Ovarian Cyst Quiz

Ovarian Cyst Quiz

Question 1: The most common obstetrical complication of a solid ovarian tumor is:

A. Placenta previa.

B. Miscarriage.

C. Premature birth.

D. Fetal growth restriction.

Answer: A

Explanation:

• Placenta previa: The placenta is implanted low in the uterus, covering the cervix (the opening to the uterus). This can cause bleeding during pregnancy and make a vaginal delivery unsafe.

• Miscarriage: The loss of a pregnancy before the 20th week.

• Premature birth: The birth of a baby before 37 weeks of pregnancy.

• Fetal growth restriction: The baby is not growing as expected in the womb.

Question 2: Which of the following types of ovarian tumors has the highest rate of malignancy?

A. Mucinous cystadenoma.

B. Serous cystadenoma.

C. Dermoid cyst.

D. Corpus luteum cyst.

Answer: B

Explanation:

• Mucinous cystadenoma: A benign tumor filled with mucus.

• Serous cystadenoma: A benign tumor filled with clear fluid.

• Dermoid cyst: A benign tumor containing skin, hair, teeth, or other tissues.

• Corpus luteum cyst: A normal cyst that forms in the ovary after ovulation.

Question 3: In ovarian tumors coexisting with pregnancy, when is the risk of torsion (twisting) of the tumor the highest?

A. First trimester of pregnancy.

B. Second trimester of pregnancy.

C. Third trimester of pregnancy.

D. Postpartum period.

Answer: C

Explanation: The third trimester of pregnancy is when the uterus is the largest, making the ovarian tumor more likely to twist.

Question 4: Regarding the corpus luteum cyst of the ovary, choose the correct statement:

A. It is classified as a non-neoplastic lesion.

B. It only appears in the second half of the menstrual cycle.

C. If it bleeds, it presents with a clinical picture similar to a ruptured ectopic pregnancy.

D. It is usually diagnosed definitively during surgery.

Answer: A

Explanation:

• Non-neoplastic lesion: A growth that is not cancerous. The corpus luteum is a normal structure in the ovary.

Question 5: All of the following statements about functional ovarian cysts are true EXCEPT:

A. They can be cystic or solid.

B. They are considered functional when their diameter is < 5 cm.

C. They often resolve spontaneously after a few menstrual cycles or with oral contraceptive use.

D. Management is primarily focused on observation.

Answer: A

Explanation: Functional ovarian cysts are almost always filled with fluid (cystic).

Question 6: Ovarian tumors need to be differentiated from:

A. Distended bladder.

B. Hydrosalpinx (watery fluid in the fallopian tube).

C. Subserosal fibroids of the uterus with a stalk.

D. Ascites (fluid in the abdomen).

Answer: A, B, C

Explanation: These conditions can mimic the appearance of an ovarian tumor.

Question 7: Choose the correct statement about ovarian cysts:

A. Serous cystadenomas are usually much larger than other types of cysts.

B. Dermoid cysts are the most likely to have a torsion (twisting) complication.

C. Solid ovarian tumors are always malignant.

D. It is always easy to clinically differentiate ovarian tumors from uterine tumors.

Answer: B

Explanation: Dermoid cysts are more prone to twisting because they are often large and have a stalk.

Question 8: The distinctive sign of ovarian cyst torsion is:

A. Rapid pulse.

B. Low blood pressure.

C. Vomiting.

D. Sudden, intense lower abdominal pain.

Answer: D

Explanation: Torsion cuts off blood supply to the ovary, causing pain.

Question 9: Which of the following symptoms is NOT related to ovarian cysts?

A. Lower abdominal pain.

B. Progressive abdominal enlargement.

C. Urinary disturbances (difficulty urinating, urgency, frequency).

D. Amenorrhea (absence of menstruation).

Answer: D

Explanation: Ovarian cysts can cause irregular periods but not always amenorrhea.

Question 10: What is the prevalence of ovarian cysts in women of reproductive age and after menopause?

A. Approximately 20% of women of reproductive age, 5% after menopause.

B. Approximately 20% of women of reproductive age, < 1% after menopause.

C. Approximately 30% of women of reproductive age, 5% after menopause.

D. Approximately 30% of women of reproductive age, < 1% after menopause.

Answer: A

Question 11: What is the incidence of ovarian cancer in solid ovarian tumors?

