VAGINAL DISORDERS (FIBROIDS,
ENDOMETRIOSIS, CYSTS,
TORSION) (MENOPAUSE, PCOS,
AMENORRHEA) 2025 QUESTIONS
Uterine Fibroids - CORRECT ANSWER>>>Noncancerous tumors arising from smooth
muscle cells and fibroblasts of the myometrium
1. inc age at reproduction
2.Nulliparity
3. Family hx
4. African Americans
5. obesity - CORRECT ANSWER>>>risk factors for uterine fibroids (Leiomyoma) (5)
Normal myocyte transformation and growth (estrogen/progesterine receptors increased)
- CORRECT ANSWER>>>Brief pathophysiology of uterine fibroids (Leiomyoma)
Submucosal
Intramural
Subserosal - CORRECT ANSWER>>>3 classifications of uterine fibroids (Leiomyoma)
1. Asymptomatic
2. HMB/prolonged menses
3. Bulk related (intestinal involvement/urinary)
4. Infertility
5. Painful periods, Dysmenorrhea, Dyspareunia - CORRECT ANSWER>>>Clinical
Manifestations of Uterine Fibroids (Leiomyomas) (5)
1. Uterus is enlarged
2. Mobile, irregular contour
3. Nontender
4. Measuring fundus size - CORRECT ANSWER>>>Physical exam findings of Uterine
Fibroids (Leiomyomas) (4)
1. Clinical H&P
2. TVUS (transvaginal ultrasound)
3. SIS/Hysteroscopy (saline infused sonography)
4. Pelvic MRI (sx reasons) - CORRECT ANSWER>>>Diagnostic tools for Uterine
fibroids (Leiomyomas) (4)
1. Resolve/reduce symptoms... Future fertility or not?
2. Progesterone (depo shot)(keep estrogen low)
CHC (pill)
1
, 3. Hysteroscopic resection, GnRH analogue, Uterine ablation, TAH(total abdom
hysterectomy)/myomectomy
4. Myomectomy - CORRECT ANSWER>>>Uterine Fibroids (Leiomyomas)
1. Basic goal with tx?
2. TX basic options?
3. TX for No future fertility (4)
4. TX for future fertility? (1)
Endometriosis - CORRECT ANSWER>>>§Endometrial glands and stroma that occur
outside the uterine cavity
1. 25-35
2. White/asian higher risk
3. Parity, Estrogen exposure
4. Implant/growth and cause inflammatory repsponse - CORRECT
ANSWER>>>Endometriosis:
1. Peak ages?
2. What group of ppl?
3. common risk factors?
4. Ectopic endometrial cells will cause?
1. Superficial perioneal (MC)
2. Deep infiltration
3. Ovarian - CORRECT ANSWER>>>what are the 3 types of locations that
endometriosis can occur?
1. reproductive age?
2. Pelvic pain, dysmenorrhea, dyspareunia
3. Infertility
4. Dyschezia.dysuria.fatigue
low back pain, abnormal uterine bleeding - CORRECT ANSWER>>>Endometriosis:
4 presentations in the history?
1. Afebrile
2. Posterior fornix tender
3, Palpable, tender nodules
4. Lateral displacement of cervix
5. Adnexal mass - CORRECT ANSWER>>>Endometriosis physical exam findings? (5)
1. Clinical H&P
2. Labs = CA-125
3. Imaging: TVUS/MRI/CT
4. Definitive = biopsy of lesion
SX= persistant pelvic pain, Severe symptoms or anatomic abnormalities - CORRECT
ANSWER>>>Endometriosis diagnostic tools? (4)... when would sx be necessary?
2
ENDOMETRIOSIS, CYSTS,
TORSION) (MENOPAUSE, PCOS,
AMENORRHEA) 2025 QUESTIONS
Uterine Fibroids - CORRECT ANSWER>>>Noncancerous tumors arising from smooth
muscle cells and fibroblasts of the myometrium
1. inc age at reproduction
2.Nulliparity
3. Family hx
4. African Americans
5. obesity - CORRECT ANSWER>>>risk factors for uterine fibroids (Leiomyoma) (5)
Normal myocyte transformation and growth (estrogen/progesterine receptors increased)
- CORRECT ANSWER>>>Brief pathophysiology of uterine fibroids (Leiomyoma)
Submucosal
Intramural
Subserosal - CORRECT ANSWER>>>3 classifications of uterine fibroids (Leiomyoma)
1. Asymptomatic
2. HMB/prolonged menses
3. Bulk related (intestinal involvement/urinary)
4. Infertility
5. Painful periods, Dysmenorrhea, Dyspareunia - CORRECT ANSWER>>>Clinical
Manifestations of Uterine Fibroids (Leiomyomas) (5)
1. Uterus is enlarged
2. Mobile, irregular contour
3. Nontender
4. Measuring fundus size - CORRECT ANSWER>>>Physical exam findings of Uterine
Fibroids (Leiomyomas) (4)
1. Clinical H&P
2. TVUS (transvaginal ultrasound)
3. SIS/Hysteroscopy (saline infused sonography)
4. Pelvic MRI (sx reasons) - CORRECT ANSWER>>>Diagnostic tools for Uterine
fibroids (Leiomyomas) (4)
1. Resolve/reduce symptoms... Future fertility or not?
2. Progesterone (depo shot)(keep estrogen low)
CHC (pill)
1
, 3. Hysteroscopic resection, GnRH analogue, Uterine ablation, TAH(total abdom
hysterectomy)/myomectomy
4. Myomectomy - CORRECT ANSWER>>>Uterine Fibroids (Leiomyomas)
1. Basic goal with tx?
2. TX basic options?
3. TX for No future fertility (4)
4. TX for future fertility? (1)
Endometriosis - CORRECT ANSWER>>>§Endometrial glands and stroma that occur
outside the uterine cavity
1. 25-35
2. White/asian higher risk
3. Parity, Estrogen exposure
4. Implant/growth and cause inflammatory repsponse - CORRECT
ANSWER>>>Endometriosis:
1. Peak ages?
2. What group of ppl?
3. common risk factors?
4. Ectopic endometrial cells will cause?
1. Superficial perioneal (MC)
2. Deep infiltration
3. Ovarian - CORRECT ANSWER>>>what are the 3 types of locations that
endometriosis can occur?
1. reproductive age?
2. Pelvic pain, dysmenorrhea, dyspareunia
3. Infertility
4. Dyschezia.dysuria.fatigue
low back pain, abnormal uterine bleeding - CORRECT ANSWER>>>Endometriosis:
4 presentations in the history?
1. Afebrile
2. Posterior fornix tender
3, Palpable, tender nodules
4. Lateral displacement of cervix
5. Adnexal mass - CORRECT ANSWER>>>Endometriosis physical exam findings? (5)
1. Clinical H&P
2. Labs = CA-125
3. Imaging: TVUS/MRI/CT
4. Definitive = biopsy of lesion
SX= persistant pelvic pain, Severe symptoms or anatomic abnormalities - CORRECT
ANSWER>>>Endometriosis diagnostic tools? (4)... when would sx be necessary?
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