2.4.3 Clinical Aspects of Cervical and Uterine Pathology

Question 1

What are the increased risk factors of Leiomyomas?

Answer 1

Estrogen and Progesterone Sensitive Tumor

Question 2

What is the surgical approach to AUB?

Answer 2

Hysterectomy is the most effective treatment though

Question 3

What is the treatment of HGSIL?

Answer 3

Question 4

What are the risk factors of adenomyosis?

Answer 4

High parity and increasing age

Question 5

What is an incompetent cervix?

Answer 5

Question 6

What is the most common outcome of HPV infection?

Answer 6

Subclinical infection or spontaneous resolution of clinically-apparent infection

Question 7

How can fibroids affect pregnancy?

Answer 7

Pre term labor

Fetal malposition

Placenta previa

Postpartum hemorrhage

Neonatal morbidity

Higher C section delivery rate

Question 8

Describe the incidence of HPV

Answer 8

Question 9

What is the gold standard of andenomyosis?

Answer 9

MRI

Question 10

How can you make a diagnosis of AUB?

Answer 10

Question 11

What are the characteristics of CIN?

Answer 11

Question 12

How are fibroids classified?

Answer 12

Question 13

What is primary HPV screening?

Answer 13

Question 14

What are the characteristics of pelvic organ prolapse?

Answer 14

Question 15

What is the incidence of AUB?

Answer 15

10-30% of reproductive age women

Question 16

What is the surgical management of Leiomyomas?

Answer 16

Question 17

What factors decrease risk of Leiomyomas?

Answer 17

Postmenopausal

Cigarette Smoking

Pregnancy

Question 18

What is the management of LGSIL vs HGSIL?

Answer 18

Question 19

What are the characteristics of AUB-O pathophysiology?

Answer 19

Question 20

What are the characteristics of the HPV vaccines?

Answer 20

Question 21

What is the management of leiomyomas?

Answer 21

Question 22

What are the characteristics of a Hematometra?

Answer 22

Possible complication of fibroids

Question 23

What is needed to make a diagnosis of Leiomyomas?

Answer 23

Pelvic exam - uterine enlargement and/or irregular contour

Imaging - Pelvic Ultrasound is gold standard

Question 24

What is the surgical treatment of Pelvic organ prolapse?

Answer 24

Question 25

What is the structural causes of AUB?

Answer 25

PALM Polyp Adenomyosis Leiomyoma Malignancy

Question 26

What are the symptoms associated with Leiomyomas (Fibroids)?

Answer 26

Question 27

What is this an image of?

Answer 27

Hematometria

Question 28

What are some other symptoms of Leiomyomas?

Answer 28

Question 29

How do hormonal contraceptive pills help treat AUB?

Answer 29

Work by causing endometrial atrophy

Question 30

What are the ASCCP guidelines for cervical cancer screening?

Answer 30

Question 31

How often will CIN1 vs CIN3 progress to cancer?

Answer 31

Question 32

What are the characteristics of Uterine Leiomyomas (fibroids)

Answer 32

Question 33

What is the non surgical treatment of pelvic organ prolapse?

Answer 33

Question 34

What are the characteristics of abnormal uterine bleeding?

Answer 34

Question 35

What is the treatment of AUB?

Answer 35

Question 36

What is important about the squamous metaplasia in the cervix?

Answer 36

Question 37

What are the characteristics of colposcopy?

Answer 37

Question 38

How can uterine artery embolization be used to treat fibroids?

Answer 38

Question 39

What is the use of Pessary?

Answer 39

Question 40

What are the characteristics of Adenomyosis?

Answer 40

Presence of endometrial glands and stroma in the myometrium Cause for dysmenorrhea, pelvic pain and menorrhagia

Question 41

What are the non-structural causes of AUB?

Answer 41

COEIN Coagulopathy Ovulatory Dysfunction Endometrial Iatrogenic Not yet classified

Question 42

What are the symptoms of pelvic organ prolapse?

Answer 42

Vaginal bulge or pressure urinary incontinence constipation vaginal bleeding can be painful

Question 43

What are the cervical screening techs?

Answer 43