Hysteroscopy

Question 1

What proportion of endometrial hyperplasia turn into endometrial carcinoma?

Answer 1

1/20

Question 2

How many normal biopsies do you need before discharge with endometrial hyperplasia?

Answer 2

2

Question 3

What is subclinical hypothyroidism?

Answer 3

When TSH is high but T3 an T4 are normal

Question 4

What is the biologically active thyroid hormone?

Answer 4

T3

Question 5

What antibodies are raised in Hashimoto’s thyroiditis?

Answer 5

TPOAb (thyroid peroxidase antibodies)

TGAb (thyroglobulin antibodies)

Question 6

What is the process that converts T4 into T3?

Answer 6

Deiodination

Question 7

What are 3 hormonal treatments for endometrial hyperplasia?

Answer 7

Mirena coil
Provera (progestin)
Zoladex (gonadotropin-releasing hormone agonist)

Question 8

What is normal endometrial thickness in a postmenopausal woman?

Answer 8

<5mm

Question 9

What is a normal endometrial thickness in a woman of reproductive age?

Answer 9

<14mm

Question 10

What are the three types of fibroids?

Answer 10

Intramural
Subserosal
Submucosal

Question 11

What is an intramural fibroid?

Answer 11

Grow within the thick myometrium (muscular wall layer of the uterus)

Question 12

What is a subserosal fibroid?

Answer 12

Grow on the outside of the uterus, underneath the serosa

Question 13

What is a submucosal fibroid?

Answer 13

Grow just under the surface of the uterine lining

Question 14

Name the three types of fibroids from external to internal?

Answer 14

Subserosal –> intramural –> submucosal

Question 15

At what size are ovaries more likely to taut?

Answer 15

> 7cm