Female

Marina Michail
Quiz by Marina Michail, updated more than 1 year ago
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Female chapter questions
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Question 1

Question
A 43 year old woman has noted vaginal bleeding for the past five weeks. On pelvic examination, there is a 0.7 cm polypoid mass noted to extend into the vagina. The ectocervix appears normal. The adnexae has no palpable masses. Which of the following pathologic findings is most likely to be found on microscopic examination of this lesion?
Answer
  • Endometrioid adenocarcinoma
  • Clear cell adenocarinoma
  • Endometrial hyperplasia
  • Sarcoma botyroids
  • Endocervical polyp

Question 2

Question
A 28 year old woman has a cervical biopsy showing cervical intraepithelial neolasia III (CIN III). Infection with which of the following organisms is most likely to cause her disease?
Answer
  • Herpes simplex virus
  • Epstein Barr virus
  • Candida albicans
  • Human papilloma virus
  • Trichomonas vaginalis

Question 3

Question
For the past year, a 50 year old woman has noted heavy menstraul periods lasting 7 to 9 days, with occasional minor intermenstraul bleeding. On gross inspection the uterus showed a reddish tan fleshy mass.Microscopically the mass is highly cellular with spindle cells having hyperchromatic nuclei and 10 to 20 mitoses per 10 high power fields. Which of the following is the most likely diagnosis?
Answer
  • Malignant mixed mullerian tumor
  • Adenomyosis
  • Leiomyoma
  • Ectopic pregnancy
  • Leiomyosarcoma

Question 4

Question
A 62 year old woman has abnormal uterine bleeding for the past 5 months.Endometrial biopsy shows a well differentiated endometrial adenocarcinoma. Which of the following ovarian neoplasms is she most likely to have?
Answer
  • Papillary serous cystadenocarinoma
  • Krukenberg tumor
  • Mucinous cystadenoma
  • Granulosa cell tumor
  • Immature teratoma

Question 5

Question
A 32 year old female searching for pregnancy for 2 years. She also had painful menstraution for many years. An explortory laprascopy revealed multiple red blue nodules covering the surface of the ovaries and uterine ligaments. These findings are indicative of which of the following?
Answer
  • Adenomyosis
  • Endometrial hyperplasia
  • Endometriosis
  • Endomertitis

Question 6

Question
An obese hypertensive and diabetic 45 year old female presents with post menopausal bleeding. U/S revealed irregular mass filling the uterus. The most likely diagnosis is:
Answer
  • Endometrial hyperplasia
  • Purperal sepsis
  • Endometrial carcinoma
  • Adenomyosis

Question 7

Question
Female patient with positive pregnancy presents with vaginal bleeding and passage of grape like masses. Examination revealed increased size of uterus than expected date of pregnancy. The most likely diagnosis is:
Answer
  • Leiomyoma
  • Cervical carcinoma
  • Complete vesicular mole
  • Choriocarcinoma

Question 8

Question
A pathologic study is made of phylloids tumor and fibroadenoma of the breast. The dermographic findings in the patients,the mammographic findings,and the gross and microscopic pathologic appearances are analyzed. Which of the following features is most likely to have the greatest frequency in th patients with phylloids tumor than fibroadenoma?
Answer
  • Stromal cellularity
  • Size of the tumor
  • Patient age
  • Location within the breast
  • Mammographic appearance

Question 9

Question
A 20 year old woman notes a form, 1 to 2 cm mass in her left breast. There is no nipple discharge and no pain.No axillary adenopathy is present. The overlying skin of the breast appears normal. Mammography confirms the presence of rounded density, which has no microcalcifications and reveals no lesions of the opposite breast, Which of the following is the most likely diagnosis?
Answer
  • Fat necrosis
  • Fibroadenoma
  • Intraductal papilloma
  • Infiltrating ductal carcinoma
  • Cystosarcoma phylloids

Question 10

Question
A 45 year old woman has a 5 cm mass in her right breast for 7 months. On microscopic examination, a carcinoma is present. Which of the following pathologic findings involving this lesion suggests a better prognosis for his woman?
Answer
  • No axillary lymph node metastasis
  • Lack of estrogen receptor postivity
  • Large tumor size
  • Aneuploidy by flow cytometry
  • An intraductal histologic pattern
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