Uterine disorders Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 65-year-old woman, gravida 2 para 2, presents to the office for evaluation of an abnormal routine Pap smear. She has been healthy and has no vaginal spotting or bleeding. The cervical cytology showed atypical glandular cells. Menarche was at age 14, and she had a regular menstrual cycle until menopause at the age of 47. Past medical history is significant for osteoporosis treated with raloxifene. She also took hormone replacement therapy for hot flashes for two years after menopause. Family history is significant for breast cancer in her mother. Vitals are within normal limits. BMI is 31.5 kg/m2. Pelvic examination shows loss of labial fullness and an atrophic vagina. Bimanual examination is significant for a small uterus. Endometrial sampling is performed, and histology shows complex papillary architecture with the presence of round calcific collections and marked nuclear atypia. Which of the following risk factors in this patient’s history is the most significant in the development of this patient’s condition?  

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