Multiple choice questions on Abnormal Uterine Bleeding along with their answers
Sarah is a 28-year-old woman who has been experiencing heavy menstrual bleeding for the past six months. Which of the following conditions could be causing her abnormal uterine bleeding?
a) Endometriosis
b) Uterine fibroids
c) Polycystic ovary syndrome (PCOS)
d) All of the above
Answer: d) All of the above
Emily is a 35-year-old woman who has missed her periods for the past three months. She has taken a pregnancy test, which came back negative. Which of the following conditions could be causing her abnormal uterine bleeding?
a) Thyroid disorder
b) Premature ovarian failure
c) Hormonal imbalance
d) All of the above
Answer: c) Hormonal imbalance
Maria is a 42-year-old woman who has been experiencing irregular bleeding for the past year. She has a family history of uterine cancer. Which of the following diagnostic tests should she undergo?
a) Transvaginal ultrasound
b) Endometrial biopsy
c) Pap smear
d) All of the above
Answer: b) Endometrial biopsy
Samantha is a 19-year-old woman who has been experiencing severe cramps and heavy bleeding during her periods for the past six months. Which of the following conditions could be causing her abnormal uterine bleeding?
a) Endometriosis
b) Uterine fibroids
c) Adenomyosis
d) All of the above
Answer: d) All of the above
Jessica is a 45-year-old woman who has been experiencing heavy bleeding and prolonged periods for the past six months. She has a history of fibroids and had a myomectomy five years ago. Which of the following treatment options could be recommended for her?
a) Hormonal therapy
b) Hysterectomy
c) Endometrial ablation
d) All of the above
Answer: d) All of the above
Sarah is a 35-year-old woman who presents to her gynecologist with complaints of heavy and prolonged menstrual bleeding. Her last menstrual period (LMP) was 2 weeks ago and lasted for 10 days. She reports that she has been soaking through a super tampon every hour for the past 3 days. Which of the following is the most likely cause of Sarah's bleeding?
a) Endometrial hyperplasia
b) Polyps
c) Adenomyosis
d) Leiomyoma
Answer: a) Endometrial hyperplasia
Michelle is a 45-year-old woman who presents to her gynecologist with complaints of irregular menstrual bleeding. She reports that her periods have become shorter and lighter over the past year, and that she sometimes skips a month. She denies any pain or discomfort. Which of the following is the most likely cause of Michelle's bleeding?
a) Endometrial cancer
b) Leiomyoma
c) Polyps
d) Perimenopause
Answer: d) Perimenopause
Rachel is a 20-year-old woman who presents to her gynecologist with complaints of heavy and painful menstrual bleeding. Her LMP was 3 weeks ago and lasted for 7 days. She reports that she has been soaking through a super tampon every 2 hours and has been experiencing cramping in her lower abdomen. She also reports that her periods have been getting progressively worse over the past year. Which of the following is the most likely cause of Rachel's bleeding?
a) Endometriosis
b) Adenomyosis
c) Fibroids
d) Polyps
Answer: c) Fibroids
Samantha is a 28-year-old woman who presents to her gynecologist with complaints of spotting between periods. She reports that she has been spotting for the past 2 months, and that her periods are usually regular and last for 5-6 days. She denies any pain or discomfort. Which of the following is the most likely cause of Samantha's bleeding?
a) Polyps
b) Endometrial cancer
c) Cervical cancer
d) Hormonal imbalance
Answer: d) Hormonal imbalance
Jennifer is a 42-year-old woman who presents to her gynecologist with complaints of heavy and irregular menstrual bleeding. Her LMP was 5 weeks ago and lasted for 8 days. She reports that she has been soaking through a super tampon every 2-3 hours for the past week. She also reports that she has been experiencing hot flashes and night sweats. Which of the following is the most likely cause of Jennifer's bleeding?
a) Endometrial cancer
b) Perimenopause
c) Adenomyosis
d) Polyps
Answer: b) Perimenopause
What is abnormal uterine bleeding (AUB)?
a) Any vaginal bleeding that occurs between menstrual periods
b) Any vaginal bleeding that occurs after menopause
c) Any menstrual bleeding that is irregular in frequency or volume
d) Any menstrual bleeding that is shorter than 3 days
Answer: c) Any menstrual bleeding that is irregular in frequency or volume
What are the main causes of AUB?
