Pathology of the Uterus Flashcards

1
Q

what hormone of the menstrual cycle promotes secretion?

A

progesterone

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2
Q

the endometrial wall is lined by ___ epithelium

A

columnar

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3
Q

“tube like endometrium” describes the endometrium in the ___ phase

A

proliferative

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4
Q

what process is present in the proliferative phase that isnt present in other phases?

A

mitotic figures

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5
Q

how does secretory endometrium differ from proliferative endometrium?

A

presence of vacuoles

increasing tortuosity of glands and luminal secretions

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6
Q

what should be done before endometrial ablation?

A

a biopsy should be done first to exclude cancer

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7
Q

when should endometrial sampling be done?

A

abnormal uterne bleeding
Ix for infertility
spotaneous/therapeutic abortion
endometrial cancer screening

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8
Q

what is the difference between abnormal uterine bleeding and dysfunctional uterine bleeding?

A

AUB is any cause of uterine bleeding

DUB is a non-organic cause

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9
Q

post menopausal causes of abormal uterine bleeding?

A
atrophy
endometrial polyp
HRT
endometritis
bleeding disorders
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10
Q

endometrial thickness >_mm in postmenopausal women is an indication for biopsy

A

4mm

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11
Q

endometrial thickness >_mm in premenopausal women is an indication for biopsy

A

16

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12
Q

what can you use to sample an endometrium?

A

dilatation and curretage

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13
Q

“abnormal pattern of inflammatory cells in the endometrium”

A

endometritis

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14
Q

chronic plasmacytic endometritis is associated witH

A

PID

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15
Q

bacterial causes of chronic plasmacytic endometritis?

A

neisseria gonorrhoea
chlamydia
enteric organisms

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16
Q

what cancer can present as a polyp?

A

endometrial carcinoma

17
Q

symptoms of endometrial polyps?

A

asymptomatic usually

bleeding or discharge

18
Q

what is a molar pregnancy?

A

non-viable fertilised egg implants in the uterus

19
Q

“swollen chorionic villi”

A

molar pregnancy

20
Q

chorionic villi are a sign of pregnancy T or F

A

T

21
Q

presence of nucleated RBCs indicates…

A

the presence of a foetus <12 weeks

22
Q

only paternal DNA is present in a complete/partial mole

A

complete

23
Q

what is adenomyosis?

A

endometrial glands and stroma within the myometrium

24
Q

symptoms of adenomyosis

A

menorrhagia

dysmenorrhoea

25
Q

what is a leiomyoma?

A

benign tumour of smooth muscle

26
Q

symptoms of leiomyoma?

A

menorrhagia
infertility
mass effect
pain

27
Q

“interlacing smooth muscle cells”

A

leiomyoma