Gynecological Conditions Quiz

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Questions and Answers

What is the primary hormone responsible for maintaining pregnancy?

  • Oxytocin
  • Progesterone (correct)
  • Estrogen
  • Human chorionic gonadotropin (hCG)

What is the surgical procedure called that removes the uterus?

  • Oophorectomy
  • Hysterectomy (correct)
  • Mastectomy
  • Salpingectomy

At what gestational age is a prophylactic cervical cerclage usually performed?

  • 10-13 weeks
  • 12-14 weeks (correct)
  • 24-26 weeks
  • 20-22 weeks

What are uterine fibroids also known as?

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

In which situation is an emergency (rescue) cervical cerclage indicated?

<p>Dilated cervix with membranes bulging in the second trimester (A)</p> Signup and view all the answers

Which of the following is NOT a common symptom of uterine fibroids?

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

What is the most common location of uterine fibroids?

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

What is the causative agent of Chlamydia?

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

What is the most common cause of female infertility?

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

Which condition primarily affects fertility by causing tubal or pelvic adhesions?

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

Which lifestyle factor is significant in impacting fertility in both genders?

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

Which type of uterine cancer is the most common?

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

What defines a cystocele?

<p>Prolapse of the bladder into the vaginal canal (A)</p> Signup and view all the answers

What is the common symptom of a cystocele?

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

What is the term for the surgical repair of rectocele?

<p>Posterior colporrhaphy (A)</p> Signup and view all the answers

Why is chlamydia often referred to as a 'silent' infection?

<p>It is asymptomatic in most cases (B)</p> Signup and view all the answers

What is the causative agent of gonorrhea?

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

Which of the following is a common symptom of gonorrhea in men?

<p>Painful urination and urethral discharge (B)</p> Signup and view all the answers

What is the most common causative organism of candidiasis?

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

What is a hysterectomy?

<p>Removal of the uterus (C)</p> Signup and view all the answers

Which type of hysterectomy involves removal of the uterus, cervix, fallopian tubes, and ovaries?

<p>Total hysterectomy with bilateral salpingo-oophorectomy (A)</p> Signup and view all the answers

Which of the following is NOT an indication for hysterectomy?

<p>Mild menstrual irregularities (C)</p> Signup and view all the answers

Infertility is defined as the inability to conceive after how long of unprotected intercourse?

<p>12 months (A)</p> Signup and view all the answers

Flashcards

Cervical Cerclage

A surgical procedure that involves placing a stitch around the cervix to prevent premature dilation and birth. It is often used to prevent premature birth in women with a history of cervical insufficiency or a short cervix.

Cervical Insufficiency

A condition where the cervix opens prematurely during pregnancy, leading to a risk of premature birth. It can be caused by various factors, including a weakened cervix, previous cervical procedures, or a prior preterm birth.

Rescue Cervical Cerclage

A type of cervical cerclage performed when the cervix has already started to dilate and the membranes may be bulging. It is an emergency procedure and is done to try to prevent imminent premature birth.

Uterine Fibroids

Noncancerous growths that develop in the uterus. They are made up of muscle tissue and can be caused by hormonal changes or genetic factors. They can range in size and location, and can sometimes cause symptoms such as heavy periods, pelvic pressure, or infertility.

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Intramural Fibroids

The most common location of uterine fibroids, situated within the muscular wall of the uterus.

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Myomectomy

A surgical procedure to remove fibroids from the uterus. It is typically used for women who have fibroids that are causing symptoms or affecting fertility.

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Chlamydia

A sexually transmitted infection caused by a bacterium called Chlamydia trachomatis. It is often asymptomatic, but can lead to pelvic inflammatory disease, infertility, and other health problems.

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Breast Tenderness

A common symptom of PMS, characterized by a swollen and tender feeling in the breasts.

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Why is chlamydia called a "silent" infection?

Chlamydia often goes unnoticed because many people don't experience noticeable symptoms.

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What is the causative agent of Gonorrhea?

Neisseria gonorrhoeae is a bacterium responsible for causing the sexually transmitted infection gonorrhea.

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Common symptom of gonorrhea in men?

A common gonorrhea symptom in men is painful urination and a discharge from the urethra.

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Most common organism causing Candidiasis?

Candida albicans is a type of yeast that commonly causes vaginal yeast infections.

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What is a hysterectomy?

A hysterectomy involves surgically removing the uterus, the organ where a baby grows.

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What type of hysterectomy removes most reproductive organs?

This type of hysterectomy removes the uterus, cervix, fallopian tubes, and ovaries.

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Which is NOT an indication for hysterectomy?

Mild menstrual irregularities, like a slightly different cycle length, are not a reason to have a hysterectomy.

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What is an Oophorectomy?

The ovaries produce hormones and eggs, and an oophorectomy is the surgical removal of both.

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Most common cause of female infertility?

Ovulatory disorders, such as irregular or absent ovulation, are the most common cause of infertility in women.

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Most common cause of male infertility?

Abnormal sperm parameters, including low sperm count, poor motility, and abnormal morphology, are the most prevalent cause of male infertility.

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How does endometriosis affect fertility?

Endometriosis, a condition where endometrial tissue grows outside the uterus, commonly affects fertility by causing tubal or pelvic adhesions, obstructing the passage of eggs and sperm.

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What lifestyle factors affect fertility?

Smoking, excessive alcohol consumption, and obesity can all negatively impact fertility in both men and women.

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Where does vaginal cancer typically spread?

Vaginal cancer most commonly spreads to the pelvic lymph nodes, a network of lymph vessels and nodes in the pelvis.

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Most common type of uterine cancer?

Endometrioid adenocarcinoma, a subtype of cancer arising from the lining of the uterus, is the most common type of uterine cancer.

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What protects against ovarian cancer?

Using oral contraceptives, such as birth control pills, is a protective factor against ovarian cancer.

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What is a cystocele?

A cystocele is a condition where the bladder prolapses, or bulges, into the vaginal canal.

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Study Notes

Gynecological Conditions and Procedures

  • Radical Hysterectomy: Indicated for early-stage cervical cancer.
  • Hysterectomy Indications (NOT): Mild menstrual irregularities are not an indication.
  • Hysterectomy Definition: Removal of the uterus.

Infections

  • Gonorrhea Causative Agent: Neisseria gonorrhoeae.
  • Chlamydia Characteristics: Often a "silent" infection, as it's asymptomatic in many cases.

Pelvic Organ Prolapse

  • Cystocele Definition: Prolapse of the bladder into the vaginal canal.
  • Cystocele Symptoms: Stress urinary incontinence is the most common symptom.

Infertility

  • Infertility Definition: Inability to conceive after 12 months of unprotected intercourse.
  • Common Cause of Female Infertility: Ovulatory disorders are the most common cause.

Uterine Fibroids

  • Fibroid Location: Intramural is the most common location.
  • Fibroid Symptoms (NOT): Chronic pelvic infection is not a common symptom of uterine fibroids.

Cervical Cerclage

  • Cervical Cerclage Purpose: Used to manage cervical insufficiency.
  • Cervical Cerclage Timing: Usually performed during weeks 12-14 of gestation.

Other Medical Information

  • Myomectomy: Primarily indicated for women with fibroids causing infertility or recurrent pregnancy loss.
  • Vaginal Cancer Spread: Commonly spreads to pelvic lymph nodes.
  • Oophorectomy: Removal of the ovaries.
  • Common Uterine Cancer: Endometrioid adenocarcinoma is the most common type of uterine cancer.

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