Examl 2:l NU665D/l NUl 665Dl (Latestl
2025/l 2026l Update)l Primaryl Carel Adultl Womanl IIl Guide|l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l Regis
Q:l whatl isl adenomyosis?
Answer:
endometriall tissuel thatl growsl inl thel myometrium
Q:l differencel betweenl endol andl adenomyosis
Answer:
endo:l endometriall tissuel growsl OUTSIDEl thel uterus,l intol thel pelvis,l fallopianl tubes,l ovaries
adeno:l endometriall tissuel growsl inl thel myometrium
Q:l clinicall manifestationsl adenomyosis
Answer:
-pelvicl pain -dyspareunia -menorrhagia -dysmenorrhea -coitall bleeding
-onl exam:l enlarged,l boggy,l tenderl uterus
Q:l diagnosticsl ofl adenomyosis
- / 3
Answer:
-pelvicl US -pelvicl MRI -definitivelyl diagnosedl byl laparoscopy
Q:l imaging:l findingsl suggestivel ofl adenomyosis
Answer:
-irregularl thicknessl ofl myometrium -enlargedl uterus -myometriall cysts -linearl striationsl ofl myometrium
Q:l managementl ofl adenomyosis
Answer:
-NSAIDs -Progesteronel IUD -COCs -Depol Provera -GnRHl agentsl (elagolix,l relugolix) -Danazol -hyserectomy -uterinel arteryl embolization/ablation
-uterusl sparingl resection:l onlyl forl focall adenomyosis
Q:l vaginismus
Answer:
involuntaryl vaginall musclel spasml withl penetration
symptoml underl thel umbrellal ofl genitopelvicl pain/penetrationl disorder
Q:l primaryl vaginismus
Answer:
-lifetimel condition 2 / 3
-painl alwaysl present -discoveredl duringl firstl attemptl atl intercourse
Q:l secondaryl vaginismus
Answer:
-developsl afterl alreadyl experiencingl normall sexuall functionl priorl inl life -Mayl bel d/tl infectionl (BV,l yeast,l UTI),l menopause,l traumaticl sexuall event,l medicall condition,l gynl surgery,l orl childbirth
Q:l manifestationsl vaginismus
Answer:
-dyspareunia -painl uponl tamponl insertion -burningl orl stinging -difficultyl withl penetration
Q:l treatmentl ofl vaginismus
Answer:
-pelvicl floorl PT -CBT -botox -pelvicl desenstization -vaginall dilators -sexl therapy,l couplesl counseling
Q:l endocervicall polyps
Answer:
polypsl thatl forml withinl thel cervicall canal,l endocervix
Q:l clinicall manifestationsl endocervicall polyps
Answer:
- / 3