24 yo female is dx'd w/primary dysmenorrhea. Which med would be used as first-line
to help control symptoms?
a. Antianxiety meds
b. Progesterone-only contraception
c. Oral steroids
d. NSAIDs - ANSWER d. NSAIDs
What is the most common cause of dysfunctional uterine bleeding?
a. Endocrine disorders
b. Stress
c. Anovulation
d. Anatomical abnormality - ANSWER c. Anovulation
PMS occurs with greatest frequency and severity in the:
a. Late luteal phase
b. Midfollicular phase
c. Proliferative phase
d. Early luteal phase - ANSWER a. Late luteal phase
Which is not a common cause of irregular menstrual bleeding?
a. Endocrine disorders
b. Stress
c. Anovulation
d. Anatomical abnormality - ANSWER c. Anovulation
What is considered the primary etiology of primary dysmenorrhea?
a. Ovarian cysts
b. Prostaglandin production
c. Endometriosis
d. Adenomyosis - ANSWER b. Prostaglandin production
28 yo female c/o breast tenderness, fatigue, abd bloating, fluid retention, irritability 1
wk before her menses onset. What is most important info to obtain from this pt to
determine if the pt has PMS?
a. Severity of symptoms
b. Occurrence of symptoms in menstrual cycle
c. Frequency and number of symptoms over past 4mo
, d. How often she craves salty foods and chocolate - ANSWER b. Occurrence of
symptoms in menstrual cycle
35 yo woman c/o 6mo h/o hypermenorrhea, backache, pelvic pressure. On exam,
you discover 12wk size uterus w/irregular contour. What does this represent?
a. Uterine cancer
b. Dysfunctional uterine bleeding
c. Uterine fibroid
d. Fecal impaction - ANSWER c. Uterine fibroid
What phase of menstrual cycle begins with menses cessation and ends w/ovulation?
a. Ovulatory phase
b. Follicular phase
c. Proliferative phase
d. Luteal phase - ANSWER c. Proliferative phase
What phase of menstrual cycle begins with ovulation and ends w/menstruation?
a. Ovulatory phase
b. Follicular phase
c. Proliferative phase
d. Luteal phase - ANSWER d. Luteal phase
Name 4 structural abnormalities that are causes of dysfunctional uterine bleeding. -
ANSWER PALM:
Polyps
Adenomyosis
Leiomyoma
Malignancy
Name 5 non-structural abnormalities that are causes of dysfunctional uterine
bleeding. - ANSWER COEIN:
Coagulopathy
Ovulatory disorders
Endometrial
Iatrogenic
Not classified
What is abnormal/dysfunctional uterine bleeding? - ANSWER Acute or chronic
bleeding from uterine corpus; abnormal in regularity, volume, frequency, or duration;
occurs in pregnancy absence
What is ACUTE dysfunctional uterine bleeding? - ANSWER Episode of sufficient
quantity to require immediate intervention to prevent further blood loss
What is chronic dysfunctional uterine bleeding (DUB)? - ANSWER Present for the
majority of the last 6mo
Name some risk factors for dysfunctional uterine bleeding (DUB)? - ANSWER
Anovulation
Hormone replacement anovulation
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