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FNP/GYN - menses, abnormal bleeding, ACOG recommendations Verified Exam Questions and Answers Latest update 2026/2027

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FNP/GYN - menses, abnormal bleeding, ACOG recommendations Verified Exam Questions and Answers Latest update 2026/2027

Institution
ACOG
Course
ACOG

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FNP/GYN - menses, abnormal bleeding, ACOG recommendations
Verified Exam Questions and Answers Latest update 2026/2027

Question:
Dysmenorrhea is prominently manifested by

Answer:
pelvic pain

Question:
when does dysmenorrhea usually occur in relation to the menstrual cycle

Answer:
just before and during menstruation

Question:
primary dysmenorrhea definition and cause

Answer:
pelvic pain without the presence of disease-results from uterine contractions mediated by
prostaglandins

Question:
first line treatment in primary dysmenorrhea

Answer:
NSAIDS- inhibits prostaglandin synthesis

Question:
secondary dysmenorrhea can occur from these 3 pelvic disorders

Answer:
endometriosis, adenomyosis, fibroids

Question:
endometrial tissue within the uterine wall

Answer:
adenomyosis

, Question:
physical change that usually signifies the progress of puberty

Answer:
onset of breast development or breast buds (thelarche)

Question:
development of regular ovulatory menstrual cycles may take

Answer:
1-5 years (as the hypothalamic pituitary ovarian axis matures)

Question:
clear evidence of puberty process

Answer:
breasts and pubic hair development, and somatic growth

Question:
hormones secreted by the hypothalamus

Answer:
gonadotropin releasing hormone Thyrotropin releasing hormone Growth hormone releasing hormone
Corticotropin releasing hormone Somatostatin Dopamine

Question:
increases in FSH and LH stimulate the production of _____

Answer:
estrogen

Question:
estrogen that is unopposed by progesterone leads to____.

Answer:
growth of the endometrium that cannot be supported by its blood supply and results in endometrial
breakdown with irregular shedding and bleeding

Question:
main cause of dysfunction uterine bleeding in adolescent females

Answer:
anovulation

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