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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