Flashcards in PANCE prep book cards Deck (8)
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1
Q
what kind of muscle makes up leiomyomas
A
benign uterus smooth muscle tumor
2
Q
why do leiomyomas regress after menopause?
A
their growth is related to estrogen production: so they shrink after menopause
3
Q
what are the different types of leiomyomas
A
intramural, submucosal, subserosal, parasitic, (pedunculated?)
4
Q
what is the MC presentation for a patient with leiomyomas (uterine fibroids)?
A
BLEEDING
dysmenorrhia, menorrhagia
5
Q
uterine fibroids can be described as: (soft, tender, nontender, assymetric, symmetric….etc.)?
A
asymmetric, hard, nontender
6
Q
how do you diagnose uterine fibroids?
A
ultrasound
7
Q
what are different ways to manage uterine fibroids?
A
1. observation: majority don’t need treatment
2. medical: inhibit estrogen
- leuprolide: GnRH agonist that causes GnRH inhibition when given continuously
- progestins: endomtrial atrophy –> decreases bleeding (medroxyprogesterone)
3. surgical: hysterectomy or myomectomy (fibroids are the MC cause for hysterectomy)
8
Q
A
