Obstetrics and Gynecology 8th All Chapters
(1-50) | Questoins and Answers Graded A+|
2025
_____________________________________________________________________________________
Which of the following has been shown to significantly improve the symptoms of women with PMS?
a. Vitamin E
b. Aerobic exercise
c. Evening primrose
d. Light therapy
b. Aerobic exercise
Premenstrual dysphoric disorder occurs in what percent of women?
a. 75%
b. 5%
c. 50%
d. 25%
b. 5%
Which of the following is most likely to help a patient's PMS symptoms?
a. Vaginal progesterone
b. Oral medroxyprogesterone acetate
c. Transdermal estrogen
d. Combined oral contraceptives
d. Combined oral contraceptives
A patient keeps a menstrual diary for 2 months. The diary reveals that she has bloating, fatigue,
anxiety, insomnia, and tearfulness in the days prior to her menses and that the symptoms resolve
completely after her menses starts. She reports that her insomnia is so bad that it prevents her from
being efficient at work because she is not well rested. The most likely diagnosis for this patient is:
a. PMDD.
b. PMS.
c. bipolar disorder.
d. major depressive disorder.
a. PMDD.
,Which of the following is most likely related to the underlying etiology of PMDD?
a. Progesterone
b. Catecholamines
c. Norepinephrine
d. Serotonin
d. Serotonin
The most useful diagnostic tool with respect to premenstrual syndrome is:
a. serial progesterone levels.
b. a careful history.
c. serial blood glucose determinations.
d. a prospective menstrual diary.
d. a prospective menstrual diary.
The symptoms of premenstrual syndrome typically resolve:
a. at time of ovulation.
b. about 2 weeks before the onset of menses.
c. by the end of menses.
d. about 2 weeks after the start of menses.
c. by the end of menses.
A 25-year-old woman with no medical problems comes in for her annual exam. She expresses the
worry that she has PMDD. She reports feeling bloated and moody when she has her period. The most
appropriate initial management for this patient is:
a. asking her to keep a menstrual diary for 2 months.
b. giving her a prescription of fluoxetine to be taken only during the luteal phase.
c. ordering a pelvic ultrasound.
d. treating her for hypothyroidism.
a. asking her to keep a menstrual diary for 2 months.
An important diagnosis to distinguish from PMDD is major depressive disorder. Which of the following
is increased more in patients with major depressive disorder than in patients with PMDD?
a. Anxiety
b. Sleep disturbance
c. Disordered eating
d. Suicide risk
d. Suicide risk
,A patient with PMDD asks for some treatment options. You respond that the treatment that has
clearly demonstrated benefit for her condition is:
a. danazol.
b. sertraline.
c. GnRH agonist.
d. ovarian suppression with high-dose depot medroxyprogesterone.
b. sertraline.
In making the diagnosis of premenstrual syndrome or PMDD, the characteristic that is most
distinguishing is the:
a. severity of symptoms.
b. degree of disability in the patient.
c. cyclic occurrence of symptoms.
d. duration of symptoms.
c. cyclic occurrence of symptoms.
In premenstrual syndrome, there is a symptom-free interval of at least:
a. 1 cycle out of 4.
b. 1 week per cycle.
c. 2 weeks per cycle.
d. 2 cycles per year.
b. 1 week per cycle.
Which of the following is a contraindication to hormone therapy associated with menopausal
symptoms?
a. Family history of breast cancer
b. Recent arterial thromboembolic disease
c. Body mass index greater than 40
d. Smoking more than 6 cigarettes/day
b. Recent arterial thromboembolic disease
Approximately how many oocytes does a woman have at the time of puberty?
a. 4,000
b. 4 million
c. 40,000
d. 400,000
d. 400,000
, Increasing free testosterone associated with menopause is directly mediated by a decrease in:
a. sex hormone-binding globulin.
b. prolactin.
c. FSH.
d. LH.
a. sex hormone-binding globulin.
Which of the following is generally the first physical manifestation of decreasing ovarian function?
a. Hot flashes
b. Sleep disturbance
c. Vaginal dryness
d. Mood changes
a. Hot flashes
Administration of continuous unopposed estrogen can result in:
a. endometrial hyperplasia.
b. increased free cholesterol.
c. excessive bone loss.
d. excessive weight gain.
a. endometrial hyperplasia.
