Uterine disorders

Question 1

The presenceof endometrial glands outside the cavity.

Answer 1

endometriosis

Question 2

endometriosis is a risk for what type of cancer

Answer 2

ovarian

Question 3

what is the primary etiology of endometrosis

Answer 3

retrograde menstration

Question 4

what is the primary risk factor for endometrosis

Answer 4

Increased estrogen

Question 5

clinical presentation for endometrosis

Answer 5

premenstral pelvic pain

decrease in pain after menses

Question 6

2 physical exam findings of ensometrosis

Answer 6

1. tenderness at posterior cul de sac

2, retroverted uterus

Question 7

what playes a role in endometrosis

Answer 7

Ca 125

Question 8

what does chocklate cake cysts go with

Answer 8

endometriosis

Question 9

what are the 4 treatments for endometriosis

Answer 9

NSAID
OCP
aromtase inibitor
hysterectomy

Question 10

what is the medocal work for uterine fibroid

Answer 10

-uterine leiomyoma

Question 11

Arise from smooth muscle cells within the uterine wall made from collagen and smooth muscle surrounded by psudocapsule

Answer 11

uterine fibroid

Question 12

uterine fibroid is more common in what population

Answer 12

blacks

Question 13

what is the indicated etiology of uterine fibroids

Answer 13

estrogen

Question 14

what are the three classes of fibroids

Answer 14

1. submucosal
2. intramural
3. subsurrosal

Question 15

what is the clinical presentation of uterine fibroids

Answer 15

pain, pressure
infertility
abnormal bleeding

Question 16

what are the uterine fibroids medications

Answer 16

(no standard)

• OCP
• GnrH
• steroid therapies

Question 17

what medication do you give prior to surgery for a fibroid that decreases the size

Answer 17

GnRH analog depot lutren

Question 18

what type of fibroid can you NOT give OCP or transexanic acid to

Answer 18

submucosal

Question 19

If they do NOT have a submucosal fibroid, what type of surgery perserves fertility

Answer 19

myomectomy (no vaginal birth)

Question 20

If they DO have a submucosal fibroid, what type of surgery perserves fertility

Answer 20

HYSTERSCOPY

Question 21

what is the downside to endometrial ablation

Answer 21

no more kids

Question 22

Tell me about uterine artery abaltion

Answer 22

perserves uterus but not fertility

Question 23

growth of endometrial glands and stromal into the uterine myometrium

Answer 23

adenomyosis

Question 24

adenomyosis often has a history of what

Answer 24

utrine surgery

Question 25

uterine elaregent think what

Answer 25

adenomyosis

Question 26

Treatment for adenomysosis 4

Answer 26

• OCP
• IUD
• Nuva ring
• Hysterectomy

Question 27

excessive growth of endometrium associassciated with increased estrogen

Answer 27

endometrial hyperplasia

Question 28

risk factor for endometrical hyperplasia

Answer 28

obesity

Question 29

estrogen does what to the uterus

Answer 29

proliferation

Question 30

If the endometerium is < 4mm of US malignancy is what

Answer 30

unlikely

Question 31

what is the treatment for typical (non cancerous) endometrical hyperplasia

Answer 31

progestin (remember this is antiproliferitive)

Question 32

what is the treatment for atypical (cancerous) endometrical hyperplasia

Answer 32

Hysterectomy

Question 33

what is the difference in type I vs type II endometrical cancer

Answer 33

I: associated with estrogen
II: no association with estrogen

Question 34

what is the most common type of endometrical cancer

Answer 34

adenocarcinoma

Question 35

what is the endometrical cancer with the worst prognosis

Answer 35

clear cell