Endometriosis Quiz

Endometriosis Quiz

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Question 1

Is the following statement True or False?

Endometriosis is the most accurate term used when endometrial tissue is found in the myometrium of the uterus.

A
True
B
False
Question 1 Explanation: 
While the tissue there may fall into the category of endometriosis the most correct term to use is adenomyosis when the tissue is found in the uterine myometrium.
Question 2

Who's theory best describes why the most common sites of endometriosis are the ovaries and the posterior cul de sac?

A
Halban's Theory
Hint:
Halban's theory proposes that there is vascular and lymphatic dissemination of endometial cells.
B
Meyer's Theory
Hint:
Meyer's theory proposses that there is coelomic metaplasia of mutipotential cells in the peritoneal cavity.
C
Sampson's Theory
Question 2 Explanation: 
Sampson's theory is the correct answer. Sampson's theory proposes the idea of retrograde menstruation.
Question 3

Who’s theory best explains endometrial cells found in distant sites such as lymph nodes, pleural cavity, and the kidney?

A
Halban's Theory
B
Meyer's Theory
Hint:
Meyer's theory proposses that there is coelomic metaplasia of mutipotential cells in the peritoneal cavity.
C
Sampson's Theory
Hint:
Sampson's theory proposes the idea of retrograde menstruation.
Question 3 Explanation: 
The correct answer is Halban’s Theory Halban's theory proposes that there is vascular and lymphatic dissemination of endometial cells.
Question 4

Who’s theory would best explain endometriosis in an adolescent before the onset of menstruation?

A
Halban's Theory
Hint:
Halban's theory proposes that there is vascular and lymphatic dissemination of endometial cells.
B
Meyer's Theory
C
Sampson's Theory
Hint:
Sampson's theory proposes the idea of retrograde menstruation.
Question 4 Explanation: 
The correct answer is Meyer's Theory. Meyer's theory proposses that there is coelomic metaplasia of mutipotential cells in the peritoneal cavity
Question 5

Which patient has the highest risk  for endometriosis?

A
A 45 year old nuclear physicist that has been overexposed to radiation.
B
A 35 year old woman with abdominal cramps that has 2 cousins that suffer from endometriosis.
C
A 13 year old girl whose mother has struggled with endometriosis.
D
A 65 year old woman with a total hysterectomy.
Question 5 Explanation: 
Females with a 1st degree relative with endometriosis have a risk for developing endometriosis that is 10 times greater than the average female.
Question 6

What is the most common place for endometriosis to occur?

A
Ovaries
B
Pouch of Douglas
C
Round Ligaments
D
Fallopian Tubes
E
Sigmoid Colon
Question 7

A 32 year old female is concerned about the pain she feel during the second half of her menstrual cycle. Upon examination you feel uterosacral nodularities. You also find that she has a retroverted uterus. What would you need to do to confirm the diagnosis?

A
Check her CA-125 levels
B
Check serum HCG levels
C
Perform a Progesterone challenge test
D
Perform an Estrogen + Progesterone challenge test
E
Biopsy for a histologic sample
Question 7 Explanation: 
The gold standard for diagnosing endometriosis is surgical. The endometrial tissue must be visualized and biopsied.
Question 8

Is the following statement True or False?

Surgical treatment of endometriosis improves fertility more than medical treatment of endometriosis.

A
True
B
False
Question 9

A woman comes for a checkup and complains of increasingly painful periods. Upon emamination you find that she has a soft, symmetrically enlarged, boggy, tender uterus. What is your suspected diagnosis?

A
Adenomyosis
B
Chronic endometriosis
C
Acute endometriosis
D
Chocolate cyst
Question 9 Explanation: 
Soft, symmetrically enlarged, boggy, tender uterus are buzz words for adenomyosis, but a definitive diagnosis can only be made through hysterectomy.
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