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29 Cards in this Set
- Front
- Back
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_: excessive or prolonged menses (>80 mL or >7 days) occurring at normal intervals.
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Menorrhagia
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_: irregular episodes of uterine bleeding
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Metrorrhagia:
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_: heavy and irregular bleeding
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Menometrorrhagia
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_: abnormally frequent menses at intervals <24 days
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Polymenorrhea
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The average age of endometrial cancer diagnosis is around _ most of the time it is _
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60 years,
adenocarcinoma |
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What is one of the biggest lifestyle related risk factors for endometrial cancer?
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obesity
Pts who are greater than 50 lbs overweight are at 10x high risk. |
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_is the Gold standard for diagnosis of Endometrial Cancer
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. Dilation and Curettage
Endometrial biopsy has a diagnostic accuracy of 90% |
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Abnormal Vaginal bleeding is a (early/late) sx of endometrial cancer
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early
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With regards to endometrial cancer, an ultrasound will evaluate the _.
A results <_ mm is considered negative, whereas a _ mm requires further investigation |
endometrial stripe
<4 mm is negative, between 5-12 |
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What is the most common method and place for endometrial cancer to spread?
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Direct extension into CERVIX (and serosa)
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Endometrial cancer spreads to what lymph nodes?
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pelvic then para aortic
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How can you distinguish a leiomyosarcoma from a leiomyoma?
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mitotic count, coagulative necrosis, and cellular atypia
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Endometrial biopsy shows plasma cells, dx?
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chronic endometritis
treat with antibiotics (doxycycline) |
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DHEA > 8000 indicates _
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Adrenal tumor
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Pt complains of menorrhagia, gingival bleeding and epistasis. Genetic testing shows she has an autosomal dominant condition that affects platelet adhesion
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Von Willebrands's disease
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How do you treat Stage I endometrial cancer?
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total abdominal hysterectomy and BSO, peitoneal washings, pelvic lymph node dissection, and radiation
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Post menopausal woman who hasn't had a period in 3 years has irregular bleeding, what is the top of your dd?
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endometrial cancer until proven otherwise
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Anything that increases a woman's exposure to _ increases her risk for endometrial cancer
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estrogen
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What is the chance that endometrial cancer recurs within 2 years?
Where will this likely occur? |
75%
In the vaginal vault |
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A 55 year old woman presents with vaginal bleeding which started two months ago. She describes it as intermittent spotting. She went through menopause at age 50. She is married and sexually active. Her last pap was 1 year ago and was normal. In addition to a thorough physical including pelvic exam, what study does this patient need?
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Endometrial Biopsy
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Endmetrial hyperplasia is a consequence of _
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chronic anovulation
these can occur with or without atypia |
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EMB shows endometrial hyperplasia. The transvaginal and abdominal ultrasound show no fibroids, but the endometrial stripe is 12 mm.
What is the next best step in this patient’s care? |
D and C
dilation and curettage |
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A 17 year old female presents with complaint of fatigue. Her menstrual history includes menarche at age 15, menses are regular at 28 days, she has 8 days of bleeding, and states she has to change her pad every 2 hours the first 3 days.
How would you describe her menstrual cycle? |
Menorrhagia
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FSH : LH levels help diagnose _
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PCOS
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What lab test would help in diagnosing von willebrands?
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PTT
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How would you treat an inpatient with massive intractable bleeding?
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Estrogen IV
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_ is given to a patient who desires pregnancy
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medroxyprogesterone
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Why do you not give a patient OCP who is over 35 and a smoker?
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risk for thromboembolism
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Medroxyprogesterone is used in patients who _
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want to get pregnancy
(treats PCOS) |
