nephron.Itconsistsof:
GlomerulusBowmanscapsule
completehydatidiformmole. Source:http://www.siumed.edu/1.
GlomerulusThe...
Triploidyandeventetraploidyarecharacteristicsofpartialmoles(choiceD).Partialmoles
arethoughttobeduetofertilizationofaneggwithtwodifferentsperm,onewithanXand TheDiabeticPatient:AClinical
Approach
onewithaYchromosome,typicallyleadingtotriploidy.
DiabetesMellitusisametabolic
disorderaffectingmillionsof
Twoormorespermmayfertilizeanovum,leadingtoatriploidfetusandapartialmole peopleacrosstheglobe.Weas
(choiceE). doctorsandmedicalstudents
shouldknowthes...

LowerAbdominalPain
LowerAbdominalPain
3)A37yearoldwomancomplainstohergynecologistofdiscomfortduringintercourse DifferentialDiagnosesLower
andplacementofatampon.Physicalexaminationdemonstratesflocculentswelling Abdominalpainmaysignifya
numberofdiseasesandthese
belowtheskinoftheposterolateralpartofonelabiummajora.Whichofthefollowingis includethefollowing:a....
themostlikelydiagnosis?
Functionsofskin
FUNCTIONSOFSKIN1.Barrier
Normalfloraoftheskin:stap.
A.Bartholin'sglandcyst
Epidermisasthispreventsthe
B.Condylomataacuminatum growthofforeignorganisms
C.Lichensclerosis Respi...
D.Vestibularadenitis
E.Vulvarsquamoushyperplasia
TableofContents

USMLE Clinical Medicine

NotesPharmacologyHighYield
ThecorrectanswerisA.ThisisaBartholin'sglandcyst,whichisarelativelycommonlesion PathologyMnemonic OthersCNS
occurringwhenBartholin'sductbecomesobstructed,typicallyasequelatoaprevious Drugs Anatomy Obstetrics Exams
infection.Thecystscanenlargeto3to5cmindiameter.Theyarelinedbyeithertransitional QuestionFormat Cases Multiple
ormetaplasticsquamousepithelium.Treatmentisbyexcisionormarsupialization Choice Questions Physiology Clinical
(permanentopening). Diagnosis Medical Students
Cardiovascular Disorders Forensic
Medicine Chemotherapeutic Drugs
Condylomataacuminatum(choiceB)usuallyproducesapapillarylesion(venrealwart).
Genetics Interesting Medical Memes
Microbiology Pediatrics Physical
Lichensclerosis(choiceC)usuallyproducesgray,parchmentlikethinnedepidermis. ExaminationBiochemistryCardiovascular
Drugs Dermatology History Taking
Vestibularadenitis(choiceD)usuallyproducesanexquisitelytenderposteriorintroituswith Identification Ophthalmology Toxicology
focalulcerations. Ziauddin Cardiovascular System FCPS
Genetic Disorders In Other News Medical
Vulvarsquamoushyperplasia(choiceE)usuallyproducesawhiteplaque. Humor Neurology Psychological Health
Respiratory System Upper Limb
Alimentary System Behavioral Science
DSM IV ENT Gastrointestinal Disorders
Good Living Histology Intermediary
4)A39yearoldwomanhascyclicalpremenstrualpain.Herbreastshavea"lumpy Metabolism MedPrepOnline.Com
bumpy"textureonpalpation.Abiopsyisperformed.Thehistopathologicfeatures Neurotropic Poisons Personal Experience
includesmallcystslinedbyepithelialcellswithapocrinemetaplasia,calciumdeposits, Pregnancy Thanatology Useful Links
areasoffibrosis,increasednumberofacini(adenosis),andfocioffloridhyperplasiaof Virology Abdomen Autonomic Drugs
ductalepithelium.Whichofthesechangesincreasetheriskofbreastcancer? Bacteriology Clinical Skills Community
Medicine Facts Flash Cards General
A.Adenosis HealthGynaecology Health Hemodynamic
Disorders Immunology Inflammation
B.Apocrinemetaplasia
OSCE Oncology Organic Disorders
C.Calciumdeposits
Reproductive Disorders Respiratory
D.Cysts Disorders Spot Diagnosis Surgery Thorax
E.Epithelialhyperplasia Urinary System BasicPharmacologyElectives
Endocrinology General Toxicology Head and
Neck Internship Mycology Neuroanatomy
Orthopedics Parasitology Psychopharmacology
ThecorrectanswerisE.Fibrocysticchangesusuallycometoclinicalattentionbycausing Pulmonology Reconstruction Residency

