AUB

Question 1

Causes of AUB

PALM COEIN

Answer 1

Polyp
Adenomyosis
Leiomyoma
Malignancy
Coagulopathy
Ovulatory dysfunction
Endometrial
Iatrogenic 
Not yet classified

Question 2

Most common benign neoplastic growth of the cervix

Answer 2

Cervical polyp

Question 3

Endocervical polyp is what color

Answer 3

Cherry red

Question 4

Cervical polyps are what color

Answer 4

Grayish white

Question 5

Most common type of cervical polyp

Answer 5

Adenomatous type

Question 6

Localized overgrowth of endometrial glands and stroma that project beyond the endometrium

Answer 6

Endometrial polyp

Question 7

3 components of endometrial polyp

Answer 7

Endometrial glands
Endometrial stroma
Central vascular channels

Question 8

Symptom of cervical polyp

Answer 8

Bleeding after coitus

Question 9

Symptom of endometrial polyp

Answer 9

Menorrhagia, pre and post menstrual spotting

Question 10

Treatment for endometrial and cervical polyp

Answer 10

Cervical- polypectomy

Endometrial- hysteroscopy with D and C

Question 11

Ectopic endometrial glands and stroma within the myometrium

Answer 11

Adenomyosis

Question 12

Definitive treatment for adenomyosis

Answer 12

Hysterectomy

Question 13

Mildest form of leiomyoma

Answer 13

Hyaline

Question 14

Most acute form of leiomyoma

Answer 14

Carneous (red) degeneration

Question 15

Indication to do hysterectomy rather than myomectomy in leiomyoma

Answer 15

Uterus >14-16 weeks size

Rapid growth after menopause

Question 16

First line diagnostic tool for AUB

Answer 16

Ultrasound

Question 17

Accurate evaluation tool for intracavitary lesions

Answer 17

Saline infusion sonography

Question 18

Imaging study that is both diagnostic and therapeutic

Answer 18

Hysteroscopy

Question 19

This diagnostic test is recommended for:
Postmenopausal women with heavy/ irregular bleeding
Endometrial cells or atypical glandular cellson pap smear
Patients on Tamoxifen with abnormal vaginal bleeding
Still menstruating after 52 years old

Answer 19

Endometrial biopsy

Question 20

This androgenic steroid inhibits gonadotropins and is used for AUB

Side effect weight gain and acne

Answer 20

Danazol

Question 21

Danazol causes this irreversible side effect when overdosed

Answer 21

Low pitched voice

Question 22

Treatment of choice for women with hypovolemia due to AUB

Answer 22

D&C

Question 23

May be offered as initial treatment for HMB

For those with medical contraindications against hysterectomy and those with small myoma

Answer 23

Endometrial ablation

Question 24

Diagnostic and therapeutic for immediate management of severe bleeding

Answer 24

D&C