USMLE Forum Archives - USMLE Step 1 - mpp2
mpp2
babbu5508 - 05-31-11 23:37
Most cases of this type of tumor are found at which of the following sites?
/ A. Intramurally in the cervix of the uterus
/ B. Intramurally in the fundus or body of the uterus
/ C. Submucosally in the cervix of the uterus
/ D. Submucosally in the fundus or body of the uterus
/ E. Subserosally in the fundus or body of the uterus
babbu5508 - 05-31-11 23:37
Most cases of this type of tumor are found at which of the following sites?
/ A. Intramurally in the cervix of the uterus
/ B. Intramurally in the fundus or body of the uterus
/ C. Submucosally in the cervix of the uterus
/ D. Submucosally in the fundus or body of the uterus
/ E. Subserosally in the fundus or body of the uterus
The correct answer and explanation will be available after you answer.
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#1
Re: mpp2 dinmenace - 06-01-11 10:02 My answer is: b.
Uterine fibroids are leiomyomata of the uterine smooth muscle. As other leiomyomata, they are benign, but may lead to excessive menstrual bleeding (menorrhagia), often cause anemia and may lead to infertility. Enucleation is removal of fibroids without removing the uterus (hysterectomy), which is also commonly performed. Laser surgery (called myolysis) is increasingly used, and provides a viable alternative to traditional surgeries.
Oral contraceptive pills can be used to decrease excessive menstrual bleeding and pain associated with uterine fibroids.
Uterine leiomyomas originate in the myometrium and are classified by location:
Submucosal – lie just beneath the endometrium.
Intramural – lie within the uterine wall. ( Most common type )
Subserosal – lie at the serosal surface of the uterus or may bulge out from the myometrium and can become pedunculated.
A rare form of these tumors is lipoleiomyoma
#2
Re: mpp2
babbu5508 - 06-16-11 01:11 The correct answer is B. The vast majority of leiomyomas are found in the uterine fundus or body; with only 3% being found in the cervix (choices A and C). Of the leiomyomas in the fundus or body, 95% are intramural, with the remainder being located subserosally (choice E) or submucosally (choice D).
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