Benign Diseases Of The Uterus And Cervix

Question 1

What is the commonest cervical lesion?

Answer 1

Cervical Polyps

Question 2

Cervical Ectropion is most commonly related to what?

Answer 2

Pregnancy and oral contraceptives

Question 3

What are Nabothian cysts?

Answer 3

Mucous filled cysts on the ectocervix

Question 4

Gold standard means for Endometrial polyp diagnosis?

Answer 4

Hysteroscopy

Question 5

Treatment of endometrial polyp?

Answer 5

Hysteroscopic polypectomy

Question 6

What is Asherman syndrome

Answer 6

Irreversible damage to the basal layer of the endometrium. The endometrium cavity undergoes fibrosis and adhesions

Question 7

Treatment of Asherman syndrome

Answer 7

Hysteroscopic-guided lysis of adhesions

Question 8

After treatment of Asherman, what do we give to help re-epthelize the damage?

Answer 8

Oestrogen or platelet rich plasma

Question 9

What is the most severe form of hyperplasia that has highest chance of developing into cancer?

Answer 9

Atypical Complex hyperplasia

Question 10

Diagnostic evaluation for Hyperplasia?

Answer 10

Hysteroscopy.

Question 11

Magament of endometrial hyperplasia without atypia (without change in shape)

Answer 11

Norethisterone 15mg, or a MIRENA IUS if she desires contraception

Question 12

Treatment for atypical hyperplasia?

Answer 12

Total hysterectomy

Question 13

Postmenopausal women with atypical hyperplasia are offered?

Answer 13

Total hysterectomy + bilateral salpingo-oophorectomy

Question 14

If a pre menopausal woman wants to remain fertile, and she has atypical hyperplasia, what do we do

Answer 14

First line is LNG-IUS with oral progestogens as the 2nd best alternative

Question 15

Explain how hyperplasia happens to begin with

Answer 15

Oestrogen simulation in absence of progesterone

Question 16

What are the commonest benign tumors of the genital tract?

Answer 16

Uterine Fibroids

Question 17

What system classifies uterine fibroids?

Answer 17

FIGO

Question 18

Commonest type of uterine fibroid?

Answer 18

Intramural

Question 19

Most common type of fibroid degeneration?

Answer 19

Hyaline

Question 20

Uterine fibroids examination findings

Answer 20

Signs of anemia, and a palpable abdominal mass

Question 21

Hysteroscopic myomectomy is the treatment for which fibroid location?

Answer 21

Submucosal

Question 22

What is the surgical treatment for fibroids when preservation of fertility is required?

Answer 22

Myomectomy

Question 23

Those with fibroids and have no wish to be pregnant, are treated how

Answer 23

Hysterectomy. Seeing as they won’t wanna get pregnant later

Question 24

What is Uterine Artery Embolization?

Answer 24

Essentially blocking the blood supply of the fibroid

Question 25

Commonest effect of pregnancy on fibroids?

Answer 25

Red degeneration

Question 26

Pregnant women in 2nd trimester presents with severe pain and vomiting, and she has a fibroid, what is the treatment?

Answer 26

Rest, fluids, and NSAIDS

Question 27

Generally is there a treatment for fibroids in pregnancy?

Answer 27

No

Question 28

What is Adenomyosis?

Answer 28

When the endometrium grows in the myometrium

Question 29

The only definitive treatment for adenomyosis?

Answer 29

Hysterectomy

Question 30

Which hormone is primarily responsible for cervical mucus thickening during the luteal phase? A) Estrogen B) Progesterone C) FSH D) LH

Answer 30

Progesterone