Endometrial Cancer Risk Factors Quiz
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Questions and Answers

What is the general timing given for menstruation to occur?

  • Every 28 days (correct)
  • Every 21 days
  • Every 42 days
  • Every 35 days
  • What is the average duration of a normal menstruation?

  • 4 days (correct)
  • 6 days
  • 8 days
  • 2 days
  • How much blood loss is considered normal in an average menstrual cycle?

  • 80 cc
  • 100 cc
  • 50 cc
  • 35 cc (correct)
  • If a woman is bleeding for more than how many days should it be classified as abnormal?

    <p>7 days</p> Signup and view all the answers

    What percentage of women experience heavy bleeding during menstruation?

    <p>95%</p> Signup and view all the answers

    What is considered abnormal blood loss in a menstrual cycle?

    <p>$80$ cc</p> Signup and view all the answers

    What is the definition of menarche?

    <p>The average age at first menstruation</p> Signup and view all the answers

    What is a possible reason for a complaint of hypomenorrhea?

    <p>Potential pregnancy</p> Signup and view all the answers

    Which medication is commonly associated with hypomenorrhea as a side effect?

    <p>Birth control pills</p> Signup and view all the answers

    What is a potential indication of a coagulation defect in women?

    <p>Heavy flow during the first period</p> Signup and view all the answers

    What hormonal factor can lead to endometrial healing and cessation of bleeding?

    <p>Increasing estrogen levels</p> Signup and view all the answers

    Why do patients with heavy bleeding or dysmenorrhea often receive NSAIDs?

    <p>To help with bleeding and contractions</p> Signup and view all the answers

    At what age does menopause typically occur in America?

    <p>Around 51-51.5 years old</p> Signup and view all the answers

    What can cause menstrual bleeding changes along with thyroid dysfunction?

    <p>Estrogen level fluctuations</p> Signup and view all the answers

    What may be suspected if a patient reports very heavy flow during their first menstruation?

    <p>Coagulation defect</p> Signup and view all the answers

    In what situation is hypomenorrhea often experienced as a side effect?

    <p>While using birth control methods</p> Signup and view all the answers

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

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

    In addition to pregnancy tests, what hormone levels should be checked in a woman of reproductive age with abnormal uterine bleeding?

    <p>Luteinizing hormone and follicle-stimulating hormone</p> Signup and view all the answers

    What diagnostic procedure is recommended for post-menopausal women with abnormal uterine bleeding?

    <p>Transvaginal ultrasound</p> Signup and view all the answers

    What range of endometrial stripe thickness is considered suspicious for endometrial cancer in post-menopausal women on combined hormone replacement therapy?

    <p>Greater than 5 mm</p> Signup and view all the answers

    What factor increases the risk of endometrial cancer in women according to the text?

    <p>Being nulliparous</p> Signup and view all the answers

    What role does high insulin levels play in increasing the risk of endometrial cancer?

    <p>It is toxic to the ovaries and can lead to anovulation</p> Signup and view all the answers

    Which hormone therapy regimen is associated with a thicker endometrial stripe in post-menopausal women?

    <p>&quot;5 mm&quot;</p> Signup and view all the answers

    What does the term menorrhagia refer to?

    <p>Prolonged bleeding, greater than seven days</p> Signup and view all the answers

    What is metrorrhagia characterized by?

    <p>Uterine bleeding at irregular but frequent intervals</p> Signup and view all the answers

    What does menometrorrhagia involve?

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

    In the context of menstrual disorders, what does oligomenorrhea signify?

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

    What is the primary difference between menorrhagia and metrorrhagia?

    <p>Interval between bleedings</p> Signup and view all the answers

    What distinguishes menometrorrhagia from oligomenorrhea?

    <p>Duration of bleeding</p> Signup and view all the answers

    When does secondary amenorrhea occur?

    <p>At least three to six months after establishing a regular cycle</p> Signup and view all the answers

    "Amenorrhea" specifically means:

    <p>&quot;Absence of menstruation for at least three to six months&quot;</p> Signup and view all the answers

    "Menometrorrhagia" differs from "oligomenorrhea" mainly in terms of:

    <p>&quot;Duration of bleeding&quot;</p> Signup and view all the answers

    "Primary amenorrhea" is primarily characterized by:

    <p>&quot;Never having had any menstrual bleeding&quot;</p> Signup and view all the answers

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

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

    Which condition might lead to heavy periods right from the first menstrual cycle?

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

    What is a significant consideration for postmenopausal women with vaginal bleeding?

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

    Which medication type is mentioned as a potential cause of irregular uterine bleeding?

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

    What is the role of progesterone in the menstrual cycle?

    <p>Causes the endometrium to thicken</p> Signup and view all the answers

    What condition should be suspected in a patient with irregular periods and no production of corpus luteum?

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

    Which type of cancer is specifically highlighted as a cause of postmenopausal bleeding?

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

    What percentage of women with postmenopausal bleeding may have endometrial hyperplasia?

    <p>10%</p> Signup and view all the answers

    What is the recommended dosage of birth control pills for controlling heavy bleeding according to the passage?

    <p>Four pills a day for five days</p> Signup and view all the answers

    Why is it important to space out the intake of birth control pills when controlling bleeding?

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

    What alternative treatment is suggested for patients with a religious objection to using hormones or those unable to use hormones?

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

    What is the primary reason for prescribing something for nausea along with birth control pills?

    <p>To address the side effects of birth control pills</p> Signup and view all the answers

    In what type of patients can oral contraceptives be used to control bleeding, according to the passage?

    <p>Stable patients without blood pressure changes</p> Signup and view all the answers

    What is the recommended dose of NSAIDs for patients with heavy bleeding, as indicated in the passage?

    <p>Naprosyn 500 milligrams twice a day</p> Signup and view all the answers

    What is the common cause of abnormal uterine bleeding in post-menopausal women according to the passage?

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

    What is recommended for women with recurrent post-menopausal bleeding based on the passage?

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

    What diagnostic procedure is suggested for women over 35 with abnormal uterine bleeding according to the passage?

    <p>Ultrasound and endometrial biopsy</p> Signup and view all the answers

    What is the recommended long-term means of controlling abnormal uterine bleeding according to the passage?

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

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

    <p>Weight gain</p> Signup and view all the answers

    How much more likely is a patient greater than 50 pounds overweight to develop endometrial cancer compared to a patient who gained just 20 to 50 pounds?

    <p>10 times more likely</p> Signup and view all the answers

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

    <p>Inhibit estrogen receptors synthesis</p> Signup and view all the answers

    Which medical management option is suggested for patients who can be managed just with NSAIDs?

    <p>None of the above</p> Signup and view all the answers

    What is the purpose of using a progestational IUD like Mirena in managing abnormal uterine bleeding?

    <p>Improve bleeding control</p> Signup and view all the answers

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

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

    What type of patients would need to receive IV estrogen due to excessive vaginal bleeding and instability?

    <p>Patients with continuous heavy vaginal bleeding</p> Signup and view all the answers

    'Provera', also known as medroxyprogesterone, is typically prescribed in what daily dosage range for patients with simple endometrial hyperplasia?

    <p>5-10 milligrams</p> Signup and view all the answers

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