Chapter 20 (Postmenopausal Son. & Sonohysterography) Flashcards
The absence of menstrual bleeding is termed:
amenorrhea
Asherman syndrome is associated with:
endometrial adhesions
______ can be used as a tumor marker for endometrial carcinoma.
CA-125
The removal of tissue from the endometrium by scraping is termed:
curettage
Measurement of the endometrium should include:
the measurement from the basal layer to the basal layer
The most common cause of postmenopausal bleeding is:
endometrial atrophy
The best description for endometrial polyps is:
benign nodules of hyperplastic endometrial tissue
Blood accumulation within the uterus is termed:
hematometra
_______ is a gynecologic procedure to remove an endometrial polyp.
hysteroscopy with polypectomy
Cessation of menstruation with advanced age is termed:
menopause
Stein-Leventhal syndrome is related to:
infertility, anovulatory cycles, hirsutism
The breast cancer treatment drug that may alter the sonographic appearance of the endometrium is:
Tamoxifen
Possible benefits of estrogen replacement therapy include:
reduction in osteoporosis risk
Unopposed estrogen therapy has been shown to increase the risk for developing
endometrial carcinoma
The sonographic appearance of a 59 year old woman on hormone replacement therapy is:
variable depending upon the menstrual cycle
Tamoxifen has been linked with all the following except: A. endometrial polyps B. endometrial hyperplasia C. endometrial leiomyoma D. endometrial carcinoma
C. endometrial leiomyoma
Tamoxifen effects on the endometrium will sonographically appear as:
cystic changes within a thickened endometrium
Causes of postmenopausal bleeding include all of the following except: A. Asherman syndrome B. Endometrial atrophy C. Endometrial hyperplasia D. Intracavitary fibroids
A. Asherman syndrome
An asymptomatic 65 year old presents to the lab with pelvic pain but no vaginal bleeding. Her endometrial thickness should not exceed:
8 mm (contrary to Leah’s 5mm rule)
An 84 year old patient presents with sudden onset of vaginal bleeding. Her endometerium should not exceed:
5mm
With endometrial atrophy, the endometrial thickness should not exceed:
5 mm
A 68 year old presents with vaginal bleeding. Whats the most likely cause?
endometrial atrophy
A 60 year old has a sudden onset of vaginal bleeding. Son exam reveals an endometrium that measures 4 mm. There are no other significant sonographic findings. What’s the diagnosis?
endometrial atrophy
A 67 year old on hormone replacement therapy presents to the lab with abnormal uterine bleeding. Sonographically, the endometrium measures 9 mm and contains small cystic areas. The likely cause of her bleeding is
endometrial hyperplasia
Endometrial hyperplasia may be caused by all of the following except: A. hormone replacement therapy B. estrogen replacement therapy C. endometrial atrophy D. tamoxifen
C. endometrial atrophy
All of the following are clinical findings with endometrial hyperplasia except: A. obesity B. PCOS C. abnormal uterine bleeding D. thickened endometrium
D. thickened endometrium (i dont get it)
The sonographic findings of an endometrial polyp include:
diffuse thickening of the endometrium
Endometrial polyps are associated with all of the following except: A. Intermenstrual bleeding B. tamoxifen therapy C. prolapse through the cervix D. Coronary heart disease
D. coronary heart disease
A 34 year old has intermenstrual bleeding. Son findings include a focal irregularity and enlargment of one area of the endometrium. Most likely diagnosis:
endometrial polyps
The most common female genital tract malignancy is:
Endometrial carcinoma
