Uterine Disorders

Question 0

Uterine anomalies associated with
First trimester pregnancy loss
Second

Answer 0

V Septate

II Unicornuate IV Bicornuate

Question 1

MC anatomic anomalies

Answer 1

V Septate Uterus

Question 2

Uterine leiomyoma

Degeneration

Answer 2

Hyaline MC

Carneous/Red (during pregnancy)

Question 3

MC leiomyoma

Answer 3

Intramural

Question 4

Leiomyoma associated with bleeding

Answer 4

Submucosal

Question 5

MC symptom myomas

Answer 5

AUB

Menorrhagia

Question 6

MC diagnostic test

Answer 6

Pelvic utz

Question 7

Surgical therapies for myomas

Answer 7

Myomectomy
Embolization
Hysterectomy definitive

Question 8

Benign overgrowth of endometrial grands and stroma over vascular. Ore usually at

Answer 8

Endrometrial polyp

Fundus

Question 9

MC symptom of endometrial polyp

Answer 9

AUB

Metrorrhagia

Question 10

Presence and growth of uterine lining glands and stroma in an aberrant location

Answer 10

Endometriosis

Question 11

Most widely accepted theory regarding endometriosis

Answer 11

Metastatic theory

Retrograde menstruation

Question 12

Growth of endometrial glands and stroma into myometrium to a depth of at least 2.5 mm (one LPF) from basalis layer of endometrium

Answer 12

Adenomyosis

Question 13

MC site of endometriosis

Answer 13

Ovaries

Question 14

Mid 30s nulliparous infertile
Secondary dysmenorrhea
Cyclic pelvic pain
Fixed tender uterus with post scarring and tenderness on IE
Nodularities in uterosacral and cul de sac

Answer 14

Endometriosis

Question 15

Definitive

Answer 15

TAHBSO

Question 16

Medical tx endometriosis
Pseudomenopause
Medical oophorectomy
Pseudopregnancy

Answer 16

Danazol
Leuprolide
High dose OCP or progestin

Question 17

MC type of adenomyosis

Answer 17

Symmetrical

Vs. Asymmetrical

Question 18

Multiparous woman with menorrhagia

Cyclic pain

Answer 18

Adenomyosis
No definitive treatment
Hysterectomy

Question 19

Confirmation
Endometriosis
Adenomyosis

Answer 19

Laparoscopy

MRI then histology

Question 20

Inc in endometrial mass due to unopposed estrogen

MC symptom

Answer 20

Endometrial hyperplasia

Vaginal bleeding

Question 21

Diagnostic of choice

Answer 21

Endometrial sampling

Cytologic atypia

Question 22

TV utz of EM hyperplasia

Answer 22

Thickened myometrial stripe

Question 23

Most important determinant for premalignant potential of EM hyperplasia

Answer 23

Cytologic atypia

Question 24

Repeat endometrial biopsy after

Answer 24

6 months

Question 25

MCC post menopausal bleeding

Answer 25

EM atrophy | R/O EM ca

Question 26

MC symptom of EM ca

Answer 26

Postmenopausal bleeding

Question 27

Precursor of EM ca

Answer 27

Atypical complex hyperplasia

Question 28

MC type of EM ca

Answer 28

Adenocarcinoma

Question 29

MC route of spread of EM ca

Answer 29

Direct extension

Question 30

MC site of distant mets of EM ca

Answer 30

Lungs Retroperitoneal nodes Abdomen

Question 31

MC subtype of EM ca | Subtype with poorest prognosis

Answer 31

Endometrioid | Clear cell and serous

Question 32

Diagnostic of choice for EM ca

Answer 32

EM biopsy

Question 33

``` Uterine ca staging 1 2 3 4 ```

Answer 33

Uterus Cervical stroma Regional spread serosa vagina pelvic and para aortic LN Bladder bowel distant mets

Question 34

Basic tx for all stages of EM ca

Answer 34

TAHBSO with node sampling and peritoneal washing

Question 35

Radiation for stages

Answer 35

2-4

Question 36

Hormone tx for

Answer 36

Progesterone receptor positive 4

Question 37

High dose progestin or chemotherapy for

Answer 37

Advanced or recurrent EM ca