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  #1  
Old 10-21-2012
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Default postmenopausal female with

A 66-year-old woman visits her primary care physician because she has been having vaginal bleeding for several days. Her last menstrual period was 10 years ago. Her physical examination and review of systems are otherwise normal, with the exception of blood seen within the cervical os. Which of the following is a risk factor for this condition?

A alcohol consumption
B late onset menarche
C multiparty
D OCP
E POlycistic ovarian syndrome
F smoking
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  #2  
Old 10-21-2012
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D)OCP....

endometrial cancer risk..?(done with reproductive yesterday only.....i hope i'm true

thanks

Last edited by venky2600; 10-21-2012 at 07:24 AM.
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  #3  
Old 10-21-2012
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i think she has cervical cancer , and if not HPV (which we dont have it here as choice ) then second most risk is SMOKING . so ans is F
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Old 10-21-2012
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PCOD>>>>>>INCREASED ESTROGEN>>>>>Endo. CA
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Quote:
Originally Posted by venky2600 View Post
D)OCP....

endometrial cancer risk..?(done with reproductive yesterday only.....i hope i'm true

thanks
looks like i kinda messed up here......now waiting for explanation...thanks
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Quote:
Originally Posted by MedicalExaminer View Post
A alcohol consumption may be when heavy!!

B late onset menarche
C multiparty
D OCP

B C & D the opposite is ryt!!

E POlycistic ovarian syndrome yes!! ✔✔
F smoking dont know may be??


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my answer is E
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The correct answer is E. Postmenopausal bleeding is a sign of endometrial cancer until proven otherwise by biopsy. PCOS is a risk factor for endometrial. Women with PCOS have adequate amounts of circulating estrogen, but lack progesterone secretion seen in the luteal phase of the menstrual cycle. Unopposed estrogen leads to stimulation of the endometrium and can be a risk factor for endometrial cancer.

Answer A is incorrect. Alcohol consumption has not been linked to endometrial cancer.

Answer B is incorrect. Late onset of menarche is believed to be a protective factor because there is less estrogen stimulation of the endometrium.

Answer C is incorrect. Multiparity is not a risk factor, but epidemiologic studies have shown that nulliparity is a risk factor for endometrial cancer.

Answer D is incorrect. Oral contraceptive pills are a protective factor for endometrial cancer, likely because the progestin component prevents endometrial stimulation.

Answer F is incorrect. Smoking has been shown to be protective against endometrial cancer, although its other adverse effects far outweigh this benefit.
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  #9  
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can u plz recall what other diseases can be prevented by smoking
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  #10  
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Quote:
Originally Posted by MedicalExaminer View Post
can u plz recall what other diseases can be prevented by smoking
thanks for the question..these kinda questions always confuse me...

well !...about smoking protection----i think ulcerative colitis,primary sclerosing cholangitis from my point of view..

thanks
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  #11  
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u are welcome

i remember there was a thread about protective role of smoking
as soon as i find im gonna post it
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