IPT Exam Questions And Accurate Answers Garded A+
Primary Dysmenorrhoea
Recurrent, cramping pain associated with menstruation
Sx of primary dysmenorrhea
Cramping and lower abdominal pain may radiate to the lower back, thighs
Starts several hours or about 1 day before the start of menstruation, and may persist up
to 2-3 days
Feel most pain with more blood flow
The pain slowly settles after the bleeding starts
D, N, V
Lightheadedness, dizziness, and fever
FLT for primary dysmenorrhoea - NSAIDs
Mefenamic Acid - Ponstan - 2 tablets 3 times a day with food
Naproxen - Naprogesic - 2 tablets at onset, then 1 tablet every 6 to 8 hours as necessary
with food
Diclofenac - Voltaren - 1-2 tablets 3 times a day with food
Ibuprofen - Nurofen - 2 tablets at onset, then 1 to 2 tablets three to 4 times a day (Max
2400 mg d)
premenstrual syndrome (PMS)
Cyclic recurrence of symptoms during luteal phase of menstrual cycle
Physical sx of PMS
Breast tenderness, aches, headaches, bloating and weight gain
, PMS mood swings
Irritability, anxiety, mood swings, depression, feeling out of control
Behavioural sx of PMS
Appetite changes, decreased interest, social withdrawal, sleep disturbances, poor
concentration
Sx of tension type headache
dull, aching bilateral pain
Pressure around the head and extends into the back of the neck and shoulder
30mins to 7 days for acute
Several hours for chronic
late in the afternoon
Mild to moderate intensity --> not aggravated by physical activity
FLT for TTH
Paracetamol - 1000mg every 4 hrs (4g max d)
Aspirin - 600-900mg repeat in 4 hrs as necessary
Ibuprofen - 200-400mg repeat in 6 hrs as necessary
Diclofenac 12.5-25mg repeat in 6 hrs prn
Naproxen sodium 275-550mg repeat in 6 hrs prn
FLT for migraine
Aspirin 900-1000mg every 4 to 6 hrs prn
Ibuprofen 400-600mg every 4 to 6 hrs prn
Naproxen sodium 550-825mg every 4 to 6 hrs prn
Diclofenac sodium 50mg every 4 to 6 hrs prn
Primary Dysmenorrhoea
Recurrent, cramping pain associated with menstruation
Sx of primary dysmenorrhea
Cramping and lower abdominal pain may radiate to the lower back, thighs
Starts several hours or about 1 day before the start of menstruation, and may persist up
to 2-3 days
Feel most pain with more blood flow
The pain slowly settles after the bleeding starts
D, N, V
Lightheadedness, dizziness, and fever
FLT for primary dysmenorrhoea - NSAIDs
Mefenamic Acid - Ponstan - 2 tablets 3 times a day with food
Naproxen - Naprogesic - 2 tablets at onset, then 1 tablet every 6 to 8 hours as necessary
with food
Diclofenac - Voltaren - 1-2 tablets 3 times a day with food
Ibuprofen - Nurofen - 2 tablets at onset, then 1 to 2 tablets three to 4 times a day (Max
2400 mg d)
premenstrual syndrome (PMS)
Cyclic recurrence of symptoms during luteal phase of menstrual cycle
Physical sx of PMS
Breast tenderness, aches, headaches, bloating and weight gain
, PMS mood swings
Irritability, anxiety, mood swings, depression, feeling out of control
Behavioural sx of PMS
Appetite changes, decreased interest, social withdrawal, sleep disturbances, poor
concentration
Sx of tension type headache
dull, aching bilateral pain
Pressure around the head and extends into the back of the neck and shoulder
30mins to 7 days for acute
Several hours for chronic
late in the afternoon
Mild to moderate intensity --> not aggravated by physical activity
FLT for TTH
Paracetamol - 1000mg every 4 hrs (4g max d)
Aspirin - 600-900mg repeat in 4 hrs as necessary
Ibuprofen - 200-400mg repeat in 6 hrs as necessary
Diclofenac 12.5-25mg repeat in 6 hrs prn
Naproxen sodium 275-550mg repeat in 6 hrs prn
FLT for migraine
Aspirin 900-1000mg every 4 to 6 hrs prn
Ibuprofen 400-600mg every 4 to 6 hrs prn
Naproxen sodium 550-825mg every 4 to 6 hrs prn
Diclofenac sodium 50mg every 4 to 6 hrs prn
