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

What percentage of women experience heavy bleeding during menstruation?

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

What is considered abnormal blood loss in a menstrual cycle?

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

What is the definition of menarche?

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

What is a possible reason for a complaint of hypomenorrhea?

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

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

<p>Birth control pills (B)</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 (A)</p> Signup and view all the answers

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

<p>Increasing estrogen levels (D)</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 (C)</p> Signup and view all the answers

At what age does menopause typically occur in America?

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

What can cause menstrual bleeding changes along with thyroid dysfunction?

<p>Estrogen level fluctuations (B)</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 (C)</p> Signup and view all the answers

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

<p>While using birth control methods (D)</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 (C)</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 (C)</p> Signup and view all the answers

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

<p>Transvaginal ultrasound (D)</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 (C)</p> Signup and view all the answers

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

<p>Being nulliparous (A)</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 (B)</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; (A)</p> Signup and view all the answers

What does the term menorrhagia refer to?

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

What is metrorrhagia characterized by?

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

What does menometrorrhagia involve?

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

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

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

What is the primary difference between menorrhagia and metrorrhagia?

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

What distinguishes menometrorrhagia from oligomenorrhea?

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

When does secondary amenorrhea occur?

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

"Amenorrhea" specifically means:

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

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

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

"Primary amenorrhea" is primarily characterized by:

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

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

<p>Foreign body insertion (B)</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 (A)</p> Signup and view all the answers

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

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

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

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

What is the role of progesterone in the menstrual cycle?

<p>Causes the endometrium to thicken (D)</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 (B)</p> Signup and view all the answers

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

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

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

<p>10% (A)</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 (B)</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 (A)</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 (B)</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 (C)</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 (A)</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 (D)</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 (B)</p> Signup and view all the answers

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

<p>Endometrial biopsy (B)</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 (A)</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 (D)</p> Signup and view all the answers

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

<p>Weight gain (C)</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 (A)</p> Signup and view all the answers

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

<p>Inhibit estrogen receptors synthesis (C)</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 (D)</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 (D)</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 (C)</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 (C)</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 (C)</p> Signup and view all the answers

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