COMPREHENSIVE TEST BANK FINAL EXAM AND
PRACTICE QUESTIONS COMPLETE ACCURATE EXAM
REAL QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (RELIABLE SOLUTIONS)
CURRENTLY UPDATED VERSION 2026 EDITION
What is Polycystic Ovarian Syndrome (PCOS)?
An endocrine disorder causing hormonal imbalance and chronic
anovulation
What other name is PCOS known by?
Stein-Leventhal syndrome
What are common symptoms of PCOS?
Anovulation, irregular menses, amenorrhea, infertility,
hirsutism, acne
,What is the classic ultrasound appearance of PCOS?
Bilaterally enlarged ovaries with multiple small peripheral cysts
(String of Pearls)
What are risk factors for PCOS?
Obesity, diabetes mellitus, increased cholesterol, genetic factors
What is Ovarian Hyperstimulation Syndrome (OHSS)?
A complication of ovulation induction therapy causing enlarged
ovaries
How large can ovaries become in severe OHSS?
Greater than 10 cm
What associated findings may occur with OHSS?
Ascites, pleural effusion, abdominal distention
What is the leading cause of death from gynecologic malignancy in
the U.S.?
Ovarian cancer
What tumor marker is associated with ovarian cancer?
CA-125
,What are other risk factors for ovarian cancer?
Increased age, nulliparity, infertility, uninterrupted ovulation, late
menopause
What is the most common malignant ovarian tumor?
Serous cystadenocarcinoma
What is the typical appearance of serous cystadenocarcinoma?
Large multilocular cystic mass with papillary projections
Are serous cystadenocarcinomas often bilateral?
Yes
What is mucinous cystadenocarcinoma?
A multilocular cystic ovarian malignancy containing mucin
What complication can mucinous tumors cause if they rupture?
Pseudomyxoma peritonei
What is an immature teratoma?
A malignant germ cell tumor containing immature tissue
What is a dysgerminoma?
A malignant germ cell tumor analogous to seminoma
, What are common symptoms of dysgerminoma?
Abdominal swelling, pelvic pain, fever, vaginal bleeding
What is a granulosa cell tumor?
An estrogen-producing ovarian tumor with low malignant potential
In what age group do adult granulosa cell tumors occur?
Postmenopausal women
What can estrogen production from granulosa tumors cause
in young girls?
Precocious puberty
What is a Krukenberg tumor?
A metastatic ovarian tumor composed of mucin-producing
signet ring cells
Where do Krukenberg tumors most commonly originate?
Stomach or colon (Tip: If pt. has prior hx of colon cancer, dx is most
likely KT)
What does low-resistance Doppler flow suggest in an ovarian
mass?
Possible malignancy due to continuous blood flow to rapidly
growing tumor