Ovarian surface epithelial tumors Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 65-year-old woman comes to the clinic due to fatigue and abdominal discomfort. Over the past 2 months, the patient has noticed an increase in her abdominal girth despite losing 4.5 kg (10 lb) without changes in diet. She smoked 1 pack of cigarettes per day for 35 years but does not use alcohol or illicit drugs. Menarche occurred at age 11, and her last menstrual cycle was 10 years ago. The patient’s last Pap smear was normal. Vitals are within normal limits. On physical examination, abdominal distention and shifting dullness are noticed. Pelvic examination reveals mild tenderness and a right-sided adnexal mass. Cancer antigen 125 is elevated. The patient is prepared for laparoscopy. Which of the following will most likely be found on histopathological examination of the patient’s adnexal mass?

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Sheets of malignant cells invading the ovarian stroma and concentric calcifications

Sheets large cells with clear, glycogen-rich cytoplasm and occasional granulomas

Primitive neuroepithelial elements

Small clusters of round cells encircling a central cavity

Transitional-type epithelium with “coffee bean” nuclei