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 56-year-old nulliparous woman presents to the office for evaluation of vaginal spotting for 2 weeks. She has not experienced any associated pain or discharge. Menarche was at age 10, and she had a regular menstrual cycle until menopause at the age of 52. Past medical history is significant for diabetes mellitus for 20 years treated with metformin. She is on continuous estrogen replacement therapy for postmenopausal hot flashes for the last 3 years. Family history is significant for breast cancer in her maternal grandmother. BMI is 33.5 kg/m2. Vitals are within normal limits. Pelvic examination shows labial fullness, moist vaginal mucosa and a normal-sized uterus. Endometrial biopsy of this patient will most likely show which of the following?

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A microscopic view shows elongated, spindle-shaped cells with dark nuclei, arranged in fascicles. The cells are tightly packed, forming a dense tissue. Reproduced from: Wikimedia commons

A high magnification light micrograph shows malignant epithelial tumor cells with glandular and solid growth patterns, with stroma at periphery. Reproduced from: Wikimedia Commons

A microscopy image shows cartilage on the left, epithelial cysts in the center, and stratified squamous epithelium with keratinized material on the right. Reproduced from: Wikimedia commons

A high magnification view of a tumor with large, irregular cells, some showing calcifications. The cells are surrounded by inflammatory infiltrate. Reproduced from: Wikimedia Commons

A high magnification image shows numerous irregular, dilated endometrial glands with a ruffled luminal border set within a cellular stroma with prominent arterioles. Reproduced from: Wikimedia Commons