Gynecologic and Urologic Procedures Quiz
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Gynecologic and Urologic Procedures Quiz

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Questions and Answers

Which of the following is NOT a risk factor for endometrial cancer?

  • Tamoxifen use
  • Nulliparity (never giving birth)
  • Hypertension
  • Diabetes mellitus
  • Unopposed estrogen
  • Use of oral contraceptives (correct)
  • Polycystic ovary syndrome (PCOS)
  • Obesity

    • Which type of endometrial cancer is NOT estrogen dependent?

  • Clear cell endometrial cancer
  • Adenosquamous carcinoma
  • Endometrioid adenocarcinoma
  • Serous endometrial cancer (correct)

    • What is the initial surgical approach for low-risk endometrial cancer patients?

  • Hysterectomy, bilateral salpingo-oophorectomy, and chemotherapy
  • Hysterectomy and bilateral salpingo-oophorectomy (correct)
  • Hysterectomy only
  • Hysterectomy, bilateral salpingo-oophorectomy, and pelvic radiation

    • Which factor is the single most important prognostic factor for endometrial cancer?

    <p>Tumor grade</p> Signup and view all the answers

    What is the recommended surveillance for high-risk endometrial cancer patients (stage 3 & 4)?

    <p>CA 125 levels every 6 months</p> Signup and view all the answers

    What is the most common type of endometrial cancer?

    <p>Endometrioid adenocarcinoma</p> Signup and view all the answers

    Which genetic disorder is associated with an increased risk of endometrial, ovarian, and colorectal cancer?

    <p>Lynch syndrome</p> Signup and view all the answers

    What is the recommended treatment for endometrial cancer grade 1 if future fertility is desired?

    <p>Progestin therapy</p> Signup and view all the answers

    Which type of urinary incontinence is characterized by involuntary leakage associated with urgency?

    <p>Mixed incontinence</p> Signup and view all the answers

    What is the gold standard for diagnosis of endometrial adenocarcinoma's most common histological type?

    <p>Dilatation and curettage</p> Signup and view all the answers

    Which imaging modality is typically the initial choice for evaluating the female reproductive system?

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

    What defines the diagnosis of menopause?

    <p>12 months without a period</p> Signup and view all the answers

    Which type of pelvic organ prolapse involves the herniation of the bladder into the vaginal wall?

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

    Which type of ovarian neoplasm is NOT considered a malignant tumor?

    <p>Functional cysts</p> Signup and view all the answers

    What is the primary focus of informed consent for medical procedures?

    <p>Shared decision-making</p> Signup and view all the answers

    Which type of hysteroscopy involves the removal of abnormal tissue using a wire loop?

    <p>Operative hysteroscopy</p> Signup and view all the answers

    What is the most common histological type of endometrial adenocarcinoma?

    <p>Endometrioid carcinoma</p> Signup and view all the answers

    What is the primary symptom associated with menopause?

    <p>Hot flashes</p> Signup and view all the answers

    Which type of ovarian neoplasm arises from the cells that produce eggs?

    <p>Germ cell tumors</p> Signup and view all the answers

    What is the primary characteristic of stress urinary incontinence?

    <p>Involuntary leakage with physical exertion</p> Signup and view all the answers

    What is the most common abnormality of the uterus?

    <p>Bicornate uterus</p> Signup and view all the answers

    Which imaging method is recommended for identifying endometrial carcinoma?

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

    What is the recommended treatment for a live ectopic pregnancy?

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

    What is the most common cause of abnormal bleeds related to calcified fibroids?

    <p>Highly vascular nature</p> Signup and view all the answers

    Which imaging method is preferred for evaluating the normal ovary?

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

    What is the most common benign epithelial neoplasm of the ovary?

    <p>Ovarian Cystadenoma</p> Signup and view all the answers

    What is the result of a hysterosalpingogram (HSG) in the case of tubal-occlusion?

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

    What is the imaging method of choice for identifying metastatic lesions in the peritoneum and pleural effusion?

    <p>CT scan</p> Signup and view all the answers

    What is the recommended imaging method for evaluating the pelvic masses in non-obstetric (OB) patients?

    <p>CT scan</p> Signup and view all the answers

    What is the main concern regarding the use of CT in obstetric (OB) patients?

    <p>Ionizing radiation</p> Signup and view all the answers

    Which imaging method is recommended for identifying ovarian torsion as a surgical emergency?

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

    What is the preferred method for identifying a normal MRI?

    <p>H molecules line up</p> Signup and view all the answers

    Which imaging modality is typically the initial choice for evaluating the female reproductive system?

