Dysmenorrhea and Endometriosis || with 100% Correct Answers.
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Module
Dysmenorrhea and Endometriosis
Institution
Dysmenorrhea And Endometriosis
peak onset of primary dysmenorrhea correct answers late teens and early 20s
prevalence decreasing progressively with age
Risk factors for dysmenorrhea correct answers - <12 years of age
- increased duration and amount of menstrual flow
- irregular menstruation
- smoking or passive smok...
Dysmenorrhea and Endometriosis || with 100% Correct
Answers.
peak onset of primary dysmenorrhea correct answers late teens and early 20s
prevalence decreasing progressively with age
Risk factors for dysmenorrhea correct answers - <12 years of age
- increased duration and amount of menstrual flow
- irregular menstruation
- smoking or passive smoke exposure
- low BMI
- family history of dysmenorrhea
- nulliparity
true or false: mood disorders are a risk factor for dysmenorrhea correct answers true, so are poor
social relationships with inadequate support
in primary dysmenorrhea, when does the pain occur relative to the onset of bleeding? correct
answers it occurs several hours before the onset of bleeding up to a few hours after the start of
menses
true or false: dysmenorrhea can at times last for a few days correct answers true, it can last a
maximum of a few days
other symptoms that can accompany dysmenorrhea correct answers - nausea
- vomiting
- diarrhea
- backache
- thigh pain
- headache
- dizziness
cause of dysmenorrhea correct answers prostaglandins (which cause abnormal uterine
contractions)
true or false: secondary dysmenorrhea should be expected in women <30 years of age with no
history of dysmenorrhea correct answers false
secondary dysmenorrhea should be expected in women >30 years of age!! older women--> more
likely to have an underlying cause
, true or false: no laboratory tests are required or helpful for dysmenorrhea diagnosis correct
answers true
is primary dysmenorrhea more common in smokers or non-smokers? correct answers it is more
common in smokers
A patient is experiencing dysmenorrhea. They take an NSAID and experiences full relief of
initial symptoms. Does this point more to primary dysmenorrhea or secondary dysmenorrhea?
correct answers primary dysmenorrhea
(partial response may be seen in secondary dysmenorrhea where prostaglandins only make up
one component of the pain experienced)
When is primary dysmenorrhea more likely to occur
- the years after starting your period as a woman
- older age correct answers the years after starting your period as a women
onset within 2 years after menarche, tendency to improve with age
Patient complaining of dysmenorrhea
Pain onset premenstrually and lasts throughout menses.
Infertility issues and dyspareunia as well. Does this point more to primary dysmenorrhea or
secondary? correct answers secondary dysmenorrhea
these characteristics are diagnostic clues for secondary dysmenorrhea
true or false: primary dysmenorrhea is a common phenomenon correct answers true, this is
important to explain and reassure the patient that there is no malignant secondary cause of it or
anything abnormal
Non-pharmacologic choices for dysmenorrhea correct answers - topical heat therapy
- regular exercise
- yoga may improve menstrual pain and QoL
- High frequency transcutaneous electrical nerve stimulation (TENS) has shown promise
- facilitate smoking cessation
true or false: smoking is an independent risk factor for dysmenorrhea correct answers true, this is
why smoking cessation is a non-pharm for managing dysmenorrhea
is there sufficient evidence to recommend behavioural interventions to help manage
dysmenorrhea? correct answers no, there is insufficient evidence to recommend behavioural
interventions (same with acupuncture)
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