Endometrial Cancer and Obesity Risk Factor Quiz

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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?

Using a menstrual diary app on their phone Signup and view all the answers

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

Obesity Signup and view all the answers

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

Greater than 50 pounds Signup and view all the answers

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

Inhibit endometrial growth 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?

Progestational IUD Signup and view all the answers

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

10 milligrams daily for 10 days Signup and view all the answers

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

IV estrogen Signup and view all the answers

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

Repeat EMB and ultrasound in 6 months Signup and view all the answers

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

'Unstable patient with heavy, continuous vaginal bleeding' Signup and view all the answers

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

Inhibit endometrial growth Signup and view all the answers

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

Progestational IUD Signup and view all the answers

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

IV estrogen Signup and view all the answers

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

Repeat EMB and ultrasound in 6 months Signup and view all the answers

What is hypomenorrhea?

A reduction in the amount of bleeding during menstruation Signup and view all the answers

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

Pregnancy Signup and view all the answers

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

Reduced menstrual bleeding Signup and view all the answers

What is the average age of menarche in America?

12 Signup and view all the answers

What is the definition of menopause?

The absence of cycles for 12 months Signup and view all the answers

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

Prostaglandin Signup and view all the answers

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

'To reduce pain' Signup and view all the answers

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

Coagulation defects Signup and view all the answers

'What are some etiologies of abnormal uterine bleeding?'

'Coagulation defects' Signup and view all the answers

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

Longer duration of breastfeeding in the past Signup and view all the answers

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

Increased menstrual bleeding Signup and view all the answers

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

Four pills a day for three days Signup and view all the answers

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

To prevent nausea Signup and view all the answers

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

Anti-nausea medication Signup and view all the answers

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

When the patient prefers not to use hormones Signup and view all the answers

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

$800 Motrin three times a day Signup and view all the answers

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

Using birth control pills Signup and view all the answers

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

$Willebrand's syndrome 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?

$Gestational events related to pregnancy Signup and view all the answers

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

$Vaginal atrophy Signup and view all the answers

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

$Follow-up endometrial biopsy Signup and view all the answers

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

Increasing age and obesity Signup and view all the answers

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

Levonorgestrel-containing IUD Signup and view all the answers

What is the most common inherited bleeding disorder?

Von Willebrand's disease Signup and view all the answers

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

Metrorrhagia Signup and view all the answers

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

Foreign body Signup and view all the answers

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

Endometrial cancer Signup and view all the answers

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

Causes endometrium to slough off Signup and view all the answers

What might cause irregular bleeding or spotting in a patient?

IUD insertion Signup and view all the answers

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

Pregnancy Signup and view all the answers

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

Hyperthyroidism Signup and view all the answers

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

Anovulation Signup and view all the answers

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

Endometrial proliferation Signup and view all the answers

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

Polycystic ovarian syndrome 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?

Pregnancy 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?

Complete blood count (CBC) Signup and view all the answers

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

To determine endometrial thickness Signup and view all the answers

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

$5$ millimeters Signup and view all the answers

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

Endometrial cancer Signup and view all the answers

Which factor increases the risk of endometrial cancer in women?

History of hormone replacement therapy Signup and view all the answers

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

Cause anovulation Signup and view all the answers

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

Patients who have never been pregnant Signup and view all the answers

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

Hormonal imbalances Signup and view all the answers

What is the definition of menorrhagia?

Prolonged bleeding, greater than seven days or greater than 80 cc a day Signup and view all the answers

What is the meaning of metrorrhagia?

Uterine bleeding that occurs at irregular intervals Signup and view all the answers

What is amenorrhea?

No menses for at least three to six months Signup and view all the answers

What does menometrorrhagia refer to?

Prolonged uterine bleeding occurring at irregular intervals Signup and view all the answers

What does oligomenorrhea mean?

Reduction in frequency of menses Signup and view all the answers

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

Up to 14% Signup and view all the answers

What is mittelschmerz associated with?

Uterine bleeding during ovulation Signup and view all the answers

What is the difference between primary and secondary amenorrhea?

Primary amenorrhea involves never having had any bleeding at all. Signup and view all the answers

What is the definition of secondary amenorrhea?

No menses for at least three to six months after the regular cycle has been established. Signup and view all the answers

What does menometrorrhagia indicate?

Prolonged uterine bleeding occurring at irregular intervals. Signup and view all the answers

What is the meaning of oligomenorrhea?

Reduction in frequency of menses. Signup and view all the answers

What does metrorrhagia refer to?

No menses for at least three to six months without a regular cycle preceding it. Signup and view all the answers

Endometrial Cancer and Obesity Risk Factor Quiz

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Questions and Answers

What is the average duration of menstruation?

What is considered abnormal blood loss during a menstrual cycle?

How often does menstruation occur for the majority of women?

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

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

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

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

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

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

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

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

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

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

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

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

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

What is hypomenorrhea?

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

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

What is the average age of menarche in America?

What is the definition of menopause?

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

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

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

'What are some etiologies of abnormal uterine bleeding?'

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

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

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

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

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

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

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

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

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

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

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

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

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

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

What is the most common inherited bleeding disorder?

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

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

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

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

What might cause irregular bleeding or spotting in a patient?

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

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

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

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

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

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

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

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

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

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

Which factor increases the risk of endometrial cancer in women?

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

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

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

What is the definition of menorrhagia?

What is the meaning of metrorrhagia?

What is amenorrhea?

What does menometrorrhagia refer to?

What does oligomenorrhea mean?

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

What is mittelschmerz associated with?

What is the difference between primary and secondary amenorrhea?

What is the definition of secondary amenorrhea?

What does menometrorrhagia indicate?

What is the meaning of oligomenorrhea?

What does metrorrhagia refer to?

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