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

    What is the recommended treatment for a live ectopic pregnancy?

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

    What defines the diagnosis of menopause?

    <p>12 consecutive months without menstruation</p> Signup and view all the answers

    What is the primary characteristic of stress urinary incontinence?

    <p>Involuntary leakage associated with coughing or sneezing</p> Signup and view all the answers

    What is the most common benign epithelial neoplasm of the ovary?

    <p>Ovarian Cystadenoma</p> Signup and view all the answers

    Which imaging method is recommended for identifying endometrial carcinoma?

    <p>Magnetic Resonance Imaging (MRI)</p> Signup and view all the answers

    Which type of pelvic organ prolapse involves the herniation of the bladder into the vaginal wall?

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

    What is the primary focus of informed consent for medical procedures?

    <p>Explanation of the procedure and its risks</p> Signup and view all the answers

    What is the recommended surveillance for high-risk endometrial cancer patients (stage 3 & 4)?

    <p>PET-CT scans annually</p> Signup and view all the answers

    What is the result of a hysterosalpingogram (HSG) in the case of tubal-occlusion?

    <p>No spillage of contrast into the peritoneal cavity</p> Signup and view all the answers

    What is the recommended imaging method for evaluating the pelvic masses in non-obstetric (OB) patients?

    <p>Computed Tomography (CT)</p> Signup and view all the answers

    Which imaging modality is typically the initial choice for evaluating the female reproductive system?

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

    What is the primary symptom associated with tubal-occlusion (Essure birth control)?

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

    Which type of neoplasm can be characterized by the presence of fat, hair, teeth, and cartilage?

    <p>Ovarian Dermoid/Teratoma</p> Signup and view all the answers

    What is the recommended imaging method for assessing endometrial carcinoma?

    <p>Magnetic Resonance Imaging (MRI)</p> Signup and view all the answers

    What is the primary concern regarding the use of gadolinium in imaging during pregnancy?

    <p>Accumulation in amniotic fluid</p> Signup and view all the answers

    Which imaging modality uses ionizing radiation and is often avoided in obstetric (OB) patients?

    <p>Computed Tomography (CT)</p> Signup and view all the answers

    What is the primary concern associated with fluoroscopy?

    <p>Ionizing radiation</p> Signup and view all the answers

    Which imaging method is recommended for evaluating pelvic masses and trauma?

    <p>Computed Tomography (CT)</p> Signup and view all the answers

    What is the primary advantage of MRI over CT?

    <p>Good soft tissue resolution</p> Signup and view all the answers

    Which imaging modality requires a full bladder as an acoustic window for certain examinations?

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

    Which imaging method is typically used for evaluating superficial glands like the thyroid?

    <p>18 MHz Doppler ultrasound</p> Signup and view all the answers

    What is the primary advantage of ultrasound (US) over X-ray?

    <p>Good soft tissue resolution</p> Signup and view all the answers

    Study Notes

    Gynecologic and Urologic Procedures and Conditions

    • Endometrial adenocarcinoma's most common histological type is endometrioid, and the gold standard for diagnosis is dilatation and curettage.
    • Urinary incontinence can be stress, urge, latch key, mixed, or overflow, each with distinct diagnostic and treatment approaches.
    • Pelvic organ prolapse can involve cystocele, rectocele, cervico-uterine prolapse, vaginal apex prolapse, or enterocele, and management varies based on symptoms.
    • Ovarian neoplasms have various risk factors, symptoms, and types, including functional cysts, benign neoplasms, germ cell tumors, stromal tumors, and ovarian carcinoma.
    • Menopause is diagnosed after 12 months without a period and presents with various physiological changes and symptoms, such as hot flashes and genitourinary complaints.
    • Common procedures of the genitourinary system include sonohysterogram, colposcopy, colposcopy with LEEP, hysterosalpingogram, dilation and curettage, hysteroscopy, and various types of hysterectomy.
    • Informed consent for procedures involves discussing the procedure, reasons, expectations, patient preferences, alternatives, risks, expenses, and shared decision-making.
    • Imaging choices for the female reproductive system start with ultrasound and may progress to MRI, CT, X-ray, and fluoroscopy based on the clinical scenario.

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    Description

    Test your knowledge of gynecologic and urologic procedures and conditions with this quiz. Explore topics such as endometrial adenocarcinoma, urinary incontinence, pelvic organ prolapse, ovarian neoplasms, menopause, common procedures of the genitourinary system, informed consent, and imaging choices for the female reproductive system.

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