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OBGYN > Uterine Disorders Worksheet > Flashcards

Uterine Disorders Worksheet Flashcards

1
Q

leiomyoma is AKA

A

fibroids

myoma

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2
Q

benign tumor of the uterus common in African American women

A

leiomyoma

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3
Q

leiomyoma’s are derived from…

A

smooth muscle cells

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4
Q

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

A

leiomyoma

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5
Q

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

A

leiomyoma

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6
Q

confirmatory test for leiomyoma

A

pelvic u/s

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7
Q

dx test that helps with large myomas of leiomyoma

A

CT/MRI

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8
Q

hysteroscopy can be used as a dx test in

A

leiomyoma

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9
Q

leiomyoma tx

A

1st: treat sx

then reassure

surgical intervention

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10
Q

leiomyoma tx meds

A

progesterone

GnRH agonist

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11
Q

Retrograde menstruation is MC leading theory to the cause of

A

endometriosis

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

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12
Q

endometriosis is common during the ____ years

A

childbearing years

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13
Q

adenomyosis commonly occurs ____

A

after childbearing years

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14
Q

endometrial material goes outside cavity

A

endometriosis

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15
Q

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

A

adenomyosis

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16
Q

progressive dysmenorrhea, dyspareunia, dyschezia

The D’s

A

endometriosis

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17
Q

prolonged heavy menses that have cramping throughout and passes clots

A

adenomyosis

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18
Q

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

A

endometriosis

19
Q

tender boggy uterus

A

adenomyosis

20
Q

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

A

endometriosis

21
Q

chocolate cysts on the ovaries

A

endometriosis

22
Q

tx of endometriosis

A

pregnancy counselling
hormonal contraception
GnRH agonist
surgery

23
Q

tx of adenomyosis

A

NSAIDs
combined oral contraceptives
hysterectomy
ablation

24
Q

endometriosis can cause

A

infertility

25
Q

defects in the pelvic supporting structures leads to

A

prolapse cystocele or rectocele

26
Q 
age
childbearing
obesity
pelvic surgeries 
menopause

are all causes of

A

prolapse cystocele or rectocele

27
Q

sensation of vaginal fullness or “something falling out”

“sitting on a ball”

A

prolapse cystocele or rectocele

28
Q

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

A

prolapse cystocele or rectocele

29
Q

prolapse cystocele or rectocele tx

A

pelvic floor exercises
topical estrogen
surgery
pessary

30
Q

Type 1 endometrial cancer

A

most common and occurs in young women

is an adenocarcinoma

31
Q

Type II endometrial cancer occurs in

A

older women

32
Q

endometrial hyperplasia causes

A

endometrial cancer

33
Q

Type I of endometrial cancer is estrogen _____

A

is estrogen dependent

34
Q

Type II of endometrial cancer is estrogen _____

A

is estrogen independent

35
Q

MC presentation of endometrial cancer

A

abnormal vaginal bleeding

36
Q

MC presentation of endometrial cancer in menopause

A

intermittent vaginal bleeding

37
Q

MC presentation of endometrial cancer in premenopausal women

A

excessive flow

38
Q

May have lower abdominal pain with

A

endometrial cancer

39
Q

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

A

endometrial cancer

40
Q

dx endometrial cancer

A

endometrial biopsy

41
Q

tx endometrial cancer

A

hysterectomy

42
Q

Type I endometrial cancer prognosis

A

good

43
Q

Type II endometrial cancer prognosis

A

poor

OBGYN (12 decks)

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