pain(oftencyclical,inpremenstrualphase),palpablelumps,ormammographicdensities RevampingSingaporeSpecialTopics Substance

AbuseTreatmentZiauddinUniversity
andcalcifications.A"lumpybumpy"textureiscausedbycystsandfibrosis.Epithelial
hyperplasiaisdefinedasanincreaseinthenumberofepithelialcelllayersintheductal
epithelium.Floridepithelialhyperplasialeadstoanincreasedriskofdevelopingcarcinoma, BlogArchive
especiallyistheseisassociatedcellularatypia(atypicalductalhyperplasia). BlogArchive

Adenosis(choiceA)referstoanincreaseinthenumberofaciniandcanbeobservedin
fibrocysticchangesaswellasinotherbreastconditions,suchassclerosingadenosis.

Apocrinemetaplasia(choiceB)describesabenignchangeofbreastepithelialcellsthat
cometoresembletheapocrineepitheliumofsweatglands.

Calciumdeposition(choiceC)isanonspecificfindingthatmaroccurinanumberofboth
benignandmalignantbreastchange,includingfibrocysticchanges,ductalcarcinomainsitu,
andinvasivecarcinoma.Calcificationisnotclinicallysignificantexceptforitsdiagnostic
value.
Cysts(choiceD)arefrequentinfibrocysticchangesandresultfromdilatationofducts.A
classicgrossdescriptionisthatofbluedomecysts,whichappearbrowntobluebecauseof
theirturbidfluidcontent.

5)An83yearoldfemalehasabiopsyofanulceratednipplelesionthatisinterpretedas
Paget'sdisease.Abiopsyoftheunderlyingbreasttissuewillmostlikelyshowwhichof
thefollowing?

A.Acutemastitis
B.Ductalcarcinomainsitu
C.Intraductalpapilloma
D.Invasivelobularcarcinoma
E.Normalbreasttissue

ThecorrectanswerisB.Paget'sdiseaseofthebreastisaformofductalcarcinomainwhich
neoplasticcellsinvolvethesquamousepitheliumoftheskinbydirectextensionthroughthe
lactiferousducts.

Acutemastitis(choiceA)isadiseaseofnursingwomeninwhichbacteria(S.aureus)gain
entrytothebreasttissueviacracksinthetraumatizednipple.Itischaracterizedbyacute
inflammationandtissuenecrosis.

Intraductalpapilloma(choiceC),apapillarymassarisingwithintheducts,usuallypresents
asasinglesubareolartumorthatmayproduceabloodyorserousnippledischarge.

Invasivelobularcarcinoma(choiceD)isatumoroftheterminalductulesofthebreast.It
presentsasapoorlycircumscribed,rubberybreastmass.Lobularcarcinomadoesnot
producePaget'sdisease.

Paget'sdiseaseofthebreastalwaysreflectsunderlyingductalcancer.Thisisinmarked
distinctionfromextramammaryPaget'sdisease,whichmayarisewithoutanidentifiable
malignancy(choiceE).

Youmightlike:

Acaseof36year DawnPhenomenon Intussusception InternalJugular

oldwithseizures andSomogyi VeinTributaries
andmotordeficits Effect withMnemonic

+1 Recommend this on Google

Category:Cases,ClinicalDiagnosis,Gynaecology,Histology,MultipleChoiceQuestions,Obstetrics,
Pathology,ReproductiveDisorders
PostedonMonday,June01,2009

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