Benign Endometrial Disease – Quiz

The following quiz will help you solidify your knowledge about benign endometrial disease:

Question 1: Regarding endometrial polyps, which of the following is TRUE?

A. It is an overgrowth of the entire endometrial layer.

B. It can occur in menopause.

C. It may not have clinical symptoms.

D. It can never be seen during a pelvic examination.

E. It can be easily diagnosed with an abdominal ultrasound.

Answer: B

Question 2: In endometrial polyps, all of the following are typical findings on hysterosalpingography EXCEPT:

A. A filling defect appearance.

B. Homogeneous filling.

C. Irregular borders.

D. Size can be large or small depending on the case.

E. Filling defect seen on both AP and lateral views.

Answer: C

Question 3: In postmenopausal women, what endometrial thickness on ultrasound can be considered endometrial hyperplasia?

A. Above 4 mm.

B. Above 6 mm.

C. Above 8 mm.

D. Above 10 mm.

E. Above 12 mm.

Answer: A

Question 4: Which of the following procedures or surgeries can cause uterine adhesions?

A. Dilation and curettage.

B. Myomectomy.

C. Endometrial biopsy.

D. Uterine reconstruction surgery.

E. All of the above procedures and surgeries.

Answer: E

Question 5: Uterine adhesions can lead to which of the following consequences?

A. Heavy menstrual bleeding.

B. Dysmenorrhea.

C. Amenorrhea.

D. All of the above are correct.

E. Only B and C are correct.

Answer: E

Question 6: Select the TRUE statement regarding the treatment of post-traumatic uterine adhesions:

A. If diagnosed, all cases should be treated.

B. Wait for a period of time for the adhesions to stabilize in terms of histology, then treat.

C. Treatment primarily involves the use of protein-degrading drugs (e.g., alpha chymotrypsin).

D. To prevent readhesion after treatment, an intrauterine contraceptive device can be placed.

E. Progestogen medications are often combined after adhesion release treatment.

Answer: D

Question 7: All of the following statements about endometrial atrophy are true EXCEPT:

A. It only occurs in postmenopausal women, never in women of reproductive age.

B. Diagnostic workup is only necessary in cases of abnormal vaginal bleeding.

C. It is often accompanied by uterine adhesions, especially in the uterine fundus.

D. It is often associated with small hemorrhagic spots in the vaginal mucosa or endometrium.

E. If treatment is necessary, low-dose estrogen is primarily used.

Answer: A

Question 8: Among the following types of endometrial hyperplasia, which has the worst prognosis:

A. Endometrial hyperplasia.

B. Polypoid endometrial hyperplasia.

C. Adenomatous endometrial hyperplasia.

D. Simple endometrial hyperplasia.

E. Atypical endometrial hyperplasia.

Answer: E

Question 9: In atypical endometrial hyperplasia, which of the following histological findings is most significant:

A. Glandular hyperplasia with irregular sizes.

B. Large nuclei, hyperchromatic, alkaline staining.

C. Increased mitotic figures.

D. Glandular epithelium invagination into the lumen, stromal disappearance.

E. Irregularly dilated glands, thinned glandular epithelium.

Answer: D

Question 10: In the treatment of endometrial hyperplasia, total hysterectomy is indicated in all of the following cases EXCEPT:

A. Simple hyperplasia in women over 40 years old, with concomitant lesions such as uterine fibroids, endometriosis infiltrating the myometrium.

B. Adenomatous hyperplasia, unresponsive to progestogen treatment.

C. Atypical hyperplasia in young women, but with abnormal bleeding.

D. Atypical hyperplasia in obese, multiparous women, with associated hypertension.

E. Atypical hyperplasia in women over 40 years old.

Answer: C

Note: This article is for informational purposes only and should not be considered a substitute for medical advice. Consult your doctor for diagnosis and appropriate treatment.