Test 2 Part 3

Question 1

Descent or herniation of the uterus into the vagina often resulting from cystocele, rectocele, or general weakening of the pelvic floor

Answer 1

Uterine prolapse

Question 2

T/F: In a first degree uterine prolapse, the cervix and vagina drop outside the introitus.

Answer 2

False; this is a third degree prolapse. in 1st degree prolapse the cervix remains within the vagina

Question 3

Absence of menses

Answer 3

amenorrhea

Question 4

excessive bleeding during a menstrual period of usual duration

Answer 4

hypermenorrhea

Question 5

excessive bleeding during a menstrual period that is longer in duration than normal

Answer 5

menorrhagia

Question 6

menstrual bleeding at irregular intervals, sometimes prolonged but of expected amounts

Answer 6

metorrhagia

Question 7

infrequent menstruation

Answer 7

oligomenorrhea

Question 8

increased frequency of menstruation not consistently associated with ovulation

Answer 8

polymenorrhea

Question 9

small amounts of intermenstrual blood vaginal discharge (pink to dark brown)

Answer 9

spotting

Question 10

abnormal uterine bleeding not associated with tumor, inflammation, pregnancy, trauma, or hormonal imbalance

Answer 10

Dysfunctional Uterine Bleeding (DUB)

Question 11

menstrual bleeding occurring 1 year or more after menopause

Answer 11

postmenopausal bleeding

Question 12

What type of uterine bleeding is caused by mid cycle estradiol fluctuation (ovulation)?

Answer 12

Mid cycle spotting

Question 13

What are common causes of Profuse menstrual bleeding?

Answer 13

Endometrial polyps
DUB
Leiomyoma (uterine fibroid)
IUD

Question 14

What are 3 common causes of Postmenopausal bleeding?

Answer 14

Endometrial hyperplasia
Estrogen therapy
Endometrial cancer

Question 15

T/F: 40% of women over 40 years old have leiomyomas?

Answer 15

True, these are common benign uterine tumors

Question 16

How much more likely are African American women to have uterine fibroids?

Answer 16

2-3 times

Question 17

T/F: Nulliparity or delayed childbearing is a risk factor for uterine fibroids.

Answer 17

True

Question 18

Who is most likely to develop endometrial carcinoma (uterine cancer)?

Answer 18

postmenopausal women

Question 19

What is the term for a fluid-filled sac in an ovary, which may be unilateral or bilateral, and is often caused by hypothalamic-pituitary dysfunctional?

Answer 19

Ovarian cyst

Question 20

What is the worst type of ovarian cyst?

Answer 20

dermatoid/teratoma

Question 21

T/F: Ovarian cysts are most often asymptomatic and incidental findings.

Answer 21

True

Question 22

Cervical motion tenderness during exam

Answer 22

Chandelier sign

Question 23

What is the most common form of ovarian cancer?

Answer 23

Epithelial cancer

Question 24

What type of ovarian cancer develops from connective-tissue cells? from germ cells (cells that produce the egg)?

Answer 24

Stromal tumors;

Germ cell tumors

Question 25

During the Bimanual exam, you notice enlarged or palpable ovaries. What should you consider until ruled out by other tests?

Answer 25

Ovarian cancer

Question 26

What is the most common site for ectopic pregnancy?

Answer 26

fallopian tubes

Question 27

Why are ectopic pregnancies often not diagnosed before rupture?

Answer 27

because symptoms may be mild

Question 28

What is the term for a serious complication from an STI which results in an infection of the uterus/fallopian tubes?

Answer 28

Pelvic Inflammatory Disease (PID)

Question 29

Inflammation of the fallopian tubes, often associated with PID

Answer 29

Salpingitis

Question 30

Distention of the vagina caused by accumulation of fluid due to congenital vaginal obstruction due imperforated hymen or a transverse vaginal septum

Answer 30

Hydrocolops

Question 31

Inflammation of the vulvar and vaginal tissues

Answer 31

Vulvovaginitis

Question 32

T/F: Wiping from front to back can cause vulvovaginitis.

Answer 32

False; wiping back to front can

Question 33

inflammation of the vagina due to thinning and shrinking of the tissues, resulting in decreased lubrication, caused by a lack of estrogen

Answer 33

atrophic vaginitis