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Pathology · USMLE Step 1 · Healthcare and Nursing

USMLE Pathology: Reproductive System

Gynecologic and testicular tumor classification, cervical dysplasia grading, and placental pathology, one finding per card. Original cards testing the underlying concepts.

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35 basic cards for USMLE Step 1 Pathology. Set 22 of 27 in USMLE Pathology. It opens with "Which two HPV genotypes carry the highest risk for cervical cancer?" and "Which two HPV genotypes most commonly cause condyloma acuminatum (genital". Study it alongside the other USMLE Step 1 sets below.

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Which two HPV genotypes carry the highest risk for cervical cancer?
Show answerHPV 16 and 18.
Which two HPV genotypes most commonly cause condyloma acuminatum (genital warts)?
Show answerHPV 6 and 11.
What cytologic finding on Pap smear is the hallmark of HPV-infected squamous cells?
Show answerKoilocytes (cells with perinuclear halos and irregular, raisinoid nuclei).
In CIN I, what fraction of the epithelial thickness shows dysplastic cells?
Show answerThe lower third of the epithelium.
In CIN II, what fraction of the epithelial thickness shows dysplastic cells?
Show answerThe lower two-thirds of the epithelium.
In CIN III, what fraction of the epithelial thickness shows dysplastic cells?
Show answerThe full thickness of the epithelium (carcinoma in situ).
What is the most common histologic subtype of invasive cervical carcinoma?
Show answerSquamous cell carcinoma.
Which HPV oncoprotein degrades the p53 tumor suppressor?
Show answerE6.
Which HPV oncoprotein inactivates the Rb tumor suppressor?
Show answerE7.
Where on the cervix does dysplasia most commonly arise?
Show answerThe transformation zone (squamocolumnar junction).
What screening test detects cervical dysplasia before it becomes invasive cancer?
Show answerThe Pap smear (cervical cytology).
What is the most common category of malignant ovarian tumor?
Show answerEpithelial tumors, most often serous cystadenocarcinoma.
What tumor marker is used to monitor epithelial ovarian carcinoma?
Show answerCA-125.
What is the most common benign germ cell tumor of the ovary?
Show answerMature cystic teratoma (dermoid cyst).
What malignant ovarian germ cell tumor is histologically identical to testicular seminoma?
Show answerDysgerminoma.

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