Medicine MCQs -9

Which is the largest benign ovarian tumor?

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MUCINOUS CYST ADENOMA

Pseudo Meigs syndrome constitutes all of the following EXCEPT -

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Pseudo Meigs syndrome: Ascites and pleural effusion in a patient with pelvic or abdominal tumor (other than the benign tumors included in the definition of Meigs syndrome). The tumors in pseudo-Meigs syndrome could be benign or malignant.

Walthard cell nests most commonly found in

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Walthard cell nests, are a benign cluster of epithelial cells most commonly found in - Most commonly found in Fallopian tubes, but also seen in the mesovarium, mesosalpinx and ovarian hilus

What is the most common tissue elements in dermoid cyst?

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Most common tissue elements are ectodermal

Walthard cell rest found in -

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Histologically islands of transitional epithelium - Walthard nests.

Pseudo-pseudo Meigs' syndrome is associated with -

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Tjalma syndrome or pseudo-pseudo Meigs' syndrome
characterized by
- pleural effusion,
- ascites
- elevated CA-125
- with no associated benign or malignant ovarian tumor
-Seen in a patient with systemic lupus erythematosus (SLE).

Meigs’ syndrome has all of the following EXCEPT

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Meigs’ syndrome:
Ascites
Right side hydrothorax
Benign ovarian tumor -fibroma of the ovary, Brenner, thecoma and granulosa cell tumor

Which is the commonest functional cysts in ovary?

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Follicular cyst is the commonest functional cysts.

Rokitansky’s protuberance seen in which of the following cases?

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Rokitansky nodule or dermoid plug refers to a solid protuberance projecting from an ovarian cyst
Rokitansky’s protuberance
- Dermoid cyst of ovary
- Area of solid projection called Rokitansky’s protuberance which is covered by skin with sweat and sebaceous glands.
- It is here that teeth and bones are found.
- Section should be made from this area

What is the most common complication of dermoid cyst?

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Torsion is the most common (15–20%)
Rupture is an uncommon (1%) complication
Malignancy is rare - about 1–2 percent

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