46. Uterus Tumors & Cervix

Question 1

A 32 year old woman comes to her doctor complaining of 1 week history of recurrent bleeding. The women gave birth 2 weeks ago. The baby is healthy and have no defects. After examination it is determined that the patient is having cyclical shedding of the endometrium with no foothold. What is the most likely cause of these symptoms?

A. Tuberculosis infection 
B. Chlamydia infection 
C. Retained products from giving birth 
D.Staph infection 
E. Chronic Pelvic Inflammatory Disease

RFA

Answer 1

Ans. D Staph infection- is related to Postpartum Acute endometritis

A. Tuberculosis infection- Chronic

B .Chlamydia- Acute( ascending infection) or Chronic

C. Retain products form giving birth- chronic

E. Chronic pelvic inflammatory disease- chronic

Question 2

A 27 year old woman comes to the doctor complaining that for the past year, she and her husband have been trying for a baby with no success. She stated that her mother had a hysterectomy due to the complications with fibroids. Ultrasound and biopsy were done and indicated that she too had multiple fibroids on her uterus. What is the most likely description of the neoplastic cell? (MG)

A. Hypercellular with atypia, 10>mitoses
B. Resembles normal smooth muscle
C. Tall columnar cells with cilia
D. Mucin-secreting cells with large vacuole
E. Squamous cells with high nuclei:cytoplasmic ratio

Answer 2

B. Resembles normal smooth muscle

Dx is leiomyoma

Question 3

A 21 year old female presents with complaints of pruritus of the vulva. Physical exam reveals multiple cauliflower-like warts on the labia majora. History reveals she has multiple sexual partners. Biopsy of one of the warts shows acanthosis and the presence of koilocytes. What strain of HPV is most likely causing her presentation? (MG)

A. 18
B. 11
C. 6
D. 8
E. 31

Answer 3

C. 6

Dx is condyloma acccuminatum from HPV infection. Most commonly associated with strain 6, but can sometimes be 11 as well.