Family Medicine PAEA- OBGYN Questions & Answers Graded A+
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Course
Family Medicine PAEA- OBGYN
Institution
Family Medicine PAEA- OBGYN
A 17-year-old female presents with significant dysmenorrhea. Which of the following medications will provide relief by directly targeting prostaglandin synthesis?
narcotic analgesics
anabolic hormones
oral contraceptive pills
nonsteroidal anti-inflammatory agents - ANSWER-NSAIDs
NSAIDs ...
Family Medicine PAEA- OBGYN Questions & Answers Graded A+
A 17-year-old female presents with significant dysmenorrhea. Which of the following medications will provide relief by directly targeting prostaglandin synthesis? narcotic analgesics anabolic hormones oral contraceptive pills nonsteroidal anti-inflammatory agents - ANSWER-NSAIDs NSAIDs Inhibit the enzymatic production of prostaglandins
A 25 year-old female presents with constant premenstrual pelvic pain. She also notes dysmenorrhea and dyspareunia. Which of the following is the most likely diagnosis? Uterine leiomyoma Endometrial polyps Ovarian cysts Endometriosis - ANSWER-(Endometriosis presents with premenstrual pelvic pain, dysmenorrhea, and dyspareunia)
A 47 year-old female presents to the clinic with complaints of prolonged, heavy menses that have been getting progressively worse for 3 years. She denies any pain. On physical examination, enlargement of the uterus with multiple smooth, spherical, firm masses is noted. A CBC is consistent with a mild anemia. Which of the following is the most likely diagnosis? Leiomyoma
Adenomyosis
Endometriosis Endometrial polyps - ANSWER-Leiyoma (Abnormal uterine bleeding and irregular enlargement of the uterus are most consistent with leiomyoma. Pain is rarely present unless vascular compromise occurs)
A 13 year-old female presents with a six month history of lower mid-abdominal pain that
is spasmodic in nature and radiates to the inner thighs. The pain usually starts within a few hours of the onset of menses and lasts about 2 days. The patient's menarche began 2 years ago. She denies any sexual activity. Physical examination, including pelvic, is unremarkable. Which of the following is the most likely diagnosis? ovarian cyst endometriosis primary dysmenorrhea premenstrual syndrome - ANSWER-This patient most likely has primary dysmenorrhea supported by onset of pain within 1-2 years after onset of menarche and characteristic symptoms of low, mid-abdominal, spasmodic cramping pain that radiates to the back or inner thighs beginning on the first or second day of menstruation. Pelvic examination fails to reveal any pathological findings
Which of the following is a contraindication to prescribing oral hormonal contraceptives?
history of iron deficiency anemia history of dysmenorrhea since age 15 positive family history of ovarian cancer
history of smoking in a patient older than age 35 - ANSWER-A history of smoking in a patient older than age 35 is considered one of the absolute contraindications to prescribing oral hormonal contraceptives due to the increased risk of thromboembolic events)
Dysmenorrhea would most likely occur in which of the following patients? A young teenager who just started having her menses A woman on birth control pills A marathon runner with one menses per year A 35 year-old woman with regular cycles - ANSWER-(Women with regular menstrual cycles are most likely to have dysmenorrhea. Dysmenorrhea is caused by a excess of prostaglandin F 2 alpha. Prostaglandin production increases under the influence of progesterone, reaching a peak at, or soon after, the start of menstruation)
A 48 year old G3P3003 female presents to the office complaining of severe secondary dysmenorrhea and menorrhagia over the last 6 months. On physical examination her uterus feels enlarged and irregular. Which of the following is the most likely diagnosis?
Endometritis Endometriosis Uterine leiomyoma Endometrial hyperplasia - ANSWER-Uterine leiomymoata (fibroid) typically presents with severe dysmenorrhea and menorrhagia. An enlarged, irregular uterus is noted on examination)
A 24 year-old sexually active woman presents to the clinic complaining of dysmenorrhea, dyspareunia and backache that occurs premenstrually. Pelvic examination shows pain upon uterine motion and uterosacral nodularity in the posterior vaginal fornix. The definitive diagnosis for this patient requires which of the following? Pelvic ultrasound CT of the abdomen
Laparoscopy with biopsy
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