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OBGYN EOR ACTUAL FINAL EXAM LATEST
2025/26 UPDATED VERSION
generic term used when a source of bleeding has not been identified - ANSWER
abnormal genital bleeding
what is bleeding that includes abnormal menstrual bleeding and bleeding due to
pregnancy, systemic disease or cancer? - ANSWER abnormal uterine bleeding
T/F: abnormal uterine bleeding has an identifiable reason for the cause of
bleeding - ANSWER true.
what is dysfunctional uterine bleeding? - ANSWER abnormal uterine bleeding
unrelated to systemic medical illness, endocrinopathy, structural uterine anomaly
when can DUB be diagnosed? - ANSWER after EXCLUSION of pathology.
AUB and DUB are NOT interchangeable terms.
what is "heavy prolonged menstrual flow"? - ANSWER menorrhagia.
(hypermenorrhea).
wheat is an "unusually light menstrual flow"? - ANSWER hypomenorrhea
(cryptomenorrhea).
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what is metorrhagia? - ANSWER intermenstrual bleeding.
bleeding that occurs at any time between menstrual periods.
what is "polymenorrhea"? - ANSWER periods that occur too frequently.
closer than 21 days.
(normal is 28 +/- 7 days).
usually associated with anovulation.
rarely assocaited with shortened luteal phase of menstrual cycle.
what is "menometorrhagia"? - ANSWER periods that occur at irregular intervals.
amount and duration vary.
heavy, persistent, long term bleeding.
what is it called when menstrual periods occur > 35 days apart? - ANSWER
oligomenorrhea
what is postcoital bleeding? - ANSWER contact bleeding.
bleeding with cervical contact.
often after intercourse.
what is a heavy prolonged menstrual flow? - ANSWER menorrhagia.
(gushing or open faucet bleeding is ALWAYS abnormal.)
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what are some causes of menorrhagia (heavy, prolonged menstrual bleeding)? -
ANSWER submucosal myomas (benign tumor).
complications of pregnancy.
adenomyosis.
IUDs.
Endometrial hyperplasia.
malignant tumors.
dysfunctional bleeding from hormonal causes.
what are causes of hypomenorrhea (unusually light menstrual flow)? - ANSWER
also called cryptomenorrhea.
obstruction such as hymenal or cervical stenosis.
uterine syechia (Asherman's Syndrome).
oral contraceptives.
endometrial ablation.
what causes metorrhagia? - ANSWER ovulatory bleeding occurs midcycle as
spotting can be documented with basal body temperature.
also caused by endometrial polyps, cervical carcinomas.
*exogenous estrogen is a more common cause*
what causes periods that occur too frequently (polymenorrhea)? - ANSWER
usually associated with anovulation.
rarely associated with shortened luteal phase in menstrual cycle.
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_________ is bleeding that occurs at irregular intervals. - ANSWER
menometorrhagia.
what are menstrual periods that occur > 35 days apart? - ANSWER
oligomenorrhea.
secondary amenorrhea is diagnosed if no menstrual period occurs for more than 6
months.
note: worry about unopposed estrogen!
contact bleeding (postcoital bleeding) should worry you about what? - ANSWER
cervical cancer until proven otherwise!!
what are some causes of contact bleeding? - ANSWER cervical eversion
(ectropion)
cervical polyps (usually benign)
cervical/vaginal infection.
atropic vaginitis (loss of estrogen w/ menopause).
what is "breakthrough bleeding"? - ANSWER when on OCs.
Otherwise, called intermenstrual bleeding.
STRONG ASSOCIATION WITH UTERINE PATHOLOGY. Must r/o cancer or hyperplasia
if older than 30.
OBGYN EOR ACTUAL FINAL EXAM LATEST
2025/26 UPDATED VERSION
generic term used when a source of bleeding has not been identified - ANSWER
abnormal genital bleeding
what is bleeding that includes abnormal menstrual bleeding and bleeding due to
pregnancy, systemic disease or cancer? - ANSWER abnormal uterine bleeding
T/F: abnormal uterine bleeding has an identifiable reason for the cause of
bleeding - ANSWER true.
what is dysfunctional uterine bleeding? - ANSWER abnormal uterine bleeding
unrelated to systemic medical illness, endocrinopathy, structural uterine anomaly
when can DUB be diagnosed? - ANSWER after EXCLUSION of pathology.
AUB and DUB are NOT interchangeable terms.
what is "heavy prolonged menstrual flow"? - ANSWER menorrhagia.
(hypermenorrhea).
wheat is an "unusually light menstrual flow"? - ANSWER hypomenorrhea
(cryptomenorrhea).
,2|Page
what is metorrhagia? - ANSWER intermenstrual bleeding.
bleeding that occurs at any time between menstrual periods.
what is "polymenorrhea"? - ANSWER periods that occur too frequently.
closer than 21 days.
(normal is 28 +/- 7 days).
usually associated with anovulation.
rarely assocaited with shortened luteal phase of menstrual cycle.
what is "menometorrhagia"? - ANSWER periods that occur at irregular intervals.
amount and duration vary.
heavy, persistent, long term bleeding.
what is it called when menstrual periods occur > 35 days apart? - ANSWER
oligomenorrhea
what is postcoital bleeding? - ANSWER contact bleeding.
bleeding with cervical contact.
often after intercourse.
what is a heavy prolonged menstrual flow? - ANSWER menorrhagia.
(gushing or open faucet bleeding is ALWAYS abnormal.)
,3|Page
what are some causes of menorrhagia (heavy, prolonged menstrual bleeding)? -
ANSWER submucosal myomas (benign tumor).
complications of pregnancy.
adenomyosis.
IUDs.
Endometrial hyperplasia.
malignant tumors.
dysfunctional bleeding from hormonal causes.
what are causes of hypomenorrhea (unusually light menstrual flow)? - ANSWER
also called cryptomenorrhea.
obstruction such as hymenal or cervical stenosis.
uterine syechia (Asherman's Syndrome).
oral contraceptives.
endometrial ablation.
what causes metorrhagia? - ANSWER ovulatory bleeding occurs midcycle as
spotting can be documented with basal body temperature.
also caused by endometrial polyps, cervical carcinomas.
*exogenous estrogen is a more common cause*
what causes periods that occur too frequently (polymenorrhea)? - ANSWER
usually associated with anovulation.
rarely associated with shortened luteal phase in menstrual cycle.
, 4|Page
_________ is bleeding that occurs at irregular intervals. - ANSWER
menometorrhagia.
what are menstrual periods that occur > 35 days apart? - ANSWER
oligomenorrhea.
secondary amenorrhea is diagnosed if no menstrual period occurs for more than 6
months.
note: worry about unopposed estrogen!
contact bleeding (postcoital bleeding) should worry you about what? - ANSWER
cervical cancer until proven otherwise!!
what are some causes of contact bleeding? - ANSWER cervical eversion
(ectropion)
cervical polyps (usually benign)
cervical/vaginal infection.
atropic vaginitis (loss of estrogen w/ menopause).
what is "breakthrough bleeding"? - ANSWER when on OCs.
Otherwise, called intermenstrual bleeding.
STRONG ASSOCIATION WITH UTERINE PATHOLOGY. Must r/o cancer or hyperplasia
if older than 30.