A. < 1% of solid tumors diagnosed before menopause, 15% diagnosed after menopause.

B. 5% of solid tumors diagnosed before menopause, 15% diagnosed after menopause.

C. < 1% of solid tumors diagnosed before menopause, 25% diagnosed after menopause.

D. 5% of solid tumors diagnosed before menopause, 25% diagnosed after menopause.

Answer: B

Question 12: How long and with what percentage does a functional ovarian cyst disappear?

A. 70% within 6 weeks, 100% within 3 months.

B. 70% within 6 weeks, 90% within 3 months.

C. 30% within 6 weeks, 90% within 3 months.

D. 70% within 6 weeks, 100% within 3 months.

Answer: B

Question 13: Functional ovarian cysts have the following symptoms, EXCEPT:

A. There is physical damage to the ovary.

B. There is no physical damage to the ovary.

C. They are small, less than 5 cm in size.

D. They can resolve spontaneously.

Answer: A

Explanation: Functional cysts are usually benign and don’t damage the ovary.

Question 14: Solid ovarian tumors can:

A. Only exist on the day of ovulation.

B. Only exist a few days before menstruation.

C. Only exist a few days after menstruation.

D. Exist for a long time and do not resolve spontaneously.

Answer: D

Explanation: Solid ovarian tumors are not normal structures and often persist.

Question 15: Choose the correct statement about ovarian cysts:

A. Serous cystadenomas are usually much larger than other types of cysts.

B. Dermoid cysts are the most likely to have a torsion (twisting) complication.

C. Solid ovarian tumors are always malignant.

D. It is always easy to clinically differentiate ovarian tumors from uterine tumors.

Answer: B

Question 16: Ovarian tumors causing menstrual irregularities are usually due to:

A. Water cysts.

B. Mucinous cysts.

C. Dermoid cysts.

D. Hormone-producing tumors.

Answer: D

Explanation: Hormone-producing tumors can affect the balance of hormones in the body, leading to irregular periods.

Question 17: The following tests are commonly used to diagnose ovarian tumors, EXCEPT:

A. Ultrasound.

B. X-ray of the uterus and fallopian tubes with contrast.

C. Biopsy.

D. Abdominal X-ray without preparation.

Answer: C

Explanation: Biopsies are used to confirm the diagnosis of cancer, but not to initially detect ovarian tumors.

Question 18: Abdominal X-ray without preparation can detect:

A. Water cysts.

B. Mucinous cysts.

C. Dermoid cysts.

D. All three types of cysts.

Answer: C

Explanation: Dermoid cysts are dense enough to show up on a plain X-ray.

Question 19: The prevalence of mucinous ovarian cysts is:

A. Approximately 60%.

B. Approximately 30%.

C. Approximately 10%.

D. Approximately 1%.

Answer: A

Question 20: During pregnancy, ovarian cysts can cause the following symptoms, EXCEPT:

A. Fetal growth restriction.

B. Abnormal fetal presentation.

C. Placenta previa.

D. Premature rupture of membranes.

Answer: D

Explanation: Ovarian cysts are unlikely to cause premature rupture of membranes.

Question 21: To identify ovarian cysts, healthcare workers should advise patients:

A. To seek immediate medical attention if they experience abdominal pain.

B. To have regular gynecological checkups.

C. To seek medical attention if they experience difficulty urinating or defecating.

D. To seek immediate medical attention if they experience lower abdominal fullness.

Answer: B

Explanation: Regular checkups are essential for early detection of any health issues.

Question 22: A 3-month pregnant patient is diagnosed with ovarian cyst torsion. The recommended course of action is:

A. Pain management, continued pregnancy monitoring.

B. Pain management, observation.

C. Preparing for emergency surgery.

D. Terminating the pregnancy and then proceeding with surgery.

Answer: C

Explanation: Torsion is a serious condition requiring immediate surgery.

Question 23: A patient is diagnosed with a solid ovarian tumor. The doctor advises the patient:

A. To rest, avoid strenuous activity, and seek immediate medical attention if they experience abdominal pain.

B. To explain that surgery is only necessary if the tumor is large and affecting health.

C. To explain that surgery is only necessary if there are complications.

D. To explain that early surgery is recommended.

Answer: D

Explanation: Solid ovarian tumors have a higher risk of malignancy and should be addressed promptly.

