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</p> Signup and view all the answers

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

    <p>Obesity</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</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</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</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</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</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</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'</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</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</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</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</p> Signup and view all the answers

    What is hypomenorrhea?

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

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

    <p>Pregnancy</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</p> Signup and view all the answers

    What is the average age of menarche in America?

    <p>12</p> Signup and view all the answers

    What is the definition of menopause?

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

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

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

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

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

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

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

    'What are some etiologies of abnormal uterine bleeding?'

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

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

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

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

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

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

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

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

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

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

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

    What is the most common inherited bleeding disorder?

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

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

    <p>Metrorrhagia</p> Signup and view all the answers

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

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

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

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

    What might cause irregular bleeding or spotting in a patient?

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

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

    <p>Pregnancy</p> Signup and view all the answers

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

    <p>Hyperthyroidism</p> Signup and view all the answers

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

    <p>Anovulation</p> Signup and view all the answers

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

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

    Which factor increases the risk of endometrial cancer in women?

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

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

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

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

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

    What is the meaning of metrorrhagia?

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

    What is amenorrhea?

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

    What does menometrorrhagia refer to?

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

    What does oligomenorrhea mean?

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

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

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

    What is mittelschmerz associated with?

    <p>Uterine bleeding during ovulation</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.</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.</p> Signup and view all the answers

    What does menometrorrhagia indicate?

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

    What is the meaning of oligomenorrhea?

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

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