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3. “True” "The most common tumor found in the female reproductive system, uterine fibroids are seen in 20- 25% of all women and are estimated to occur in 40% of menstruating women older than 50 years." Siskin et al, MedScape reference Updated: Oct 28, 2011 Link: MedScape Reference MedScape Reference Next Question Next Question End Quiz End Quiz Back

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5. “False” US and/or MRI to evaluate anatomy, characteristics of fibroid and to exclude other conditions such as endometriosis Link: PANTRY UAE module Pre procedural synopsis PANTRY UAE module Pre procedural synopsis Next Question Next Question End Quiz End Quiz Back

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7. “False” Malignancy rare (0.3%), leiomyosarcoma. Reference: Spies, B., Pelage, J., Uterine Artery Embolization And Gynecologic Embolotherapy, 2005, Lippincott, Williams and Wilkins, pg. 7 Next Question Next Question End Quiz End Quiz Back

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9. “True” "An endometrial biopsy should be performed in women 40 years of age and in those with risk factors for endometrial hyperplasia or malignancy. This biopsy should be performed at least 2-3 weeks prior to UFE to minimize risk of infection" Bradley. Uterine Fibroid embolization: a viable alternative to hysterectomy. Am J Obstet Gynecol 2009. pre procedural synopsis Next Question End Quiz Back

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11. “True” Myomectomy (Surgical removal of one or more fibroids sparing uterus), preferred option in young women seeking pregnancy Reference: ACOG web link Back Next Question End Quiz

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13. “False” The relative contraindications related to fibroid morphology (or presence of adenomyosis) need to be weighed against the anticipated benefit The relative contraindications related to fibroid morphology (or presence of adenomyosis) need to be weighed against the anticipated benefit "the relative contraindications related to fibroid morphology ( or presence of adenomyosis) needs to be weighed against the anticipated benefit of UFE and the relative risks of surgery." S O G C C L I N I C A L P R A C T I C E G U I D E L I N E S No. 150, October 2004 Links: sogc.org Back Exit Quiz Next Question

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15. True "Between November 1998 and November 2000, 570 embolization procedures were performed in 555 patients. UAE was bilaterally successful in 97% (95% CI: 95%-98%)" Pron et al. Technical results and effects of operator experience on uterine artery embolization for fibroids: the Ontario Uterine Fibroid Embolization Trial. J Vasc Interv Radiol. 2003 May;14(5):545-54. Link: Journal article Back Next Question End Quiz

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17. “False” "The most commonly used agent is polyvinyl alcohol" S O G C C L I N I C A L P R A C T I C E G U I D E L I N E S No. 150, October 2004 Link: sogc.org Back Next question End Quiz

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19. “True” “ “Another important although infrequent adverse outcome of UFE is ovarian failure, with amenorrhea the result. In the FIBROID registry, this occurred in 7.5% of patients ( 5), with the overwhelming majority of cases occurring in women over 45 Years of age” Current Concepts in Uterine Fibroid Embolization Julie C. Bulman, Susan M. Ascher, James B. Spies, RadioGraphics, 2012, Vol.32: 1735-1750, 10.1148/rg.326125514 Link: RSNA RadiolgraphicsRSNA Radiolgraphics "Data from randomized trials and prospective case series suggest that degradation of ovarian function may occur after UAE, but is concentrated in women older than age 45 years, with little evidence of an impact in women younger than 40 years of age." J Vasc Interv Radiol. 2013 Apr;24(4):459-67. doi: 10.1016/j.jvir.2012.12.002. Epub 2013 Feb 4 Link: Journal articleJournal article Next Question Exit Quiz Back

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21. “True” "Endometrial ablation - This Procedure destroys the lining of the uterus. It is used to treat women with small fibroids ( less than 3 centimeters)." FAQ Uterine fibroids, ACOG, Copyright May 2011 Link: ACOG Thank you for taking this quiz. End Quiz Back