Question 24: Ovarian cysts are most common in:

A. Young age.

B. Reproductive age.

C. Menopause.

D. Adolescence.

Answer: B

Explanation: Ovarian cysts are most frequent during the reproductive years, when the ovaries are actively cycling.

Question 25: A 28-year-old patient with a 5-year-old child is diagnosed with a solid ovarian tumor measuring 8 x 7 cm. The correct management is:

A. Monitoring for 3 months and performing surgery if the tumor grows.

B. Advising the patient to have another child and then undergo surgery.

C. Admitting the patient to the hospital for further tests and scheduling surgery.

D. Treating with conventional medicine or herbal remedies, and performing surgery if there is no improvement.

Answer: C

Explanation: Solid ovarian tumors need further evaluation and a surgical plan.

Question 26: The type of ovarian cyst commonly seen in patients with hydatidiform mole is:

A. Follicular cyst.

B. Corpus luteum cyst.

C. Luteal cyst.

D. Water cyst.

Answer: C

Explanation: Luteal cysts are associated with hormonal changes related to pregnancy, including hydatidiform mole.

Question 27: The most common complication of solid ovarian tumors is:

A. Infection.

B. Rupture of the cyst.

C. Hemorrhage within the cyst.

D. Torsion of the cyst.

Answer: D

Explanation: Solid ovarian tumors are more likely to twist due to their size and weight.

Question 28: The characteristic of functional ovarian cysts is:

A. They arise from ovarian infection.

B. There is no physical damage to the ovary.

C. They cause disruption of ovarian function.

D. They progress slowly.

Answer: B

Explanation: Functional cysts are usually benign and don’t damage the ovary.

Question 29: Luteal cysts are commonly seen in women with:

A. Missed abortion.

B. Multiple pregnancies.

C. Ectopic pregnancy.

D. Molar pregnancy (hydatidiform mole).

Answer: B

Explanation: Luteal cysts are associated with high levels of progesterone, which are often elevated during multiple pregnancies.

Question 30: All of the following statements about the characteristics of solid ovarian tumors are true EXCEPT:

A. There is physical damage to the ovary.

B. They progress rapidly.

C. They do not resolve spontaneously.

D. They can become malignant.

Answer: B

Explanation: Solid ovarian tumors can progress slowly or rapidly, depending on the type and stage of the tumor.

Question 31: The following components are not found within a dermoid cyst:

A. Hair.

B. Teeth.

C. Sebaceous tissue.

D. Sweat glands.

Answer: D

Explanation: Dermoid cysts are usually lined with skin and can contain hair, teeth, sebaceous tissue, but not sweat glands.

Question 32: The characteristics of the functional symptoms of small ovarian cysts:

A. Often cause menstrual irregularities.

B. Symptoms vary.

C. Symptoms are minimal.

D. Borrow symptoms from other organs.

Answer: C

Explanation: Small ovarian cysts often cause few symptoms, but they can cause pain, bloating, or irregular periods.

Question 33: Which clinical examination has the most value in diagnosing ovarian cysts?

A. Visual examination – Palpation of the abdomen.

B. Palpation of the abdomen – Patient history.

C. Vaginal examination – Palpation of the abdomen.

D. Vaginal examination – Patient history.

Answer: C

Explanation: A vaginal examination allows the doctor to feel for any masses or irregularities in the ovaries and pelvis.

Question 34: Which paraclinical examination has the most value in diagnosing ovarian cysts?

A. Abdominal X-ray without preparation.

B. Uterus and fallopian tube X-ray with preparation.

C. Ultrasound.

D. Vaginal smear.

Answer: C

Explanation: Ultrasound is the most sensitive imaging technique for detecting ovarian cysts.

Question 35: Functional ovarian cysts have the following symptoms, EXCEPT:

A. There is physical damage to the ovary.

B. There is no physical damage to the ovary.

C. They are small, less than 5 cm in size.

D. They can resolve spontaneously.

Answer: A

Explanation: Functional cysts are benign and don’t damage the ovary.

Question 36: Ovarian cysts can be confused with:

A. Appendiceal abscess.

B. Enlarged spleen (grade 4).

C. Uterus didelphys (double uterus).

D. Distended bladder.

Answer: A

Explanation: Appendicitis can cause pain in the lower right abdomen, similar to that of an ovarian cyst.

Question 37: The effects of ovarian cysts on pregnancy include the following, EXCEPT:

A. Infertility.

B. Placenta previa.

C. Premature placental detachment.

D. Miscarriage.

Answer: C

Explanation: Premature placental detachment (abruptio placentae) is not directly related to ovarian cysts.

