Endometrial Cancer and Obesity Risk Factor Quiz
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Questions and Answers

What is the average duration of menstruation?

  • 3 days
  • 4 days (correct)
  • 7 days
  • 5 days

What is considered abnormal blood loss during a menstrual cycle?

  • 80 cc or more (correct)
  • 55 to 60 cc
  • 40 to 50 cc
  • Less than 35 cc

How often does menstruation occur for the majority of women?

  • Every 35 days
  • Every 21 days
  • Every 33 days
  • Every 28 days (correct)

What is the recommended method for patients to track what is normal for them regarding menstruation?

<p>Using a menstrual diary app on their phone (D)</p> Signup and view all the answers

What is the risk factor for endometrial cancer mentioned in the text?

<p>Obesity (B)</p> Signup and view all the answers

How much weight gain increases the likelihood of developing endometrial cancer by ten times?

<p>Greater than 50 pounds (A)</p> Signup and view all the answers

What is the role of progestins in managing abnormal uterine bleeding according to the text?

<p>Inhibit endometrial growth (A)</p> Signup and view all the answers

Which medical management option can induce endometrial atrophy and provide good control of bleeding for up to five years?

<p>Progestational IUD (B)</p> Signup and view all the answers

What is the recommended dosage of cyclic medroxyprogesterone as mentioned in the text?

<p>10 milligrams daily for 10 days (A)</p> Signup and view all the answers

What method can be used to manage patients with endometrial hyperplasia if they are bleeding too much?

<p>IV estrogen (D)</p> Signup and view all the answers

What is the follow-up procedure for a patient diagnosed with simple endometrial hyperplasia after receiving Provera?

<p>Repeat EMB and ultrasound in 6 months (B)</p> Signup and view all the answers

In what scenario would a patient need to receive IV estrogen?

<p>'Unstable patient with heavy, continuous vaginal bleeding' (D)</p> Signup and view all the answers

What is the role of progestins in managing abnormal uterine bleeding according to the text?

<p>Inhibit endometrial growth (C)</p> Signup and view all the answers

What management option can induce endometrial atrophy and provide good control of bleeding for up to five years?

<p>Progestational IUD (B)</p> Signup and view all the answers

What method can be used to manage patients with endometrial hyperplasia if they are bleeding too much?

<p>IV estrogen (C)</p> Signup and view all the answers

What is the follow-up procedure for a patient diagnosed with simple endometrial hyperplasia after receiving Provera?

<p>Repeat EMB and ultrasound in 6 months (C)</p> Signup and view all the answers

What is hypomenorrhea?

<p>A reduction in the amount of bleeding during menstruation (B)</p> Signup and view all the answers

What is a potential reason for a patient to complain of hypomenorrhea?

<p>Pregnancy (C)</p> Signup and view all the answers

What is a common side effect of some medications that can lead to hypomenorrhea?

<p>Reduced menstrual bleeding (C)</p> Signup and view all the answers

What is the average age of menarche in America?

<p>12 (D)</p> Signup and view all the answers

What is the definition of menopause?

<p>The absence of cycles for 12 months (B)</p> Signup and view all the answers

What can cause contractions and expulsion bleeding in relation to menstrual bleeding?

<p><strong>Prostaglandin</strong> (D)</p> Signup and view all the answers

What do we use NSAIDs for in the context of heavy menstrual bleeding?

<p>'To reduce pain' (C)</p> Signup and view all the answers

What should a heavy first period at menarche raise suspicion of?

<p><strong>Coagulation defects</strong> (D)</p> Signup and view all the answers

'What are some etiologies of abnormal uterine bleeding?'

<p>'Coagulation defects' (D)</p> Signup and view all the answers

What contributes to the increase in the average years of ovulatory cycles for women's reproductive years?

<p>Longer duration of breastfeeding in the past (A)</p> Signup and view all the answers

What do higher estrogen levels cause in relation to menstrual bleeding?

<p>Increased menstrual bleeding (C)</p> Signup and view all the answers

What is the recommended dosage of pills for controlling heavy bleeding?

<p>Four pills a day for three days (A)</p> Signup and view all the answers

Why is it important not to take all four birth control pills at the same time?

<p>To prevent nausea (A)</p> Signup and view all the answers

What medication may be prescribed to manage nausea caused by taking birth control pills to control bleeding?

<p>Anti-nausea medication (D)</p> Signup and view all the answers

In what situations might NSAIDs be used to control heavy bleeding instead of birth control pills?

<p>When the patient prefers not to use hormones (C)</p> Signup and view all the answers

What is the recommended dose of NSAIDs for treating heavy bleeding?

<p>$800 Motrin three times a day (B)</p> Signup and view all the answers

What do parents sometimes object to when considering treatment for their teenagers with heavy bleeding?

<p>Using birth control pills (C)</p> Signup and view all the answers

In menarchal adolescents with severe menorrhagia, what coagulation defect should be considered?

<p>$Willebrand's syndrome (A)</p> Signup and view all the answers

What should be considered in a reproductive age woman who is sexually active and presents with abnormal uterine bleeding?

