Test yourself
Haemorrhagic cyst: fishnet, not flesh
3 questions. Pick an answer to see whether you are right and why. Your score appears at the end.
Question 1Which appearance is typical of a haemorrhagic ovarian cyst?
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Answer c. Clotting blood forms fibrin strands that give a fishnet or reticular pattern. Flow inside a solid part suggests tissue, not clot.
Question 2How do you separate a retracting clot from a solid nodule?
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Answer b. A retracting clot pulls away from the wall, leaving a concave or straight margin, and has no blood supply. A solid nodule bulges into the cyst and often shows flow.
Question 3A patient with a complex adnexal cyst has a positive pregnancy test. What is the priority?
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Answer d. A positive pregnancy test changes the differential. A complex adnexal mass in early pregnancy needs ectopic pregnancy excluded.
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