Question 38: Ovarian cysts need to be differentiated from the following, EXCEPT:

A. Hydronephrosis (water in the kidney).

B. Pedunculated uterine fibroids.

C. Distended bladder.

D. Multiple gestation (twins or more), polyhydramnios (excess amniotic fluid).

Answer: D

Explanation: Multiple gestation and polyhydramnios are unrelated to ovarian cysts.

Question 39: All of the following factors suggest the possibility of ovarian cancer, EXCEPT:

A. Bilateral tumors.

B. Tumors appearing after menopause.

C. Tumors with multiple papillary projections inside or outside the cyst wall.

D. Tumors larger than 20 cm.

Answer: A

Explanation: While bilateral tumors can be concerning, they don’t automatically indicate malignancy.

Question 40: Which of the following is NOT a characteristic of functional ovarian cysts?

A. Size < 6 cm.

B. Containing clear fluid.

C. Thick wall.

D. Can resolve spontaneously.

Answer: C

Explanation: Functional cysts typically have thin walls.

Question 41: Which of the following ovarian cysts is NOT considered functional?

A. Follicular cyst.

B. Corpus luteum cyst.

C. Luteal cyst.

D. Endometrioma (endometriotic cyst).

Answer: D

Explanation: Endometriomas are caused by endometriosis, a condition where tissue similar to the lining of the uterus grows outside of the uterus.

Question 42: Which of the following conditions does NOT need to be differentiated from a large ovarian cyst that has spread into the abdomen?

A. Uterus with pregnancy over 2 months.

B. Ascites.

C. Mesenteric tumor.

D. Unruptured ectopic pregnancy.

Answer: D

Explanation: An unruptured ectopic pregnancy is typically located in the fallopian tube and wouldn’t extend into the abdomen.

Question 43: If a small ovarian cyst is located in the pelvis, which of the following conditions does NOT need to be differentiated?

A. Hydrosalpinx.

B. Kidney in its normal position but with hydronephrosis.

C. Unruptured ectopic pregnancy.

D. Subserosal uterine fibroid.

Answer: B

Explanation: A kidney in its normal position with hydronephrosis would not be located in the pelvis.

Question 44: The most dangerous complication of an ovarian cyst in a pregnant patient is:

A. Torsion of the cyst.

B. Rupture of the cyst.

C. Malignant transformation.

D. Cyst compression in the pelvis.

Answer: C

Explanation: While all of the listed options are potential complications, malignant transformation of an ovarian cyst carries the highest risk.

Question 45: In a case of functional ovarian cyst combined with pregnancy, the cyst usually disappears by what gestational age?

A. 8 weeks.

B. 12 weeks.

C. 16 weeks.

D. 18 weeks.

Answer: D

Explanation: Functional cysts often resolve by the second trimester of pregnancy.

Question 46: The main risk of ovarian cysts during pregnancy is:

A. Risk to the mother only.

B. Risk to the baby only.

C. Risk to the mother is greater than to the baby.

D. Risk to the baby is greater than to the mother.

Answer: C

Explanation: Ovarian cysts can pose complications for the mother, such as torsion or rupture, which can potentially affect the pregnancy.

Question 47: The best anesthetic method for ovarian cyst surgery in pregnant patients is:

A. Spinal anesthesia.

B. Epidural anesthesia.

C. General anesthesia.

D. Local anesthesia.

Answer: C

Explanation: General anesthesia allows for the best control of pain and potential complications during surgery in a pregnant patient.

Question 48: Postoperative care and monitoring in a pregnant patient who underwent ovarian cyst removal surgery include:

A. Using pain relievers and antispasmodics.

B. Monitoring fetal heart rate.

C. Reviewing the pathology report for further management.

D. Performing all of the above steps routinely.

Answer: D

Explanation: All of these steps are essential for postoperative care of a pregnant patient who underwent ovarian cyst surgery.

Question 49: The most common complication after ovarian cyst removal surgery in pregnant patients is:

A. Miscarriage and premature birth.

B. Infection and bleeding at the surgical site.

C. Fallopian tube adhesions.

D. Uterine rupture due to surgical manipulation.

Answer: A

Explanation: Ovarian surgery can increase the risk of miscarriage and premature birth in pregnant patients.