a) Hormonal imbalances, uterine fibroids, polyps, cancer, and medications
b) Stress, anxiety, and depression
c) Lack of exercise and poor diet
d) Lack of sleep and excessive alcohol consumption
Answer: a) Hormonal imbalances, uterine fibroids, polyps, cancer, and medications
What is the first step in the management of AUB?
a) Prescribe hormonal therapy
b) Order a pelvic ultrasound
c) Perform a comprehensive physical examination
d) Take a detailed menstrual and medical history
Answer: d) Take a detailed menstrual and medical history
What is the gold standard for diagnosing AUB?
a) Transvaginal ultrasound
b) Hysteroscopy
c) Endometrial biopsy
d) Pap smear
Answer: c) Endometrial biopsy
Which of the following medications is commonly used to treat AUB?
a) Aspirin
b) Acetaminophen
c) Ibuprofen
d) Tranexamic acid
Answer: d) Tranexamic acid
What is the recommended duration of hormonal therapy for the management of AUB?
a) 1-2 months
b) 3-6 months
c) 6-12 months
d) More than 12 months
Answer: b) 3-6 months
Which surgical procedure is recommended for women with AUB who have completed childbearing?
a) Hysterectomy
b) Endometrial ablation
c) Myomectomy
d) Cervical cerclage
Answer: b) Endometrial ablation
What is the main advantage of endometrial ablation over hysterectomy for the management of AUB?
a) It is less invasive and has a shorter recovery time
b) It is more effective in preventing the recurrence of AUB
c) It is less expensive
d) It does not require general anesthesia
Answer: a) It is less invasive and has a shorter recovery time
Sarah is a 36-year-old woman who presents to her gynecologist with a history of irregular periods for the past six months. She reports that her periods used to be regular but have become unpredictable lately. She denies any pelvic pain, dyspareunia, or vaginal discharge. Her pregnancy test is negative. What is the most likely diagnosis?
a. Polycystic ovary syndrome (PCOS)
b. Endometrial hyperplasia
c. Leiomyoma
d. Ovarian cysts
Answer: a. Polycystic ovary syndrome (PCOS). Irregular periods are a common symptom of PCOS, which is a hormonal disorder. Other symptoms of PCOS may include acne, weight gain, and excess hair growth.
Maria is a 48-year-old woman who presents to her gynecologist with heavy menstrual bleeding for the past two months. She reports that her periods have been getting progressively heavier over the past year, and she is now changing her pad or tampon every hour. She denies any pelvic pain, dyspareunia, or vaginal discharge. Her pregnancy test is negative. What is the most likely diagnosis?
a. Endometrial hyperplasia
b. Leiomyoma
c. Adenomyosis
d. Endometrial cancer
Answer: a. Endometrial hyperplasia. Heavy menstrual bleeding can be a symptom of endometrial hyperplasia, which is an overgrowth of the endometrial lining of the uterus. Other symptoms may include irregular periods, spotting between periods, and pelvic pain.
Lisa is a 38-year-old woman who presents to her gynecologist with postmenopausal bleeding. She reports that she went through menopause two years ago and has not had any bleeding since then until she noticed some spotting a week ago. She denies any pelvic pain, dyspareunia, or vaginal discharge. What is the most likely diagnosis?
a. Endometrial hyperplasia
b. Leiomyoma
c. Cervical cancer
d. Endometrial cancer
Answer: d. Endometrial cancer. Postmenopausal bleeding is a concerning symptom and can be a sign of endometrial cancer, which is the most common gynecologic cancer in postmenopausal women. Other symptoms may include pelvic pain and discharge.
Emily is a 30-year-old woman who presents to her gynecologist with heavy menstrual bleeding and severe pelvic pain. She reports that her periods have always been heavy but have become even more so in the past few months. She also reports severe cramping during her periods that does not respond to over-the-counter pain medications. Her pregnancy test is negative. What is the most likely diagnosis?
a. Endometriosis
b. Adenomyosis
c. Leiomyoma
d. Endometrial cancer
Answer: a. Endometriosis. Heavy menstrual bleeding and pelvic pain are common symptoms of endometriosis, which is a condition where the endometrial tissue grows outside of the uterus. Other symptoms may include painful intercourse, infertility, and bowel or bladder symptoms.
