Hey community, 

I can't seem to figure out why the program has difficulty uploading these 
cards that I have attached. 

I have determined that it's from the answer column on the right, but have 
been unsuccessful in pinpointing the exact input that the program cannot 
recognize. 

Help?

Thanks!

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"in neonate, which is larger, cervix or uterine fundus?"        cervix 
"prepubertal female, how does the shape of the uterus change? Cervix & uterus 
are the same size?"       tube like. Cervix & uterus same size 
"in puberty, how does the shape of the uterus change? " fundus larger than 
cervix. Looks like an adult - pear like. Endometrium now visible 
turner syndrome is what chromosome abnormality? Have what with the aorta? With 
the kidneys? What does the uterus look like? Ovaries look like?  Aortic 
coarctations. Xo. Horsehoe kidneys. Prepuberty uterus. Streaky ovaries
what doe the mullerian ducts form into (3)?     "uterus, fallopian tubes, upper 
2/3 of vagina"
what do the wolfian ducts form into (3)?        "vas deferens, seminal 
vesicles, epididymis"
what does the urogenital sinus form into (2)?   "prostate, lower 1/3 of vagina"
what are the 3 features of mayer rokitansky kuster hauser syndrome?     vaginal 
atresia. Absent or rudimetary uterus (unicornuate or bicornuate. Normal ovaries 
what key association in the abdomen besides genitals with mayer rokitansky 
syndrome?    "kidney problems (agenesis, ectopia)"
unicornuate uterus has what 4 subtypes?. What causes pain in unicornuate 
uterus? 40% of girls with unicornuate have what problems with the kidneys?     
"WITH OR WITHOUT rudimentary horn, with or without - endometrial tissue . 
Endometrial tissue in non communicating places. Endometrial tissue in 
rudimentary horn increases risk of miscarriage & uterine rupture. Usually 
ipsilateral renal agenesis"
what does cornus mean in french?        uterus 
what does collis mean in french?        cervical 
what is uterine didelphysis?    2 completely separate tracts 
what is bicornus uterus look like? Bicornuate has an increased riks of fetal 
loss more or less than septate? Do you resect the septum in biconruate?    
heart shaped. Deep myometrial cleft at fundus. Less than septate. No rsxn - 
poor outcomes
T shaped uterus related to what? What else is DES related to?   DES - 
synehtetic estrogne given to prevent miscarrage in the 1940s . Vaginal clear 
cell carcinoma 
2 subtypes of septate uterus? Do you resect septum? Do you have infertility 
issues? Is the fundal contour normal or abnormal? What is the height of the 
fundal contour above the tubal ostia?   fibrous vs muscular septum. Resection 
can help. Problems with inferity 2/2 to implantation on septum (has low blood 
supply). Fundal contour is normal. Fundus is >5mm above tubal ostia
arcuate uterus is what? Is it a normal variant?a/w infertility or obstretic 
problems?   mild smooth concavity of uterine fundus. Normal variant. Not a/w 
infertility or obstetric complications 
HSG's performed on what days? Contraindications? Can you tell difference b/w 
bicornuate or septate uterus on HSG?       "7-10 days. Contraindications - 
infection (PID), active bleeding, pregnancy, contrast alergy. cannot tell 
difference"
what is salpingitis isthmica nodosa? Usually involves what segment of the tube? 
Strongly a/w what issues of pregnancy?  scarring of fallopian tubes. Proximal 
2/3 of tube. Strongly a/w infertility & ectopic pregnancy 
causes of uterine AVM?  "previous dilation & curettage, therapeutic aboriton, c 
sxn, multiple pregnancies"
intrauterine adhesions (ashermans) on HSG look like what?       non filling of 
the uterus OR multiple irregular linear filling defects w/ inability to 
appropriately distend endometrium
MRI apperance of ashermans?     lots of T2 dark bands 
endometritis occurs how many days after delivery? If have gas in endometrial 
cavity is this concerning for pyometrium?  "2 to 5 days. Air is not specific 
after delivery, but may suggest it "
3 locations of fibroids?        "submucosal (least common), itnramural (MC), 
subserosal"
US appearance of fibroids?      "hypoechoic, often peripheral blood flow, 
shadowing - venetian blind pattern"
CT characteristics of fibroids? popcorn peripheral calcs 
MRI appearance of fibroids?     "T1 dark to intermediate, T2 dark, variable 
enhancement. May be T2 bright which responds better to IR"
4 types of degeneration of the fibroid? How do you tell it's degeneration on 
MRI?       "hyaline, red carneous, myxoid, cystic. doesn't enhance "
MC subtype of degeneration of a fibroid? What happens in this type of 
degeneration?     hyaline. Fibroid outgrows blood supply. 
