OB 2 Quiz 2: Endometriosis, PID, and IUDs Notes (Up to
page 11) || with 100% Verified Solutions.
Rebecca Hall reports that _________ percent of infertility patients have endometriosis, making it
a major factor in: correct answers 1. 30-40
2. infertility
The ultrasound appearances of enometriosis and PID are: correct answers very similar and tend
to overlap
How can you distinguish between endometriosis and PID? correct answers clinical history and
laboratory data; PID is usually associated with chlamydia and gonnorhea
What is endometriosis? correct answers Growth of endometrial tissue outside of uterus
What are the most frequenct ectopic locations of endometriosis? correct answers ovaries,
fallopian tubs, uterine ligaments, rectovaginal septum, and pelvic peritoneum (cul-de-sacs)
What stimulates tissue growth? correct answers ovarian hormones
Because ovarian hormones stimulate tissue growth, the occurnece of endometriosis is seen
when? correct answers After menarche and becomes quiescent with menopause
Who is the typical patient with endometriosis? correct answers A nullipasous woman in her 30's
or may be in her mid to late 20's; it is rare for women under 20 to have symptoms
The most prevailing theory of the pathogenesis of endometriosis is: correct answers transtubal
regurgitation of menstrual blood and coelomic metaplasia resulting from the hormones estrogen
and progesterone, stimulating menstrual debris
What is metaplasia? correct answers a change in the type of adult cells in a tissue to a form
abnormal for that tissue
What is coelomic? correct answers body cavity
What can be a result of endometriosis? correct answers endometriomas: cystic structures filled
with old blood AKA: "chocolate cysts; blood cysts"
Diffusely arranged tissue leads to: correct answers localized endometriomas
___________ endometriosis is difficult to demonstrate sonographically because the masses of
ectopic endometrial tissue are small and hard to see correct answers Diffuse
Endometriomas do not show: correct answers flow within the blood collection
, The localized form of endometriosis usually manifests as: correct answers one or more discrete
endometriomas or chocolate cysts
What are the clinical signs of endometriosis: correct answers - excruciating lower abdominal and
pelvic pain (usually mid to late 20s)
- Dysmenorrhea
- rectal tenesmus (ineffecual and painful straining at stool), dyschezia (painful or difficult bowel
movements), dyspareunia (painful coitus)
- infertility
- abnormal uterine bleeding (metromenorrhagia)
- rare complications include rt. pleural effusion (1/3 patients) 70% in black women
- hemorrhage from an endometriotic focus or rupture of ovarian endometriotic cysts
What type of lab data corresponds with endometriosis? correct answers There are no significant
lab findings
How is diagnosis of endometriosis made? correct answers direct inspection and microscopic
examination of tissue
Sonographic appearance of endometriomas: correct answers a variety of different ways: nearly
completely sonolucent, complex masses, solid masses, and anywhere in between; most often
between *3 and 5 cm* when found on the ovary
they can mimic many entities including: PID, abscess, ovarian cysts, hemorrhagic ovarian cysts,
ectopic pregnancy, and neoplasms
Differential diagnosis of endometriosis/endometrioma: correct answers - PID
- Chronic ectopic pregnancy
- Intramuscular or ligamentous fibroids
- bowel lesions
- hemorrhagic cyst
- hemorrhage into ovarian neoplasm
The _________ form of endometriosis consists of minute endometrial implants in ectopic
locations, which are difficult to be seen sonographically. These are hormonally responsive and
undergo bleeding during menses. correct answers diffuse
The diffuse implants can bleed and lead to the localizied form called: correct answers
endometriomas
_____________ is a discrete mass called a chocolate cyst which is made up of blood. These are
frequently __________. correct answers 1. Endometrioma
2. multiple
______________ is defined as the benign invasion of endometrium into
myometrium. correct answers ADENOMYOSIS
page 11) || with 100% Verified Solutions.
Rebecca Hall reports that _________ percent of infertility patients have endometriosis, making it
a major factor in: correct answers 1. 30-40
2. infertility
The ultrasound appearances of enometriosis and PID are: correct answers very similar and tend
to overlap
How can you distinguish between endometriosis and PID? correct answers clinical history and
laboratory data; PID is usually associated with chlamydia and gonnorhea
What is endometriosis? correct answers Growth of endometrial tissue outside of uterus
What are the most frequenct ectopic locations of endometriosis? correct answers ovaries,
fallopian tubs, uterine ligaments, rectovaginal septum, and pelvic peritoneum (cul-de-sacs)
What stimulates tissue growth? correct answers ovarian hormones
Because ovarian hormones stimulate tissue growth, the occurnece of endometriosis is seen
when? correct answers After menarche and becomes quiescent with menopause
Who is the typical patient with endometriosis? correct answers A nullipasous woman in her 30's
or may be in her mid to late 20's; it is rare for women under 20 to have symptoms
The most prevailing theory of the pathogenesis of endometriosis is: correct answers transtubal
regurgitation of menstrual blood and coelomic metaplasia resulting from the hormones estrogen
and progesterone, stimulating menstrual debris
What is metaplasia? correct answers a change in the type of adult cells in a tissue to a form
abnormal for that tissue
What is coelomic? correct answers body cavity
What can be a result of endometriosis? correct answers endometriomas: cystic structures filled
with old blood AKA: "chocolate cysts; blood cysts"
Diffusely arranged tissue leads to: correct answers localized endometriomas
___________ endometriosis is difficult to demonstrate sonographically because the masses of
ectopic endometrial tissue are small and hard to see correct answers Diffuse
Endometriomas do not show: correct answers flow within the blood collection
, The localized form of endometriosis usually manifests as: correct answers one or more discrete
endometriomas or chocolate cysts
What are the clinical signs of endometriosis: correct answers - excruciating lower abdominal and
pelvic pain (usually mid to late 20s)
- Dysmenorrhea
- rectal tenesmus (ineffecual and painful straining at stool), dyschezia (painful or difficult bowel
movements), dyspareunia (painful coitus)
- infertility
- abnormal uterine bleeding (metromenorrhagia)
- rare complications include rt. pleural effusion (1/3 patients) 70% in black women
- hemorrhage from an endometriotic focus or rupture of ovarian endometriotic cysts
What type of lab data corresponds with endometriosis? correct answers There are no significant
lab findings
How is diagnosis of endometriosis made? correct answers direct inspection and microscopic
examination of tissue
Sonographic appearance of endometriomas: correct answers a variety of different ways: nearly
completely sonolucent, complex masses, solid masses, and anywhere in between; most often
between *3 and 5 cm* when found on the ovary
they can mimic many entities including: PID, abscess, ovarian cysts, hemorrhagic ovarian cysts,
ectopic pregnancy, and neoplasms
Differential diagnosis of endometriosis/endometrioma: correct answers - PID
- Chronic ectopic pregnancy
- Intramuscular or ligamentous fibroids
- bowel lesions
- hemorrhagic cyst
- hemorrhage into ovarian neoplasm
The _________ form of endometriosis consists of minute endometrial implants in ectopic
locations, which are difficult to be seen sonographically. These are hormonally responsive and
undergo bleeding during menses. correct answers diffuse
The diffuse implants can bleed and lead to the localizied form called: correct answers
endometriomas
_____________ is a discrete mass called a chocolate cyst which is made up of blood. These are
frequently __________. correct answers 1. Endometrioma
2. multiple
______________ is defined as the benign invasion of endometrium into
myometrium. correct answers ADENOMYOSIS
