More week 4 practice

Question 1

Almost all women (97%) with complete hydatidiform moles have what symptom?

Answer 1

Irregular (painless) vaginal bleeding (usually b/t 6th and 16th wk)

Question 2

Invasive GTD is a locally invasive tumor of the myometrium that is histologically identical to a ________________ mole

Answer 2

complete

Question 3

What is the most common symptom of leiomyoma? (besides being asymptomatic)

Answer 3

Menorrhagia

Question 4

Describe how to diagnose leiomyomas

Answer 4

1) Pelvic u/s (first step)
2) Then Saline infusion sonography (similar to HSG but with saline) OR Hysteroscopy (HSG)
3) Then MRI if needed or if malignancy suspected

Question 5

List the 3 tiers of leiomyoma treatment

Answer 5

1) Myomectomy + hormonal Tx
2) Leuprolide (short courses) + Uterine artery embolization
3) Endometrial ablation + Hysterectomy

Question 6

List 3 cancers women with Lynch syndrome are more at risk for

Answer 6

Endometrial, colon, and ovarian

(Annual endometrial sampling and TVUS beginning at age 30 to 35 for these ppl)