which subtype of degeneration of fibroids occurs during pregnancy? Caused by 
what? Imaging finding on T1?       red (carneous). Venous thrombosis. 
Peripheral rim of T1 high signal 
what imaging features suggest myxoid degeneration?      "T1 dark, T2 bright, 
with minimal gradual enhancement"
adenomyosis most common in what pts?    "multiparous women of reproductive age, 
especially if had a hx of uterine procedures "
adenomyosis favors what parts of the uterus? Does it spare the cervix? 
Classically causes what to the size of the uterus without changing the contour? 
 posterior wall. Spares cervix. Enlarges uterus w/o changing overall contour 
MRI classic feature of adenomyosis? What do you see on T2?      thickening of 
jxnal zone of the uterus to more than 12 mm (normal is <5mm). Small high T2 
signal regions correspond to regions of cystic change 
ultrasound features of adenomyosis?     "hyperechoic adenomyosis, with 
hypoechoic muscular hypertrophy, or just enlargement of posterior wall "
what size endometrial thickness is the cutoff for concern in postmenopausal 
woman?      greater than 5 mm 
vaginal bleeding ddx usually?   endometrial atrophy or cancer 
what colon cancer subtype associated with endometrial cancer?   hereditary 
nonpolyposis colon cancer 
what tumors can thicken the endometrium?        granulosa cell tumors of ovary 
- estrogen secreting
tamoxifen increases risk of what cancer? Causes what to the subendometrium & 
causes what to grow?       endometrial cancer subendometrial cysts and 
development of endometrial polyps 
tamoxifen endometrium can be as large as what size?     up to 8 mm 
what's difference b/w stage 2A & stage 2B?      "spread beyond cervix, but no 
parametrial invasion. 2b is parametrial involvement but doesn't extend to 
pelvic side wall "
difference in treatment of stage 2A vs 2B?      chemo/radiation in 2B
what's the parametrium? Why is the parametrium so important in changing 
management of cervical CA?      "fibrous band that separates supravaginal 
cervix from bladder. Uterine artery runs in parametrium, hence need for chemo 
once invaded "
leiomyoma of vagina most commonly in what wall? anterior
MC CA of vagina? a/w what infxn just like cervix?       squamous cell. HPV 
what's the vaginal CA a/w DES exposure & T shaped uterus?       clear cell 
adenocarcinoma 
MC tumor of vagina in children? Age distribution? Usually comes off what wall 
of the cervix?    "vaginal rhabdomyosarcoma. Bimodal age distribution (2-6, 
14-18). Anterior wall of the cervix. "
you know it's a genital met if you see the lesion in what part of the vagina?   
anterior wall upper 1/3 
you know it's a met from genital tract if you see a mass in what part of the 
vagina?    a met to the posterior lower 1/3 wall of the vagina is 90% 
what are nabothian cysts?       result of inflammation causing epithlium 
plugging of mucous glands 
cause of Gartner duct cysts? Located along what wall of the vagina? Can cause 
mass effect on what causing sx?   incomplete regression of wolffian ducts. 
Anterior lateral wall of upper vagina. Mass effect on urethra 
what are bartholin cysts? Obstruction of what? Found below what level?  
obstruction of bartholin glands (mucin secreting glands from urogenital sinus). 
