Path 5 Endometrium

Question 1

Menorrhagia

Answer 1

Excessive or prolonged menstruation at regular intervals

Question 2

Metrorragia

Answer 2

Excessive or prolonged menstruation at irregular intervals

Question 3

Dysfunctional uterine bleeding

Answer 3

Uterine bleeding with no structural cause

-Usually due to hormonal imbalance

Question 4

Anovulatory cycle

Answer 4

Proliferative phase without secretory phase

-Common cause of dysfunctional uterine bleeding

Question 5

Acute endometritis

Answer 5

Fever, uterine bleeding, pain

-may be due to retained products of conception

Question 6

Chronic endometritis

Answer 6

Plasma cells and lymphocytes in endometrium

-same causes as acute + IUD

Question 7

Endometrioma

Answer 7

Chocolate cyst (hemorrhagic) in ovary
-Increased cancer risk

Question 8

Adenomyosis

Answer 8

Endometrial tissue in myometrium

Question 9

Endometrial Polyps

Answer 9

Associated with Tamoxifen

Question 10

Endometrial hyperplasia

Answer 10

Increased gland:stroma ratio

• Associated with unopposed estrogen stimulation (HRT, obesity, polycystic ovary)
• May precede uterine cancer

Question 11

Hyperplasia types

Answer 11

Simple - crowded glands

Complex - branching glands

Question 12

Hyperplasia atypia

Answer 12

Stratification of nuclei, mitosis