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CASE 28



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History: A 30-year-old woman with a previously inserted T-shaped intrauterine contraceptive device (IUCD) presents with heavy menstrual flow.



1. What is the most likely cause of the patient’s heavy menstrual flow?


A. Endometrial cancer


B. T-shaped IUCD embedded in the uterine wall


C. Endometritis


D. Submucosal fibroid


2. What is the role of ultrasound in the evaluation of an IUCD?


A. To evaluate the endometrial cavity for the correct size IUCD


B. To evaluate the length of the cervix for the correct size IUCD


C. To evaluate for the presence and location of an IUCD


D. To measure the endometrial lining


3. If the string of an IUCD is not identified on physical examination, which of the following is not a serious consideration?


A. The string has just pulled back into the cervical or uterine canal.


B. The IUCD has been expelled with the string.


C. The IUCD has perforated the wall, and the string has been pulled up into the uterine canal or into the myometrium.


D. The string fell off the IUCD.


4. What is the most common complication of an IUCD?


A. Infection


B. Pregnancy


C. Hemorrhage

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Jan 10, 2016 | Posted by in OBSTETRICS & GYNAECOLOGY IMAGING | Comments Off on 28

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