Sarah, a 35-year-old woman, presents with heavy menstrual bleeding that lasts for more than 7 days. She reports soaking through a super tampon every 1-2 hours. She also complains of passing large clots. Which of the following is the most likely cause of Sarah's symptoms?
a) Leiomyoma
b) Adenomyosis
c) Endometrial hyperplasia
d) Endometrial cancer
Answer: d) Endometrial cancer
Susan, a 42-year-old woman, presents with irregular menstrual bleeding for the past six months. She reports spotting between periods and having prolonged bleeding episodes. She has a history of endometriosis and has been on oral contraceptives for the past ten years. Which of the following is the most likely cause of Susan's symptoms?
a) Leiomyoma
b) Adenomyosis
c) Endometrial hyperplasia
d) Hormonal imbalance
Answer: c) Endometrial hyperplasia
Emily, a 25-year-old woman, presents with heavy menstrual bleeding and painful periods. She reports that her periods have been heavy since she started menstruating at age 12. She has a family history of bleeding disorders. Which of the following is the most likely cause of Emily's symptoms?
a) Von Willebrand disease
b) Endometriosis
c) Leiomyoma
d) Adenomyosis
Answer: a) Von Willebrand disease
Lisa, a 50-year-old woman, presents with postmenopausal bleeding. She has not had a period in over a year but has noticed spotting for the past two weeks. She has a history of hypertension and is currently on anticoagulation therapy for a pulmonary embolism she had three months ago. Which of the following is the most likely cause of Lisa's symptoms?
a) Hormonal imbalance
b) Endometrial cancer
c) Atrophic vaginitis
d) Cervical cancer
Answer: b) Endometrial cancer
Maria, a 30-year-old woman, presents with heavy menstrual bleeding and pelvic pain. She has a history of infertility and has undergone several rounds of in vitro fertilization (IVF). Which of the following is the most likely cause of Maria's symptoms?
a) Endometriosis
b) Adenomyosis
c) Leiomyoma
d) Ovarian hyperstimulation syndrome
Answer: a) Endometriosis
Sarah, a 38-year-old woman, presents with heavy and prolonged menstrual bleeding for the past six months. She reports passing blood clots during her periods. Her menstrual cycles are irregular, occurring every 35 to 40 days. She is not using any form of contraception. Which of the following is the most likely cause of her abnormal uterine bleeding?
A) Adenomyosis
B) Uterine fibroids
C) Polycystic ovary syndrome (PCOS)
D) Endometrial hyperplasia
Answer: D) Endometrial hyperplasia
Emma, a 24-year-old woman, visits her gynecologist complaining of intermenstrual bleeding, which started a week after completing a course of oral antibiotics for a urinary tract infection. She had regular menstrual cycles before this incident. Her pregnancy test is negative. What is the most likely cause of her abnormal uterine bleeding?
A) Cervical polyps
B) Hormonal imbalance
C) Pelvic inflammatory disease (PID)
D) Antibiotic-induced disruption of vaginal flora
Answer: D) Antibiotic-induced disruption of vaginal flora
Lisa, a 45-year-old woman, is experiencing irregular and unpredictable periods along with intermittent spotting. She reports occasional hot flashes and night sweats. She is currently not taking any medications. What is the most likely cause of her abnormal uterine bleeding?
A) Uterine fibroids
B) Adenomyosis
C) Menopause
D) Endometrial cancer
Answer: C) Menopause
Jennifer, a 32-year-old woman, has been trying to conceive for over a year without success. She reports heavy, prolonged, and painful periods. Her ultrasound reveals the presence of multiple uterine fibroids. What is the most likely cause of her abnormal uterine bleeding?
A) Adenomyosis
B) Endometriosis
C) Uterine fibroids
D) Polycystic ovary syndrome (PCOS)
Answer: C) Uterine fibroids
Amy, a 28-year-old woman, presents with irregular menstrual cycles and excessive hair growth on her face and body. She also complains of weight gain and acne. Her ultrasound shows polycystic ovaries. What is the most likely cause of her abnormal uterine bleeding?
A) Adenomyosis
B) Uterine fibroids
C) Polycystic ovary syndrome (PCOS)
D) Endometrial hyperplasia
Answer: C) Polycystic ovary syndrome (PCOS)
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