Other Types

Question 1

What is the most common site for endometrial tissue implantation?

Answer 1

Ovaries

Question 2

What is the appearance of endometrial tissue outside of the uterine cavity?

Answer 2

1) clear or white lesions
2)dark red (mulberry) or brown (powder burn) lesions
3)dark red or blue domes

Question 3

Chocolate cysts is associated with what disease?

Answer 3

Endometriosis. It is a cyst filled with dark or red hemosiderin-laden macrophages.

Question 4

Classic Triad of endometriosis?

Answer 4

Dyschezia
Dysmenorrhea
Dyspareunia
Infertility

Question 5

Uterosacral nodularity is associated with____________

Answer 5

endometriosis

Question 6

A 26-year-old woman, gravida 0, presents to her gynecologist for evaluation of infertility. The patient has been unable to conceive with her husband despite 12 months of regular, unprotected intercourse. Her partner is a healthy 26-year-old man who has not fathered any children and has a normal semen analysis. Past medical history is significant for menarche at age 10 and life-long severe dysmenorrhea that she manages with analgesics and oral contraceptive pills, which she discontinued last year when she desired pregnancy. Family history is notable for endometriosis in her mother. Vital signs are within normal limits. Physical examination reveals pelvic tenderness to palpation and discomfort with insertion of the speculum and palpation of the posterior fornix. Which of the following would provide a definitive diagnosis for this patient’s underlying condition?

Answer 6

laparoscopy with biopsy is the definitive DX. If a patient desires pregnancy, lap is done to both visualize and treat. If pregnancy is not desired lap is done if medical management fails.

Question 7

Initial treatment of patients with endometriosis who do not desire immediate pregnancy includes_____ & ___________

Answer 7

NSAID analgesia & combined hormonal contraceptive therapy

Question 9

Detrusor muscle overactivity associated with?

Answer 9

Urge incontinence

Question 10

Detrusor muscle overactivity associated with?

Answer 10

Urge incontinence

Question 11

Detrusor muscle overactivity associated with?

Answer 11

Urge incontinence

Question 12

1st line for urge incontinence

Answer 12

Bladder training: time voiding and decrease fluid intake