11-17-2014, 06:57 AM
NBME (CK) Q.
A 57 y/o woman comes to the physician because of a 2-year history of increasing menstrual flow. She has not had hot flashes, insomnia, or change in bowel or bladder function. Her last menstrual period was 2 weeks ago. Pelvic examination shows a normal-appearing vulva, vagina, and cervix. The uterus is consistent in size with an 8-week gestation. Bimanual examination shows a 4-cm, firm, nontender left ovary. An endometrial biopsy specimen shows atypical complex endometrial hyperplasia. Which of the following is the most likely cause of this patient's hyperplasia?
A) Adrenal adenoma
B) Brenner tumor
C) Carcinoid tumor
D) Granulosa cell tumor
E) Hyperthecosis
F) Islet cell tumor
G) Sertoli-Leydig cell tumor
A 57 y/o woman comes to the physician because of a 2-year history of increasing menstrual flow. She has not had hot flashes, insomnia, or change in bowel or bladder function. Her last menstrual period was 2 weeks ago. Pelvic examination shows a normal-appearing vulva, vagina, and cervix. The uterus is consistent in size with an 8-week gestation. Bimanual examination shows a 4-cm, firm, nontender left ovary. An endometrial biopsy specimen shows atypical complex endometrial hyperplasia. Which of the following is the most likely cause of this patient's hyperplasia?
A) Adrenal adenoma
B) Brenner tumor
C) Carcinoid tumor
D) Granulosa cell tumor
E) Hyperthecosis
F) Islet cell tumor
G) Sertoli-Leydig cell tumor
thanks