Uterine Disorders Flashcards

0
Q

Uterine anomalies associated with
First trimester pregnancy loss
Second

A

V Septate

II Unicornuate IV Bicornuate

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1
Q

MC anatomic anomalies

A

V Septate Uterus

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2
Q

Uterine leiomyoma

Degeneration

A

Hyaline MC

Carneous/Red (during pregnancy)

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3
Q

MC leiomyoma

A

Intramural

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4
Q

Leiomyoma associated with bleeding

A

Submucosal

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5
Q

MC symptom myomas

A

AUB

Menorrhagia

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6
Q

MC diagnostic test

A

Pelvic utz

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7
Q

Surgical therapies for myomas

A

Myomectomy
Embolization
Hysterectomy definitive

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8
Q

Benign overgrowth of endometrial grands and stroma over vascular. Ore usually at

A

Endrometrial polyp

Fundus

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9
Q

MC symptom of endometrial polyp

A

AUB

Metrorrhagia

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10
Q

Presence and growth of uterine lining glands and stroma in an aberrant location

A

Endometriosis

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11
Q

Most widely accepted theory regarding endometriosis

A

Metastatic theory

Retrograde menstruation

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12
Q

Growth of endometrial glands and stroma into myometrium to a depth of at least 2.5 mm (one LPF) from basalis layer of endometrium

A

Adenomyosis

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13
Q

MC site of endometriosis

A

Ovaries

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14
Q

Mid 30s nulliparous infertile
Secondary dysmenorrhea
Cyclic pelvic pain
Fixed tender uterus with post scarring and tenderness on IE
Nodularities in uterosacral and cul de sac

A

Endometriosis

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15
Q

Definitive

A

TAHBSO

16
Q

Medical tx endometriosis
Pseudomenopause
Medical oophorectomy
Pseudopregnancy

A

Danazol
Leuprolide
High dose OCP or progestin

17
Q

MC type of adenomyosis

A

Symmetrical

Vs. Asymmetrical

18
Q

Multiparous woman with menorrhagia

Cyclic pain

A

Adenomyosis
No definitive treatment
Hysterectomy

19
Q

Confirmation
Endometriosis
Adenomyosis

A

Laparoscopy

MRI then histology

20
Q

Inc in endometrial mass due to unopposed estrogen

MC symptom

A

Endometrial hyperplasia

Vaginal bleeding

21
Q

Diagnostic of choice

A

Endometrial sampling

Cytologic atypia

22
Q

TV utz of EM hyperplasia

A

Thickened myometrial stripe

23
Q

Most important determinant for premalignant potential of EM hyperplasia

A

Cytologic atypia

24
Q

Repeat endometrial biopsy after

A

6 months

25
Q

MCC post menopausal bleeding

A

EM atrophy

R/O EM ca

26
Q

MC symptom of EM ca

A

Postmenopausal bleeding

27
Q

Precursor of EM ca

A

Atypical complex hyperplasia

28
Q

MC type of EM ca

A

Adenocarcinoma

29
Q

MC route of spread of EM ca

A

Direct extension

30
Q

MC site of distant mets of EM ca

A

Lungs
Retroperitoneal nodes
Abdomen

31
Q

MC subtype of EM ca

Subtype with poorest prognosis

A

Endometrioid

Clear cell and serous

32
Q

Diagnostic of choice for EM ca

A

EM biopsy

33
Q
Uterine ca staging
1
2
3
4
A

Uterus
Cervical stroma
Regional spread serosa vagina pelvic and para aortic LN
Bladder bowel distant mets

34
Q

Basic tx for all stages of EM ca

A

TAHBSO with node sampling and peritoneal washing

35
Q

Radiation for stages

A

2-4

36
Q

Hormone tx for

A

Progesterone receptor positive 4

37
Q

High dose progestin or chemotherapy for

A

Advanced or recurrent EM ca