Abnormal Uterine Bleeding: OMed, UWise, Osmosis Verified Exam
Questions and Answers Latest update 2026/2027
Question:
1. Menorrhagia =
Answer:
Heavy bleeding
Question:
2. Metorrhagia =
Answer:
Irregular bleeding
Question:
3. Menometrorrhagia =
Answer:
Heavy and irregular bleeding
Question:
4. Girl gets bleeding before puberty. Diagnosis?
Answer:
Either:
(1) Foreign object insertion (2) Sexual abuse (3) Sarcoma botyroides (4) Precocious puberty
Question:
5. Girl gets bleeding before puberty. NBS?
Answer:
Speculum exam under general anesthesia
Question:
6. Woman gets bleeding after menopause. Diagnosis?
Answer:
(1) Vaginal atrophy <-- Most common (2) Endometrial cancer
,Question:
7. Woman gets bleeding after menopause. NBS?
Answer:
Endometrial sampling (vaginal atrophy = more common but assume the worst)
Question:
8. Girl/woman has bleeding with low blood pressure. Diagnosis?
Answer:
Discharge meds?
Question:
9. Girl/woman has bleeding with low blood pressure. NBS (first line, second line)?
Acute uterine bleeding (emergency!!) First Line:
(1) IV fluids (2) RBC transfusions as
Answer:
needed (3) IV estrogen Second Line: Surgery (4 options) (1) Intracavitary balloon tamponade (2)
Uterine artery embolization (3) D + C (temporary) (4) Hysterectomy Discharge: iron, OCPs
Question:
10. Girl/woman has lots of menstrual bleeding. What to do?
Answer:
Give iron, OCPs
Question:
11. Young woman bleeding. NBS?
Answer:
Urine pregnancy test
Question:
12. HELP! Young woman bleeding. Differential?
Answer:
MH: P.A.D. Pregnancy = normal, ectopic, abortion Anatomy and Dysfunction = PALM COEIN
(Polyps, adenomyosis, leiomyoma/fibroids, malignancy/cancer; coagulopathy, ovulatory dysfunction,
endometrial, iatrogenic, not specificied)
Question:
13. Causes of bleeding in a pregnant woman?
Answer:
Normal pregnancy Ectopic pregnancy Abortion
, Question:
14. Previously you learned: if a pregnant woman is bleeding, check some labs. What betaHCG values
tell you the pregnancy is abnormal? If betaHCG is abnormal what's the NBS?
Answer:
Check betaHCG. If betaHCG < 2000 it's abnormal. If ~ 1500, wait 48 hrs. If betaHCG does NOT
double in 48 hours it's abnormal. Abnormal pregnancy = ectopic or abortion NBS: ultrasound
Question:
15. How to manage ectopic pregnancy?
Answer:
Not ruptured = salpingostomy Ruptured = salpingectomy Alternative = METHOTREX- ATE
Question:
16. Abortions -- covered in previous cards!!
Answer:
--
Question:
17. What are the structural causes of bleeding in a young woman?
Answer:
"PALM"
- polyps
- adenomyosis
- leiomyoma/fibroids
- malignancy (cancer =
usually older lady)
Question:
18. Appearance of polyps vs adenomyoma vs leiomyoma/fibroids?
Answer:
Polyps - pedunculated masses in uterus "asymmetric" Adenomyoma - uterus gets thicker all around
"symmetric" (layers of myometrium dig deeper into uterus) Leiomyoma/fibroids - bulging masses in
uterus "asymmetric"
Question:
19. What is the most common structural problem that causes a young woman to bleed?
Answer:
Fibroids/leiomyoma (mh = to lie is to fib)
Questions and Answers Latest update 2026/2027
Question:
1. Menorrhagia =
Answer:
Heavy bleeding
Question:
2. Metorrhagia =
Answer:
Irregular bleeding
Question:
3. Menometrorrhagia =
Answer:
Heavy and irregular bleeding
Question:
4. Girl gets bleeding before puberty. Diagnosis?
Answer:
Either:
(1) Foreign object insertion (2) Sexual abuse (3) Sarcoma botyroides (4) Precocious puberty
Question:
5. Girl gets bleeding before puberty. NBS?
Answer:
Speculum exam under general anesthesia
Question:
6. Woman gets bleeding after menopause. Diagnosis?
Answer:
(1) Vaginal atrophy <-- Most common (2) Endometrial cancer
,Question:
7. Woman gets bleeding after menopause. NBS?
Answer:
Endometrial sampling (vaginal atrophy = more common but assume the worst)
Question:
8. Girl/woman has bleeding with low blood pressure. Diagnosis?
Answer:
Discharge meds?
Question:
9. Girl/woman has bleeding with low blood pressure. NBS (first line, second line)?
Acute uterine bleeding (emergency!!) First Line:
(1) IV fluids (2) RBC transfusions as
Answer:
needed (3) IV estrogen Second Line: Surgery (4 options) (1) Intracavitary balloon tamponade (2)
Uterine artery embolization (3) D + C (temporary) (4) Hysterectomy Discharge: iron, OCPs
Question:
10. Girl/woman has lots of menstrual bleeding. What to do?
Answer:
Give iron, OCPs
Question:
11. Young woman bleeding. NBS?
Answer:
Urine pregnancy test
Question:
12. HELP! Young woman bleeding. Differential?
Answer:
MH: P.A.D. Pregnancy = normal, ectopic, abortion Anatomy and Dysfunction = PALM COEIN
(Polyps, adenomyosis, leiomyoma/fibroids, malignancy/cancer; coagulopathy, ovulatory dysfunction,
endometrial, iatrogenic, not specificied)
Question:
13. Causes of bleeding in a pregnant woman?
Answer:
Normal pregnancy Ectopic pregnancy Abortion
, Question:
14. Previously you learned: if a pregnant woman is bleeding, check some labs. What betaHCG values
tell you the pregnancy is abnormal? If betaHCG is abnormal what's the NBS?
Answer:
Check betaHCG. If betaHCG < 2000 it's abnormal. If ~ 1500, wait 48 hrs. If betaHCG does NOT
double in 48 hours it's abnormal. Abnormal pregnancy = ectopic or abortion NBS: ultrasound
Question:
15. How to manage ectopic pregnancy?
Answer:
Not ruptured = salpingostomy Ruptured = salpingectomy Alternative = METHOTREX- ATE
Question:
16. Abortions -- covered in previous cards!!
Answer:
--
Question:
17. What are the structural causes of bleeding in a young woman?
Answer:
"PALM"
- polyps
- adenomyosis
- leiomyoma/fibroids
- malignancy (cancer =
usually older lady)
Question:
18. Appearance of polyps vs adenomyoma vs leiomyoma/fibroids?
Answer:
Polyps - pedunculated masses in uterus "asymmetric" Adenomyoma - uterus gets thicker all around
"symmetric" (layers of myometrium dig deeper into uterus) Leiomyoma/fibroids - bulging masses in
uterus "asymmetric"
Question:
19. What is the most common structural problem that causes a young woman to bleed?
Answer:
Fibroids/leiomyoma (mh = to lie is to fib)