Below pubic symphysis 
what are skene gland cysts? Arise from what glands? Can cause recurrent what?   
cysts in perirethral glands. Recurrent UTIs & urethral obstruction 
what's the cumulus oophorus?    collection of cells in mature dominant follicle 
that protrudes into follicular cavity - signals immiment ovulation 
theca lutein cysts are related to overtstimulation from what hormone? What 
appearance of the ovary? What 3 things can give theca lutein cysts?  "too much 
beta-HCG. Multilocular cystic spoke wheel. Multifetal pregnancy, gestational 
trophoblastic disease (moles), ovarian hyperstimulation syndrome "
what 3 findings in ovarian hyperstimulation syndrome? (seen in fertility 
therapy)       "ascites, pleural effusions, theca lutein cysts "
ideal time of doing PET if pt has a menstrual cycle & why?      ovaries can be 
hOT on PET. That's why do in 1st week of menstrual cycle 
what is size rule for postmenopausal ovarian cyst follow up?    "> 1cm - yearly 
follow up, <5 cm (still likely benign 3-6 mo follow up, >7cm (get either MRI or 
surgeon) "
what are some ways to distinguish ectopic from a corpus luteum? (both have a 
ring of fire)      RI <0.4 or >0.7. RI 0.4-0.7 in corpus luteum. Ectopic has 
thick echogenic rim. Corpus luteum has thin ehcogenic rim. Ectopic will move 
separate from the ovary 
clinical triad of endometrioma? "infertility, dysmenorrhea, dyspareunia"
ultrasound appearance of endometrioma? Has increased or decrased through 
transmission?  rounded mass w/ homogenous low level internal echoes & increased 
through transmission
most common location for solid endometriosis?   uterosacral ligaments 
do endometrioms become CA? what type of malignant CA? how do you tell it is CA 
(age? Risk factors? Size?)       1% of time they can. Endometrioid or clear 
cell CA. if > 9 cm concerned for CA. majority of women w/ carcinoma are in 
older than 45 yrs old. Risk factors include older than 45 or bigger than 6-9 cm 
"what is a decidualized endometrioma? If there's a solid nodule in an 
endometrioma in a NON pregnant woman, what is it?"        solid nodule w/ blood 
flow in endometrioma of pregnant girl. ALWAYS presumed maligancy 
how to differentiate hemorrhagic cyst vs endometrioma?  hemorrhagic cyst should 
go away in 1-2 menstrual cycles (so repeat in 6-12 wks) 
"if you see something that looks like a hemorrhagic cyst, but in post 
menopausal woman, what do you think?"     post menopausal women can ovulate - 
therefore still follow up in 6-12 weeks. But if late post menopausal it's CA 
till proven otherwise 
MC ovarian neoplasm in pts younger than 20? Typical ultrasound apperance? MRI 
appearance (fat?) dermoid. Cystic mass w/ hyperechoic solid mural nodule - 
though tip of iceberg sign - much can be attenuated from dermoid contents. 
Bright on T1 (from fat - so look for fat suppression)
do dermoids become CA? what type of CA? 2 indicators make it more suspicious 
for CA?    "1% can. Squamous cell CA. indicators are size > 19 cm, age > 50 "
PCOS has how many or more simple cysts in the ovary? Ovaries are typically 
small or large?      "10 or > peripheral small cysts. Ovaries typically 
enlarged > 10cc, although 1/3 of pts have normal size ovaries"
what size of septations is too large?   >3 mm 
MC type of ovarian malignancy? What % of this type is benign? Benign versions 
favor what age group?     serous tumors. 60% benign. Favor women of 
childbearing age. Malignant ones tend to occur in wolder women 
serous tumors are typically uni or multilocular? Papillary projections common?  
"unilocular, large, few septations . Papillary projections common "
mucinous ovarian cystadenocarcinoma is often a large uni or multiloculated 
mass? Septa are thin or thick? Papillary projections more or less common than 
serous tumors? Risk factor?    large multilocated mass. Septa are thin. 
Papillary projections less common than serous. Smoking 
2nd MC ovarian CA?      endometroid ovarian CA 
endometriod ovarian CA bilateral what % of time? 1/4 of women will have what 
concomitant CA? what condition can turn into endometriod CA?       15%. 
