Abnormal uterine bleeding
Obstetrics & Gynaecology · Topic 24
Source: NMC CBME Curriculum 2024 · Volume III · Obstetrics & Gynaecology · Topic 24 · combined PDF page 436
Practice questions
- Which combination best captures the menstrual features included in the definition of premenopausal abnormal uterine bleeding in the cited guideline?
- A 32-year-old presents with new heavy and irregular menstrual bleeding. Which approach is the most appropriate starting point according to the cited premenopausal AUB guideline?
- A 29-year-old with AUB has a clinical presentation in which pregnancy is possible. Which investigation is specifically listed as one that may be performed depending on the clinical condition?
- A patient with AUB has a pelvic mass on examination. Which investigation is specifically indicated in this clinical setting by the cited guideline?
- A 43-year-old premenopausal woman presents with AUB. What endometrial assessment is recommended by the cited Hong Kong guideline?
- A 34-year-old with AUB has risk factors for endometrial cancer. Which approach is recommended by the cited guideline?
- A 36-year-old with AUB has persistent symptoms despite medical treatment. Which investigation is recommended to assess for endometrial cancer in the cited guideline?
- Which statement best compares standard pelvic ultrasound with hysteroscopy or saline infusion sonohysterography for diagnosing endometrial pathology in premenopausal AUB?
- A woman with AUB has a suspected focal endometrial polyp, but initial ultrasound is inconclusive. Which next diagnostic approach is best supported by the joint society guideline?
- When histopathologic assessment is indicated for AUB or postmenopausal bleeding, which sampling approach is favored by the joint society practice guideline?
- A patient with AUB has persistent symptoms and an endometrial sample that does not resolve concern for an intrauterine lesion. Which role for hysteroscopy is supported by the joint society guideline?
- Which group of lesions is specifically included among the intrauterine pathologies evaluated in the joint society hysteroscopy guideline?
- A postmenopausal woman taking HRT develops abnormal uterine bleeding. Which principle should guide evaluation?
- Which is a functional explanation for abnormal uterine bleeding in a woman taking HRT, as identified in the cited guideline?
- A postmenopausal woman on sequential HRT has abnormal bleeding. At what point in the regimen does the cited guideline suggest performing pelvic ultrasound?
- A woman on HRT has one episode of bleeding. Ultrasound shows an endometrial thickness of 3 mm. According to the cited guideline, which course is reasonable?
- A postmenopausal woman taking HRT has recurrent AUB and an endometrial thickness of 3 mm. What is the recommended next step according to the cited guideline?
- A postmenopausal woman on HRT has an endometrial thickness of 5 mm after an episode of bleeding. Which investigation is recommended by the cited guideline?
- A woman of reproductive age receiving anticoagulation for venous thromboembolism asks whether DOACs increase all forms of uterine bleeding compared with LMWH/VKA. Which summary best reflects the meta-analysis?
- In the meta-analysis of anticoagulated women, which uterine bleeding outcome was increased with DOACs compared with LMWH/VKA?
- Among DOACs compared with LMWH/VKA in the cited meta-analysis, which agent was specifically associated with a 2.7-fold higher AUB risk?
- Why might reliance on standard major bleeding criteria underestimate the burden of AUB during anticoagulation?
- A woman on anticoagulation develops heavy menstrual bleeding. Which associated consequence was identified as a concern in the systematic review?
- Which patient population is the stated target for the updated endometrial ablation guideline?
- A reproductive-age patient with benign AUB and a structural uterine abnormality is being considered for endometrial ablation. Which statement best reflects the cited guideline's scope?
- A woman with AUB and PCOS is being evaluated for endometrial disease. What association was found in the cited systematic review and meta-analysis?
- In the meta-analysis of women with AUB, which endometrial outcome showed an elevated pooled association with PCOS?
- Which interpretation of the PCOS meta-analysis is most appropriate when counseling a patient with AUB?