Approximately what percent of women in the United States experience vasomotor symptoms (hot
flushes) in the perimenopausal and menopausal period?
a. 75%
b. 55%
c. 95%
d. 35%
a. 75%
Vaginal dryness associated with menopause is a function of a decrease in which hormone?
a. LH
b. Progesterone
c. FSH
d. Estrogen
d. Estrogen
Which of the following is a known risk of unopposed estrogen therapy?
a. Endocervical adenocarcinoma
(1-50) | Questoins and Answers Graded A+|
2025
_____________________________________________________________________________________
Which of the following has been shown to significantly improve the symptoms of women with PMS?
a. Vitamin E
b. Aerobic exercise
c. Evening primrose
d. Light therapy
b. Aerobic exercise
Premenstrual dysphoric disorder occurs in what percent of women?
a. 75%
b. 5%
c. 50%
d. 25%
b. 5%
Which of the following is most likely to help a patient's PMS symptoms?
a. Vaginal progesterone
b. Oral medroxyprogesterone acetate
c. Transdermal estrogen
d. Combined oral contraceptives
d. Combined oral contraceptives
A patient keeps a menstrual diary for 2 months. The diary reveals that she has bloating, fatigue,
anxiety, insomnia, and tearfulness in the days prior to her menses and that the symptoms resolve
completely after her menses starts. She reports that her insomnia is so bad that it prevents her from
being efficient at work because she is not well rested. The most likely diagnosis for this patient is:
a. PMDD.
b. PMS.
c. bipolar disorder.
d. major depressive disorder.
a. PMDD.
,Which of the following is most likely related to the underlying etiology of PMDD?
a. Progesterone
b. Catecholamines
c. Norepinephrine
d. Serotonin
d. Serotonin
The most useful diagnostic tool with respect to premenstrual syndrome is:
a. serial progesterone levels.
b. a careful history.
c. serial blood glucose determinations.
d. a prospective menstrual diary.
d. a prospective menstrual diary.
The symptoms of premenstrual syndrome typically resolve:
a. at time of ovulation.
b. about 2 weeks before the onset of menses.
c. by the end of menses.
d. about 2 weeks after the start of menses.
c. by the end of menses.
A 25-year-old woman with no medical problems comes in for her annual exam. She expresses the
worry that she has PMDD. She reports feeling bloated and moody when she has her period. The most
appropriate initial management for this patient is:
a. asking her to keep a menstrual diary for 2 months.
b. giving her a prescription of fluoxetine to be taken only during the luteal phase.
c. ordering a pelvic ultrasound.
d. treating her for hypothyroidism.
a. asking her to keep a menstrual diary for 2 months.
An important diagnosis to distinguish from PMDD is major depressive disorder. Which of the following
is increased more in patients with major depressive disorder than in patients with PMDD?
a. Anxiety
b. Sleep disturbance
c. Disordered eating
d. Suicide risk
d. Suicide risk
,A patient with PMDD asks for some treatment options. You respond that the treatment that has
clearly demonstrated benefit for her condition is:
a. danazol.
b. sertraline.
c. GnRH agonist.
d. ovarian suppression with high-dose depot medroxyprogesterone.
b. sertraline.
In making the diagnosis of premenstrual syndrome or PMDD, the characteristic that is most
distinguishing is the:
a. severity of symptoms.
b. degree of disability in the patient.
c. cyclic occurrence of symptoms.
d. duration of symptoms.
c. cyclic occurrence of symptoms.
In premenstrual syndrome, there is a symptom-free interval of at least:
a. 1 cycle out of 4.
b. 1 week per cycle.
c. 2 weeks per cycle.
d. 2 cycles per year.
b. 1 week per cycle.
Which of the following is a contraindication to hormone therapy associated with menopausal
symptoms?
a. Family history of breast cancer
b. Recent arterial thromboembolic disease
c. Body mass index greater than 40
d. Smoking more than 6 cigarettes/day
b. Recent arterial thromboembolic disease
Approximately how many oocytes does a woman have at the time of puberty?
a. 4,000
b. 4 million
c. 40,000
d. 400,000
d. 400,000
, Increasing free testosterone associated with menopause is directly mediated by a decrease in:
a. sex hormone-binding globulin.
b. prolactin.
c. FSH.
d. LH.
a. sex hormone-binding globulin.
Which of the following is generally the first physical manifestation of decreasing ovarian function?
a. Hot flashes
b. Sleep disturbance
c. Vaginal dryness
d. Mood changes
a. Hot flashes
Administration of continuous unopposed estrogen can result in:
a. endometrial hyperplasia.
b. increased free cholesterol.
c. excessive bone loss.
d. excessive weight gain.
a. endometrial hyperplasia.
Approximately what percent of women in the United States experience vasomotor symptoms (hot
flushes) in the perimenopausal and menopausal period?
a. 75%
b. 55%
c. 95%
d. 35%
a. 75%
Vaginal dryness associated with menopause is a function of a decrease in which hormone?
a. LH
b. Progesterone
c. FSH
d. Estrogen
d. Estrogen
Which of the following is a known risk of unopposed estrogen therapy?
a. Endocervical adenocarcinoma