<p>$Gestational events related to pregnancy (C)</p> Signup and view all the answers

What is the most common cause of abnormal uterine bleeding in post-menopausal women?

<p>$Vaginal atrophy (C)</p> Signup and view all the answers

What is recommended for women with recurrent post-menopausal bleeding?

<p>$Follow-up endometrial biopsy (B)</p> Signup and view all the answers

What are the risk factors for endometrial cancer, as mentioned in the text?

<p>Increasing age and obesity (B)</p> Signup and view all the answers

What is recommended for long-term control of abnormal uterine bleeding in women?

<p>Levonorgestrel-containing IUD (B)</p> Signup and view all the answers

What is the most common inherited bleeding disorder?

<p>Von Willebrand's disease (B)</p> Signup and view all the answers

What is the most likely cause of heavy menstrual bleeding in a patient with hypothyroidism?

<p>Metrorrhagia (C)</p> Signup and view all the answers

What is the most common cause of vaginal bleeding in pre-menarchal children?

<p>Foreign body (D)</p> Signup and view all the answers

What condition should be quickly addressed if observed in a post-menopausal woman?

<p>Endometrial cancer (C)</p> Signup and view all the answers

What is the function of progesterone in the context of uterine bleeding?

<p>Causes endometrium to slough off (C)</p> Signup and view all the answers

What might cause irregular bleeding or spotting in a patient?

<p>IUD insertion (D)</p> Signup and view all the answers

What should be considered in a reproductive age woman with unusual vaginal bleeding?

<p>Pregnancy (D)</p> Signup and view all the answers

What condition can cause problems in up to 2.5% of patients with thyroid disease?

<p>Hyperthyroidism (D)</p> Signup and view all the answers

What can cause endometrial hyperplasia, a precursor to endometrial cancer?

<p>Anovulation (D)</p> Signup and view all the answers

What is the primary cause of abnormal uterine bleeding in patients with anovulation?

<p>Endometrial proliferation (C)</p> Signup and view all the answers

Which condition should be considered when a patient in the early reproductive years presents with abnormal uterine bleeding?

<p>Polycystic ovarian syndrome (C)</p> Signup and view all the answers

What is the first thing to consider when evaluating a patient in the early reproductive years with abnormal uterine bleeding?

<p>Pregnancy (C)</p> Signup and view all the answers

What test should be performed to assess for anemia in a woman of reproductive age with abnormal uterine bleeding?

<p>Complete blood count (CBC) (D)</p> Signup and view all the answers

Why is a transvaginal ultrasound recommended for postmenopausal women with abnormal uterine bleeding?

<p>To determine endometrial thickness (B)</p> Signup and view all the answers

What is the normal endometrial stripe thickness in postmenopausal women on combined hormone replacement therapy?

<p>$5$ millimeters (A)</p> Signup and view all the answers

What condition should be suspected if the endometrial stripe thickness is greater than $13$ millimeters in menstruating women?

<p>Endometrial cancer (D)</p> Signup and view all the answers

Which factor increases the risk of endometrial cancer in women?

<p>History of hormone replacement therapy (C)</p> Signup and view all the answers

What effect do high insulin levels have on the ovaries of diabetic patients?

<p>Cause anovulation (C)</p> Signup and view all the answers

Which group of patients are at a higher risk for endometrial cancer?

<p>Patients who have never been pregnant (B)</p> Signup and view all the answers

What might be the reason for abnormal uterine bleeding in patients with eating disorders?

<p>Hormonal imbalances (D)</p> Signup and view all the answers

What is the definition of menorrhagia?

<p>Prolonged bleeding, greater than seven days or greater than 80 cc a day (A)</p> Signup and view all the answers

What is the meaning of metrorrhagia?

<p>Uterine bleeding that occurs at irregular intervals (D)</p> Signup and view all the answers

What is amenorrhea?

<p>No menses for at least three to six months (D)</p> Signup and view all the answers

What does menometrorrhagia refer to?

<p>Prolonged uterine bleeding occurring at irregular intervals (C)</p> Signup and view all the answers

What does oligomenorrhea mean?

<p>Reduction in frequency of menses (C)</p> Signup and view all the answers

What is the frequency of menorrhagia occurrence among otherwise healthy women?

<p>Up to 14% (A)</p> Signup and view all the answers

What is mittelschmerz associated with?

<p>Uterine bleeding during ovulation (B)</p> Signup and view all the answers

What is the difference between primary and secondary amenorrhea?

<p>Primary amenorrhea involves never having had any bleeding at all. (D)</p> Signup and view all the answers

What is the definition of secondary amenorrhea?

<p>No menses for at least three to six months after the regular cycle has been established. (A)</p> Signup and view all the answers

What does menometrorrhagia indicate?

<p>Prolonged uterine bleeding occurring at irregular intervals. (A)</p> Signup and view all the answers

What is the meaning of oligomenorrhea?

<p>Reduction in frequency of menses. (C)</p> Signup and view all the answers

What does metrorrhagia refer to?

<p>No menses for at least three to six months without a regular cycle preceding it. (C)</p> Signup and view all the answers

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