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Family Medicine PAEA- OBGYN questions and answers rated A+ 2024/2025
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Family Medicine PAEA- OBGYN questions and answers rated A+ 2024/2025
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Family Medicine PAEA- OBGYNA 17-yr-vintage female presents with considerable dysmenorrhea. Which of the subsequent
medications will provide remedy by using without delay focused on prostaglandin synthesis?
Narcotic analgesics
anabolic hormones
oral contraceptive drugs
nonsteroidal anti inflammatory retailers - ANSNSAIDs
NSAIDs Inhibit the enzymatic manufacturing of prostaglandins
A 25 year-antique woman presents with steady premenstrual pelvic pain. She additionally notes
dysmenorrhea and dyspareunia. Which of the subsequent is the most probable analysis?
Uterine leiomyoma
Endometrial polyps
Ovarian cysts
Endometriosis - ANS(Endometriosis presents with premenstrual pelvic ache, dysmenorrhea,
and dyspareunia)
A forty seven yr-old lady provides to the health facility with proceedings of extended, heavy
menses which have been getting steadily worse for 3 years. She denies any pain. On physical
exam, enlargement of the uterus with multiple clean, spherical, firm hundreds is mentioned. A
CBC is regular with a slight anemia. Which of the subsequent is the most probable prognosis?
Leiomyoma
Adenomyosis
Endometriosis
Endometrial polyps - ANSLeiyoma
(Abnormal uterine bleeding and irregular expansion of the uterus are most steady with
leiomyoma. Pain is hardly ever present until vascular compromise takes place)
A thirteen 12 months-old woman provides with a six month history of decrease mid-stomach
ache this is spasmodic in nature and radiates to the internal thighs. The ache commonly begins
within some hours of the onset of menses and lasts about 2 days. The patient's menarche
commenced 2 years ago. She denies any sexual activity. Physical examination, along with
pelvic, is unremarkable. Which of the subsequent is the most likely prognosis?
Ovarian cyst
endometriosis
number one dysmenorrhea
, premenstrual syndrome - ANSThis patient maximum probably has primary dysmenorrhea
supported by onset of ache within 1-2 years after onset of menarche and function signs and
symptoms of low, mid-abdominal, spasmodic cramping ache that radiates to the back or internal
thighs beginning on the primary or 2d day of menstruation. Pelvic exam fails to show any
pathological findings
Which of the subsequent is a contraindication to prescribing oral hormonal contraceptives?
History of iron deficiency anemia
records of dysmenorrhea for the reason that age 15
effective family records of ovarian cancer
history of smoking in a patient older than age 35 - ANSA records of smoking in a patient older
than age 35 is considered one of the absolute contraindications to prescribing oral hormonal
contraceptives due to the elevated threat of thromboembolic events)
Dysmenorrhea might maximum possibly arise wherein of the following patients?
A young teenager who just started out having her menses
A lady on birth manage capsules
A marathon runner with one menses in step with 12 months
A 35 12 months-old lady with everyday cycles - ANS(Women with regular menstrual cycles are
most possibly to have dysmenorrhea. Dysmenorrhea is resulting from a extra of prostaglandin F
2 alpha. Prostaglandin production increases underneath the have an impact on of progesterone,
achieving a top at, or quickly after, the begin of menstruation)
A 48 year vintage G3P3003 girl affords to the workplace complaining of excessive secondary
dysmenorrhea and menorrhagia during the last 6 months. On physical examination her uterus
feels enlarged and abnormal. Which of the following is the maximum likely diagnosis?
Endometritis
Endometriosis
Uterine leiomyoma
Endometrial hyperplasia - ANSUterine leiomymoata
(fibroid) typically presents with intense dysmenorrhea and menorrhagia. An enlarged, irregular
uterus is mentioned on examination)
A 24 12 months-antique sexually lively lady offers to the sanatorium complaining of
dysmenorrhea, dyspareunia and backache that happens premenstrually. Pelvic exam suggests
pain upon uterine motion and uterosacral nodularity inside the posterior vaginal fornix. The
definitive diagnosis for this patient calls for which of the subsequent?
Pelvic ultrasound
CT of the stomach
Laparoscopy with biopsy
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