MediGate

A 55-year-old nulligravid woman comes to the physician because of a 3-day history of heavy vaginal bleeding, requiring more than 5 pads per day. Menarche was at the age of 10 years. Menopause occurred 1 year ago. She has a history of hypothyroidism and type 2 diabetes mellitus. She has smoked one pack of cigarettes daily for 20 years but quit 5 years ago. Current medications include levothyroxine and metformin. She is 165 cm (5 ft 5 in) tall and weighs 86 kg (190 lb); BMI is 32 kg/m². Physical examination shows mild vaginal atrophy and a normal cervix. The uterus and adnexa are nontender to palpation. Transvaginal ultrasonography shows an endometrial thickness of 6 mm. Endometrial biopsy shows noninvasive proliferation of endometrial glands with no nuclear or cytological atypia. Which of the following is the most appropriate next step in management?

a) Choriocarcinoma
b) Endometrial cancer
c) Thyroid lymphoma
d) Cervical cancer
e) Osteoporosis

A 39-year-old woman comes to the physician because she has had heavy menstrual bleeding every 2–3 weeks. The flow is heavy with the passage of clots, requiring a thick pad every 2–3 hours. Menarche occurred at 10 years of age and menses previously occurred at regular 28- to 32-day intervals and lasted for 5 days with normal flow. Her only medication is a multivitamin. She has no children. Her mother was diagnosed with ovarian cancer at 60 years of age. She is 158 cm (5 ft 2 in) tall and weighs 86 kg (190 lb); BMI is 34 kg/m². Her temperature is 36.6°C (97.8°F), pulse is 86/min, and blood pressure is 110/70 mm Hg. Pelvic examination shows a normal-sized uterus. Laboratory studies, including a complete blood count, thyroid function tests, and coagulation studies, are within the reference ranges. A urine pregnancy test is negative. The remainder of the examination shows no abnormalities. Which of the following is the most appropriate next step in management?

def MCQ1():

a) Endometrioma  
b) Cervical carcinoma  
c) Choriocarcinoma  
d) Mature cystic teratoma  
e) Endometrial carcinoma

🔑 Types of Uterine Cancer:

🔍 Endometrial Carcinoma:

⚠️ Risk Factors:
-

Type 1:

1. Obesity.
2. Diabetes mellitus.
3. Nulliparity.
4. Late menopause (>52 years).
5. Unopposed estrogen therapy.
6. Tamoxifen therapy.
7. Hereditary predisposition (e.g., Lynch syndrome).

-

Type 2:

Less well understood.

🛡️ Prevention:

🩺 Clinical Presentation:

🧪 Investigations:

🔬 Staging (FIGO Classification):

💊 Treatment:

📊 Prognosis:

🆘 Uterine Sarcomas:

الاسئلة المباشرة والسهلة ماننزلهم فقط الي بيها فكرة وتكون مثل نمط اسئلة التقويمي

نتمنى للجميع دراسة موفقة.

For Plab MCQ  Check comments below plz 👇🏻

For Plab MCQ  Check comments below plz 👇🏻

let’s Go crush that exam!✌🏻🔥"

1. Salter-Harris Classification

2. Garden Classification

3. AO/OTA Classification

4. Gustilo-Anderson Classification

5. Neer Classification

6. Weber Classification

7. Denis Classification

8. Schatzker Classification

 9. Winquist and Hansen Classification

Here are some of the most common classifications of #  (1%) :