Uterine Disorders Worksheet

Question 1

leiomyoma is AKA

Answer 1

fibroids

myoma

Question 2

benign tumor of the uterus common in African American women

Answer 2

leiomyoma

Question 3

leiomyoma’s are derived from…

Answer 3

smooth muscle cells

Question 4

when you have progressively heavier menstrual flow and have a feeling of something pressing down, or a sensation of the pelvic mass

Answer 4

leiomyoma

Question 5

PE shows a uterus with a “hard” “lumpy-bumpy” feeling

Answer 5

leiomyoma

Question 6

confirmatory test for leiomyoma

Answer 6

pelvic u/s

Question 7

dx test that helps with large myomas of leiomyoma

Answer 7

CT/MRI

Question 8

hysteroscopy can be used as a dx test in

Answer 8

leiomyoma

Question 9

leiomyoma tx

Answer 9

1st: treat sx

then reassure

surgical intervention

Question 10

leiomyoma tx meds

Answer 10

progesterone

GnRH agonist

Question 11

Retrograde menstruation is MC leading theory to the cause of

Answer 11

endometriosis

~50% of it implants in the ovaries and other locations include pertioneal surfaces that causes endometriotic lesions

Question 12

endometriosis is common during the ____ years

Answer 12

childbearing years

Question 13

adenomyosis commonly occurs ____

Answer 13

after childbearing years

Question 14

endometrial material goes outside cavity

Answer 14

endometriosis

Question 15

endometrial material that stays uterine walls and the tissue continues to act normally

Answer 15

adenomyosis

Question 16

progressive dysmenorrhea, dyspareunia, dyschezia

The D’s

Answer 16

endometriosis

Question 17

prolonged heavy menses that have cramping throughout and passes clots

Answer 17

adenomyosis

Question 18

PE shows painful uterine motion with a fixed uterus and adnexal tenderness

Answer 18

endometriosis

Question 19

tender boggy uterus

Answer 19

adenomyosis

Question 20

direct visualization of the uterus shows dark brown, blue, or black lesions, scarring, and maybe adhesions

Answer 20

endometriosis

Question 21

chocolate cysts on the ovaries

Answer 21

endometriosis

Question 22

tx of endometriosis

Answer 22

pregnancy counselling
hormonal contraception
GnRH agonist
surgery

Question 23

tx of adenomyosis

Answer 23

NSAIDs
combined oral contraceptives
hysterectomy
ablation

Question 24

endometriosis can cause

Answer 24

infertility

Question 25

defects in the pelvic supporting structures leads to

Answer 25

prolapse cystocele or rectocele

Question 26

``` age childbearing obesity pelvic surgeries menopause ``` are all causes of

Answer 26

prolapse cystocele or rectocele

Question 27

sensation of vaginal fullness or "something falling out" "sitting on a ball"

Answer 27

prolapse cystocele or rectocele

Question 28

PE shows bulging with the insertion of 1/2 of the speculum and the patient performs a valsalva

Answer 28

prolapse cystocele or rectocele

Question 29

prolapse cystocele or rectocele tx

Answer 29

pelvic floor exercises topical estrogen surgery pessary

Question 30

Type 1 endometrial cancer

Answer 30

most common and occurs in young women is an adenocarcinoma

Question 31

Type II endometrial cancer occurs in

Answer 31

older women

Question 32

endometrial hyperplasia causes

Answer 32

endometrial cancer

Question 33

Type I of endometrial cancer is estrogen _____

Answer 33

is estrogen dependent

Question 34

Type II of endometrial cancer is estrogen _____

Answer 34

is estrogen independent

Question 35

MC presentation of endometrial cancer

Answer 35

abnormal vaginal bleeding

Question 36

MC presentation of endometrial cancer in menopause

Answer 36

intermittent vaginal bleeding

Question 37

MC presentation of endometrial cancer in premenopausal women

Answer 37

excessive flow

Question 38

May have lower abdominal pain with

Answer 38

endometrial cancer

Question 39

PE is usually unremarkable but in the early stages shows a normal uterus and an enlarged uterus in the later stages

Answer 39

endometrial cancer

Question 40

dx endometrial cancer

Answer 40

endometrial biopsy

Question 41

tx endometrial cancer

Answer 41

hysterectomy

Question 42

Type I endometrial cancer prognosis

Answer 42

good

Question 43

Type II endometrial cancer prognosis

Answer 43

poor