Endometrial Cancer Quiz
Created by Connor Bohlken and Chris Galbraith
Edited by Dr. Paris Ingledew
You are scrubbed into a total hysterectomy for symptomatic fibroids. The surgeon wants to make sure you know the ins and outs of uterine ligaments. They ask you which ligament is an extension of the uterine musculature that attaches to the uterine fundus, travels retroperitoneally into the inguinal canal, and terminates in the labia majora. You answer:
Suspensory Ligament of the Ovary
You are a R2 family medicine resident working in clinic and you are reviewing the chart of Mrs. Fundus, a 65 year old female recently diagnosed with Type II endometrial cancer. Which of the following is a risk factor for Type II endometrial cancer?
What is the lifetime probability of developing endometrial cancer?
1 in 5
1 in 10
1 in 20
1 in 40
1 in 80
Which of the following is a routine screening test for Endometrial Cancer that is recommended every 2 years following the age of 50 in the general population?
There is no recommened test in this case
You are working in a family medicine clinic and are just about to see Mrs. Ann Pula, a 68 year old female who is coming in for new onset postmenopausal bleeding. She also endorses associated vaginal discharge, and bowel and bladder changes. Physical exam is notable for a bulky uterus and atrophic vaginitis. Which of the following is NOT a sign or symptom of endometrial cancer:
Abnormal Uterine Bleeding
Bowel and Bladder Changes
You are a R2 family practice resident on your Obs/Gyne rotation. You are working with Dr. Williams. She is a fantastic teacher and has a strong love for the hypothetical. She gives you the following 5 hypothetical patients, and asks, which of the following patients would you suspect endometrial cancer as the most likely diagnoses:
42 year old woman, break through vaginal bleeding occurring exclusively between menstruation cycles.
17 year old woman, irregular menstruation cycles, new onset hirsutism and weight gain.
37 year old woman, single episode of postcoital bleeding, known with hemophilia A.
22 year old woman, sexually active, menstruation ceased 3 months ago and was previously normal, now presenting with a single episode of heavy menstrual bleeding.
72 year old woman, irregular vaginal bleeding with no discernible pattern.
Which of the following is NOT a component of the investigations recommended in the event of a suspected endometrial cancer in a premenopausal woman?
Urine Culture and Sensitivity
Ahhh, how you miss those good old medical school days of histology. You love differentiating epithelial cells, and looking at glandular structures. You weren’t like your peers who ducked out of the lab as soon as possible. In your spare time you gently perused Robbins and Cotran - a true pathologist in the making. Of course, all that being said you better know which of the following is the most common type of endometrial cancer…
You are working with Dr. Fido and Dr. Figo. They are a great pair, but one loves discussing cell phones a bit too much, and the other loves discussing staging a bit too much. Today, Dr, Figo has the floor. In particular they would like to know what the FIGO stage would be for an endometrial cancer that invades the stromal connective tissue of the cervix, but does not extend beyond the uterus. You answer:
You are a 4th year medical student on an Obs/Gyne elective. You are working with Dr. Healwithsteel, who sees a lot of endometrial cancer in her practice. She asks you, if you had a patient with confirmed grade II endometrial cancer with no distant metastasis and a low risk of recurrence, what would be the standard treatment for their malignancy?
Total Abdominal Hysterectomy and Bilateral Salpingo-Oophrectomy
Pelvic Radiation via External Beam Radiation Therapy
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