Question 50: A ruptured ovarian cyst can lead to pseudomyxoma peritonei (a condition with jelly-like fluid in the abdomen) in cases of:

A. Dermoid cyst.

B. Mucinous cystadenoma.

C. Water cyst.

D. Endometrioma.

Answer: B

Explanation: Mucinous cystadenomas produce mucus, which can spread throughout the abdomen if the cyst ruptures.

Question 51: Mark X in the correct boxes below:

A. Functional ovarian cysts are permanent lesions. X

B. Follicular cysts are functional cysts. X

C. Dermoid cysts are functional cysts. X

D. Corpus luteum cysts are functional cysts. X

E. Dermoid cysts are the most likely to twist. X

F. Water cysts are the most likely to become cancerous. X

G. Mucinous cysts are the largest cysts. X

H. Polycystic ovary syndrome (PCOS) can cause infertility. X

Answers:

A. False

B. True

C. False

D. True

E. True

F. False

G. True

H. True

Question 52: Dermoid cysts have the highest risk of becoming cancerous.

A. True

B. False

Answer: B

Question 53: In young patients with benign tumors, ovarian cyst removal is recommended.

A. True

B. False

Answer: B

Explanation: Surgery for benign ovarian cysts is generally only considered if the cyst is large, causing symptoms, or if there’s a risk of complications.

Question 54: When surgically managing ovarian cyst torsion, detorsion should be performed before excision (removing the cyst).

A. True

B. False

Answer: B

Explanation: In most cases, the ovary and cyst are removed during torsion surgery, as detorsion can lead to further complications.

Question 55: Ovarian cysts can occur at any age.

A. True

B. False

Answer: A

Explanation: Ovarian cysts can occur in women of all ages, although they are more common in women of reproductive age.

Question 56: A full bladder can be mistaken for an ovarian cyst.

A. True

B. False

Answer: A

Explanation: A full bladder can sometimes resemble a pelvic mass on examination.

Question 57: Ovarian cyst torsion can have the following functional symptoms:

A. Intense lower abdominal pain. YES

B. Nausea and vomiting. YES

C. Frequent diarrhea. NO

D. Fever, infection. NO

E. Abnormal vaginal bleeding. NO

Answers:

A. True

B. True

C. False

D. False

E. False

Question 58: Which of the following tests are valuable in diagnosing ovarian cysts?

A. Hysterosalpingography (HSG) with preparation. YES

B. Pelvic and lower abdominal ultrasound. YES

C. Urine tests. NO

D. Blood tests. NO

E. Laparoscopy. YES

Answers:

A. True

B. True

C. False

D. False

E. True

Question 59: Solid ovarian tumors typically have the following functional symptoms:

A. Menorrhagia (heavy menstrual bleeding). NO

B. Metrorrhagia (bleeding between periods). NO

C. Palpable mass. YES

D. Heavy vaginal discharge with pus. NO

E. Incidental findings during gynecological examination. YES

Answers:

A. False

B. False

C. True

D. False

E. True

Question 60: The following statements about ovarian cysts are true or false:

A. Water cysts rarely adhere to surrounding organs. YES

B. Complex cysts have multiple locules. YES

C. Ovarian cysts often cause menstrual irregularities. NO

D. Functional cysts are only surgically removed if there are complications. YES

Answers:

A. True

B. True

C. False

D. True

Question 61: Fill in the blanks with the correct answers:

The most common complication of a pedunculated ovarian cyst is ….(torsion of the cyst)…. During pregnancy, if it is accompanied by a dermoid cyst, it is prone to ….(torsion)……… If the cyst twists, it can easily lead to ….(rupture of the cyst)…… If an ovarian cyst twists, it needs to be managed with …(surgical removal of the cyst or ovary)….

Question 62: If a solid ovarian tumor is found in a pregnant woman at 2 months gestation, we should ….(monitor)…….. If there are signs of torsion, it needs to be ..(operated on)…… and ..(hormonal therapy to support the pregnancy).. should be given.

Question 63: List 2 common functional ovarian cysts:

A. …..(Follicular cyst)

B. …..(Corpus luteum cyst)

Question 64: List 3 types of luteal cysts:

A. …..(Follicular cyst)

B. …..(Luteal cyst)

C. ….(Corpus luteum cyst)

Question 65: List the 3 most common solid ovarian tumors:

A. …..(Water cyst)

B. ……(Mucinous cyst)

C. ……(Dermoid cyst)

Question 66: List 4 common complications of ovarian cysts:

A. …..(Torsion of the cyst)

B. …(Rupture of the cyst)

C. ….(Hemorrhage within the cyst)

D. …(Malignant transformation)….

Question 67: Ovarian cysts are benign tumors with……………(thin walls)

Question 68: Inside an ovarian cyst, there is usually………..(simple fluid)……… or a combination of fluids.

