WOMEN'S HEALTH EXAM REVIEW QUESTIONS AND ANSWERS 2022

What differentiates pelvic pain from abdominal pain? 1. Pain below the umbilicus is pelvic pain 2. Duration of pain 3. Gender specific 4. Age of the patient - ANS-1. Pain below the umbilicus is pelvic pain Primary amenorrhea may be diagnosed by age 15 years. What should be present for this diagnosis? Select all that apply. 1. Normal growth 2. Presence of secondary sexual characteristics 3. Elevated testosterone level 4. Hyperprolactinemia - ANS-1. Normal growth 2. Presence of secondary sexual characteristics Primary Amenorrhea - ANS-Absence of menses by age 15 years (could consider earlier if abnormalities present) • Often secondary to dysfunction in the hypothalamus, pituitary, ovaries, uterus, or vagina • Many causes • Refer for dx, tx DYSMENORRHEA - ANS-Painful cramping associated with menstruation secondary to excessive uterine muscle contraction • Most common GYN problem in adolescents and many adult females • Get a good HISTORY!!! • Primary vs. Secondary Primary Dysmenorrhea - ANS-Absence of pelvic pathology but likely have a lot of prostaglandins being produced • Usually starts in adolescence • Pain starts 1-2 days prior to onset of menses, then resolves over the next 12- 72 hours • May present with nausea, diarrhea, fatigue, dizziness, HA, back pain • Improves with NSAIDs, hormonal contraceptives • Improves with age and parity Secondary Dysmeno