Exam (elaborations)
Chapter 6 Amenorrhea
- Course
- Health
- Institution
- Osu Institute Of Technology
Chapter 6 Amenorrhea
[Show more]
Seller
Follow
Content preview
Chapter 6 Amenorrhea1. If amenorrhea is reported by the female patient, the clinician should attribute this to until proven otherwise.
A. Pregnancy
B. Ovarian failure
C. Lack of progesterone
D. Menopause
2. A 17-year-old female patient complains of amenorrhea for the last 8 months, weight gain, excessive hair growth on the arms
and chest, and development of acne. Pelvic examination is normal. The clinician should recognize these are signs of:
A. Ovarian cancer
B. Endometriosis
C. Hormonal imbalance
D. Stress-induced anovulation
3.. A 55-year-old woman complains of amenorrhea and hot flashes for the last 3 months. Pregnancy test is negative. The
clinician should recognize that menopause is defined as the absence of menses for:
A. 3 months
B. 6 months
C. 1 year
D. 18 months
4. To confirm the diagnosis of amenorrhea due to menopause, blood should be drawn for hormones. Which are the changes
that occur with menopause?
A. FSH rises
B. LH decreases
C. LH rises
D. A & C
1. ANS: A
Last menstrual period is one of the most important questions to ask, particularly when prescribing medications, because many
are contraindicated in pregnancy. If menstrual cycles are not regular, pregnancy should be ruled out first, and then other
diagnoses can be considered. The menstrual history includes any episodes of amenorrhea, menorrhagia (excessive bleeding at
the time of
the menstrual cycle), metrorrhagia (bleeding at irregular noncyclic intervals), dysmenorrhea, and postmenopausal bleeding.
Amenorrhea has many causes, including pregnancy; anorexia nervosa; excessive exercise; low body fat; and disorders or
tumors of the hypothalamus, pituitary gland, ovary, uterus, and thyroid gland.
2.. ANS: C
Anovulation may present with amenorrhea but also may present with dysfunctional uterine bleeding, polymenorrhea, or
menorrhagia. The symptoms vary with the cause. Overweight may be seen with several of the causes, including
hypothyroidism, polycystic ovarian syndrome, and pituitary and adrenal dysfunction. Underweight is seen in anorexia nervosa,
excessive exercise,
hyperthyroidism, or stress-induced anovulation. Hirsutism, acne, and other skin changes can be seen with imbalances in
LH, FSH, and androgens, as seen in polycystic ovary disease. Delayed puberty or regression of sexual characteristics is
seen in hypopituitarism; galactorrhea can be the presenting symptom in pituitary tumors.
PTS: 1
3.. ANS: B
Menopause is the absence of menses for at least 6 months. Age of menopause varies greatly, although age 50 to 55 is the typical
range of onset. Although the absence of menses in a woman around the age of 50 years is diagnostic for
menopause, measurement of FSH, LH, and estradiol levels are helpful in confirming the diagnosis.
PTS: 1
4.. ANS: D
In menopause, FSH rises first and then LH rises, both greater than 100 mU/mL. A fall in estradiol is the last hormonal change
that occurs with the decline of ovarian function. An estradiol level of less than 30 pg/mL indicates loss of ovarian function.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller senje. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
73918 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now