Question 69: Functional cysts are a type of cyst without any anatomical damage to the………….(ovary)………..

Question 70: The functional symptoms of ovarian cysts are often. …………..(mild)…………

Question 71: The most common complication of ovarian cysts is………………(torsion of the cyst)………..

Question 72: During pregnancy, an ovarian cyst can become. ……………………..(a placenta previa).

Question 73: Based on the characteristics of the tumor, ovarian cysts are classified into 2 types: functional cysts and (solid ovarian tumors)

Question 74: Based on the histopathological characteristics, solid ovarian tumors include 4 types:

A. Water cyst

B. ……………..(Mucinous cyst)

C. ………………(Dermoid cyst)

D. ………………(Mixed cyst)

Question 75: The only treatment for solid ovarian tumors is (surgery)

Question 76: The paraclinical method most valuable in differentiating benign and malignant ovarian tumors is (histopathology).

Question 77: Small ovarian cysts need to be differentiated from:

A. Pregnancy

B. …………….(Hydrosalpinx)

C. …………….(Ectopic pregnancy)

Question 78: A 23-year-old woman undergoes a routine gynecological exam and is found to have a 5 x 5 x 4 cm cystic mass near her uterus. Ultrasound shows a thin-walled cyst containing fluid and no septa. The appropriate management is:

A. Surgical removal of the ovary or cyst enucleation (if feasible).

B. Further monitoring for a few menstrual cycles.

C. Laparoscopy.

D. Total hysterectomy and bilateral salpingo-oophorectomy (removal of the uterus and both ovaries).

Answer: B

Explanation: This likely represents a functional cyst, which usually resolves on its own.

Question 79: A 54-year-old woman undergoes surgery for a pelvic mass and is found to have a unilateral ovarian tumor with metastases to the greater omentum. The most appropriate surgery is:

A. Biopsy of the greater omentum.

B. Biopsy of the ovary.

C. Excision of the greater omentum metastasis and removal of the ovarian tumor.

D. Total omentectomy (removal of the greater omentum), total hysterectomy, and bilateral salpingo-oophorectomy.

Answer: D

Explanation: This is a case of advanced ovarian cancer requiring a more extensive surgical approach.

Question 80: A 32-year-old woman presents for a checkup during her 12th week of pregnancy. She has no relevant medical history. On examination, a cystic mass is found near the left uterus, measuring 10-12 cm, and is non-tender. The recommended management is:

A. Laparotomy or laparoscopic surgery and hormone therapy for uterine relaxation.

B. Continue monitoring until the end of pregnancy.

C. Total hysterectomy and removal of the ovarian cyst.

D. Treatment with estrogen.

Answer: A

Explanation: The size of the cyst and potential for complications during pregnancy warrant further evaluation and surgical intervention.

Question 81: During the surgical removal of an ovarian cyst, significant adhesions are found, and the cyst ruptures during separation, releasing thick, chocolate-colored fluid. This cyst is likely:

A. Endometrioma.

B. Dermoid cyst.

C. Infected mucinous cystadenoma.

D. Metastatic carcinoma.

Answer: A

Explanation: Endometriomas (cysts caused by endometriosis) often contain a dark, thick, “chocolate” fluid.

Question 82: A 30-year-old patient presents with prolonged menorrhagia (heavy menstrual bleeding). Physical examination is unremarkable, and ultrasound reveals a 40mm cyst in the left ovary, with a thin wall and clear fluid content. Choose the best course of management:

A. Monitor for 1 month.

B. Cyst aspiration via the abdomen.

C. Use of a progestin-releasing intrauterine device (IUD) for 3 months.

D. Surgical removal of the ovarian cyst.

Answer: C

Explanation: This is likely a functional cyst that can be managed conservatively with hormonal therapy.

Question 83: Ms. P., 25 years old, unmarried, had amenorrhea (absence of menstruation) for one month, followed by menorrhagia (heavy menstrual bleeding) for 2 weeks. Examination reveals normal physical condition, and ultraso