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Women's Health: A Primary Care Clinical Guide 5th Edition By Diane Schadewald; Ursula A. Pritham; Ellis Quinn Youngkin PhD, RNC, WHCNP, ARNP; Marcia Szmania Davi $17.99
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Women's Health: A Primary Care Clinical Guide 5th Edition By Diane Schadewald; Ursula A. Pritham; Ellis Quinn Youngkin PhD, RNC, WHCNP, ARNP; Marcia Szmania Davi
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Women's Health: A Primary Care Clinical Guide 5th Edition By Diane Schadewald; Ursula A. Pritham; Ellis Quinn Youngkin PhD, RNC, WHCNP, ARNP; Marcia Szmania Davi

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  • September 14, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • womens health
  • womens health a primary care clinical guide 5th
  • womens health a primary care clinical guide

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Test Bank For Women's Health: A Primary Care Clinical Guide
5th Edition By Diane Schadewald; Ursula A. Pritham; Ellis
Quinn Youngkin PhD, RNC, WHCNP, ARNP; Marcia Szmania
Davi

What is the typical onset of Dysmenorrhea? - ANSWER: Within 2 years of menarche

Painful menstruation caused by excess prostaglandin and leukotriene levels -
ANSWER: Primary dysmenorrhea

What Sx occur with primary dysmenorrhea? - ANSWER: Uterine contraction, N/V,
and Diarrhea

Painful menstruation caused by an identifiable condition, normally of the uterus or
pelvic - ANSWER: Secondary dysmenorrhea

What are some conditions that cause secondary dysmenorrhea? - ANSWER:
Endometriosis, Adenomyosis, Fibroids, PID, and IUDs

What is the MC population that suffers from Secondary Dysmenorrhea? - ANSWER:
Women >25 yo

What is the MC population that suffers from Primary Dysmenorrhea? - ANSWER:
Late teens and early 20's

An 18 yo female presents to your clinic with complaints of cramps that radiate to her
lower back and diarrhea. She says that it started when her period started, but has
continues for 3 days now. You preform a PE, and note that everything is normal. Her
labs also come back as normal.

Dx?
Tx? - ANSWER: Primary dysmenorrhea

NSAIDS --> start 2 days prior to start of menses and continue for 1-3 days

A 27 yo female comes in with complaints of cramps that radiate to her lower back,
bloating, and pain with sex. She states that it does not necessarily occur with the first
day of her cycle. You note in her chart that she had an IUD placed ~6 months ago.
You preform a PE and draw labs. PE is normal, and labs are all normal.

Dx?
Tx? - ANSWER: Secondary Dysmenorrhea

Treat underlying cause if possible, NSAIDS, if severe *in this case*, remove IUD

, What is the average length of time that perimenopause lasts? - ANSWER: 3-5 years

By definition, what is menopause? - ANSWER: The last menses

What is the average age of menopause? - ANSWER: 51.5 years old

What is the average age range most women enter Menopause in? - ANSWER: 44-55
yo

What is associated directly with early onset menopause? - ANSWER: Smoking

Premature menopause occurs before the age of what? - ANSWER: 40 yo

Which type of estrogen is the predominant circulating estrogen during Menopause?
- ANSWER: Estrone

What is the MC Vasomotor Sx that menopausal women experience?
When do they most commonly occur (time of day)?
How long does it take for them to cease? - ANSWER: Hot flashes

At night

2-3 years

What level of FSH is diagnostic of Menopause? - ANSWER: >30

What lifestyle change has been directly associated with relieving Menopause Sx? -
ANSWER: Increasing exercise

HRT for Menopause increases the women's chance of developing what? - ANSWER:
Cardiovascular probs, Breast CA, and Cognitive decline

What are the absolute CI's to HRT in a menopausal women? - ANSWER: Undiagnosed
vaginal bleeding, acute vascular thrombosis, liver probs, and Hx of
endometrial/ovarian CA

Name that condition:
Abnormal uterine bleeding in the absence of an anatomical lesion - ANSWER: DUB

What is the MC origin of DUB? - ANSWER: Hypothalamic-pituatary-ovarian hormonal
axis

What are the MC times for DUB to occur? - ANSWER: Shortly after Menarche and
during Perimenopause

How can you Tx DUB? - ANSWER: 1. Conservative Tx
2. OCPs

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