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NBME 17 Answers

nbme17/Block 3/Question#49 (5.0 difficulty score)
A previously healthy 48-year-old nulligravid ...
Endometrial hyperplasia🔍

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submitted by cassdawg(548),

Uterine conditions FA2020 p648

  • Adenomyosis - extension of uterine endometrial glandular tissue into the uterine myometrium; would present with dysmenorrhea or abnormal uterine bleeding with a uniformly enlarged soft and globular uterus
  • Endometrial hyperplasia - abnormal endometrial gland proliferation, abundant tissue but no dysplasia; presents with heavy bleeding during menses, more common in nulligravid due to excess estrogen
  • Endometrial metaplasia - metaplasia is transformation of one cell type to another; this can be a benign process or associated with malignancy but would not likely present with abundant tissue on curretage
  • Endometriosis - endometrium-like glands/stroma outside of the uterine cavity (in ovary, pelvis, or peritoneum); presents with PAIN and heavy bleeding or dysmenohorrea
  • Endometritis - inflammation of the endometrium, associated with retained products of conception or foreign body