Uterus

Question 0

Mc benign cx finding

Answer 0

Cx polyp

Question 1

What is hematometrocolpus

Answer 1

Blood in the uterus

Question 2

Menometrorrhagia

Answer 2

Irregular menstrual bleeding in frequency and cycle

Question 3

Menorrhagia

Answer 3

Heavy period

Question 4

Uterus

Answer 4

Pear shape muscular organ
Located between bld and rectum
Functions: menstruation, pregnancy, labor
Fundus, body/corpus, isthmus, cervix

Question 5

Uterus layers

Answer 5

Serosa/Perimetrium: outer
Myometrium: middle muscle
Endometrium: inner mucosal

Question 6

Endometrium layers

Answer 6

Basal layer/ Deep: regenerates new endo

Functionalis / superficial: supports tissue that sheds with menses

Question 7

Uterine meas

Answer 7

Child : 1-3cm
Nulliparous: 6-8 cm
Multiparous: 8-10 cm
Post menopausal: 3.5-5.5 cm

Question 8

Menopause

Answer 8

1 year without menses

Question 9

Endo size

Answer 9

After puberty: 7-14 mm
Menopausal: < 5 mm
Menopausal without hormones: < 8mm

Question 10

Uterine position

Answer 10

Anteverted
Retroverted
Anteflexed
Retroflexed
Dextroversion: tilt right
Levoversion: tilt left

Question 11

Leiomyoma / fibroid / myoma

Answer 11

MC benign GYN tumor
Black
2/3 degenerate. May be benign or malignant. 
Heavy prolonged menstruation, pain
May cause miscarriage 

Uterine enlargement
Heterogeneous
Variable echoes
Inc attenuation

Question 12

Cervical fibroids

Answer 12

Impede vaginal delivery

Question 13

Types of fibroids

Answer 13

Submucosal: in endo, most symptoms
Intramural: MC, in myometrium
Subserosal: close to surface
Pedunculated: protrudes
Wandering myoma: develops own blood supply & breaks away
Intraligamentous myoma: grows between broad lig

Question 14

Endometriosis

Answer 14

Ectopic endometrial tissue
Cyclic pain
Infertility
Painful inter course dyspareunia
Pelvic pain

Question 15

Endometrioma

Answer 15

Focal endometriosis
Chocolate cyst in ovary homogeneous
Cyclic pain

Question 16

Adenomyosis

Answer 16

Endo tissue within myometrium
Small cyst in myometrium enlg uterus
Honey comb pattern

Focal: adenomyoma

Question 17

Endometrial Polyp

Answer 17

Histosonogram performer to confirm

Question 18

Endometrial hyperplasia

Answer 18

Abnl thick of endo

Due to inc estrogen, tamoxifen

Question 19

Tamoxifen

Answer 19

Used in post meno females with hx of Breast cancer.

Causes endo thick

Question 20

Endometrial cancer

Answer 20

Common
Post menopausal females

Post menopausal bleeding, abnl discharge, pain
Thick endo, lots of color flow.

Due to inc estrogen, nulliparous, fail to ovulate, early period, late meno, obesity, short.

Stage 1: body
Stage 2: body & cx
Stage 3: outside uterus
Stage 4: outside true pelvis, mets