Reproductive Quiz #32, Uterine Pathology 

1. A 45-year-old woman presents with heavy menstrual bleeding and pelvic pain. Ultrasound reveals a 3 cm mass within the uterine cavity. The patient's serum beta-HCG is negative. Which of the following is the most likely diagnosis? 

Question 1 of 5

2. A 33-year-old woman presents with dysmenorrhea and menorrhagia. Her BMI is 34. On examination, her uterus is enlarged and tender. MRI shows thickening of the junctional zone. Which of the following is the most likely diagnosis? 

Question 2 of 5

3. A 29-year-old woman, nulligravida, presents with infertility and irregular menstrual cycles. An ultrasound reveals multiple small cysts on the ovaries and thickened endometrium. Her BMI is 30, and she has hirsutism. Which of the following is the most likely associated condition? 

Question 3 of 5

4. A 55-year-old woman, who is 5 years postmenopausal, presents with new-onset vaginal bleeding. An endometrial biopsy is performed, showing complex atypical hyperplasia. Which of the following is the most appropriate next step in management? 

Question 4 of 5

5. A 40-year-old woman presents with a rapidly enlarging pelvic mass and abnormal uterine bleeding. Ultrasound reveals a large, irregular mass arising from the uterus. A biopsy of the mass is performed and shows high mitotic activity, nuclear atypia, and coagulative tumor cell necrosis. Which of the following is the most likely diagnosis? 

Question 5 of 5


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