Endometrial CA. endometriomas 
what's Meigs syndrome?  "triad of ascites, pleural effusion, benign ovarian 
tumor (most commonly fibroma) "
ovarian fibroma is malignant or benign? Seen in what demographic? Age group?    
benign. Middle aged women. 
what is ovarian fibromatosis? What age group? a/w what of the omentum & 
peritoneum? What's the buzzword on MR I T2? Tx? tumor like enlargement 2/2 to 
ovarian fibrosis. Girls 25 yo. Omental fibrosis & sclerosing peritonitis. Black 
garland sign. Surgical removal of ovaries 
brenner tumor is an epithelial tumor of the ovary in women of what age? 50-70s 
ovarian fibromas often have calcification? Brenner tumors often have 
calcifications?    brenner tumors often have calcification 
"stuma ovarii is actually a subtype of what tumor? On MRI, what is the imaging 
clue of struma ovarii? What type of tissue is it? Clinically presenting how?"   
 "very LOW T2 signal in the cystic areas, it's actually thick colloid. Thyroid 
tissue. Hyperthyroid "
what are 3 signs described in hydrosalpinx? What does each look like?   
cogwheel appearance. String sign (incomplete septate). Waist sign (tubular mass 
w/ indentations of its opposing walls 
paraovarian cyst is a congenital remannt of what duct? Do or don't distort the 
adjacent ovary? Separate or part of ovary?       woffian duct. DonÕt distort 
adjacent ovary. Separate 
ovarian vein thrombophlebitis is MC in what subset of women? 80% of time on 
right or left? Worst consequence of this?   post partum women. More common on 
right. Ovarian vein thrombophlebitis 
what are the 2 types of hydatidiform moles? More common subtype? Karyotype is 
____ of a complete? Karyotype of partial? complete vs partial. Complete more 
common. Diploid. Triploid 
how does a complete mole occur? fertilization of egg that has lost its 
chromosomes 
complete mole US appearance in 1st trimester? 2nd trimester?    "echogenic, 
solid, highly vascular mass (snowstorm). Vesicles make up mole, enlarge into 
individaul cysts (2-30mm) & produce bunch of grapes appearance "
pathogenesis of partial mole? US appearance of partial mole? Karyotype? 
fertilization of ovum by 2 sperm (69XXY). Placenta enlarged & has areas of 
multiple diffuse anechoic lesions. Triploidy 
what cysts are seen in molar pregnanacies? These cysts are most commonly seen 
in what trimester? Uni or bilateral?      theca lutein cysts. 2nd trimester. 
Bilateral 
invasive moles do what to myometrium?   "invade into myometrium, cause focal 
myometrial masses, dilated vessels, areas of hemorrhage / necrosis "
classic hx of choriocarcinoma is beta hcg rising how many weeks after 
evacuation of molar pregnancy?    8-10 wks
tx of choriocarcinoma?  methotrexate
fracture of the penis is defined as fracture/break of what 2 structures of the 
penis?   corpus cavernosum & surrounding sheath - tunica albuginea
what stage of prostate cancer is indicated by extension through capsule or 
bulging the capsule layer?   extension through capsule 
mullerian duct cyst vs prostatic utricle cyst? Bot hare midline posterior to 
bladder but how are they different? Cause? mullierna duct cyst = anatomic 
variant of caudal ends of mullierna ducts (male equivalent of vagina/cervix). 
Prostatic utricle = focal dilation of prostatic urethra 
"prostatic utricle cyst is a/w what of the penis? What syndromes? What of the 
anus? Kidneys? If it gets large, what are you afraid of?" "hypospadias. Down's, 
prune belly syndrome, unilateral renal agenesis, imperforate anus. Large can 
get infected "
mullerian duct cyst can contain what types of CA?       "endometrial, clear 
cell, squamous "
seminal vesicle cysts are a/w what 4 things? 2 kidney issues? Male genital 
tract? Ureter insertion?     "renal agenesis, polycystic kidney disease, vas 
deferens agenssis, ectopic ureter insenrtion "
classic hx of seminal vesicle cyst? What clinical hx?   prior prostate surgery. 
Obstruction from prostatic hypertrophy or chronic infection/scarring 

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