Test Bank For Primary Care of Women 2nd Edition By Barbara
K. Hackley 9781284045970 Chapter 1-26 Complete Guide .
What is the typical onset of Dysmenorrhea? - ANSWER: Within 2 years of menarche
Painful menstruation caused by excess prostaglandin and leukotriene levels -
ANSWER: Primary dysmenorrhea
What Sx occur with primary dysmenorrhea? - ANSWER: Uterine contraction, N/V,
and Diarrhea
Painful menstruation caused by an identifiable condition, normally of the uterus or
pelvic - ANSWER: Secondary dysmenorrhea
What are some conditions that cause secondary dysmenorrhea? - ANSWER:
Endometriosis, Adenomyosis, Fibroids, PID, and IUDs
What is the MC population that suffers from Secondary Dysmenorrhea? - ANSWER:
Women >25 yo
What is the MC population that suffers from Primary Dysmenorrhea? - ANSWER:
Late teens and early 20's
An 18 yo female presents to your clinic with complaints of cramps that radiate to her
lower back and diarrhea. She says that it started when her period started, but has
continues for 3 days now. You preform a PE, and note that everything is normal. Her
labs also come back as normal.
Dx?
Tx? - ANSWER: Primary dysmenorrhea
NSAIDS --> start 2 days prior to start of menses and continue for 1-3 days
A 27 yo female comes in with complaints of cramps that radiate to her lower back,
bloating, and pain with sex. She states that it does not necessarily occur with the first
day of her cycle. You note in her chart that she had an IUD placed ~6 months ago.
You preform a PE and draw labs. PE is normal, and labs are all normal.
Dx?
Tx? - ANSWER: Secondary Dysmenorrhea
Treat underlying cause if possible, NSAIDS, if severe *in this case*, remove IUD
What is the average length of time that perimenopause lasts? - ANSWER: 3-5 years
, By definition, what is menopause? - ANSWER: The last menses
What is the average age of menopause? - ANSWER: 51.5 years old
What is the average age range most women enter Menopause in? - ANSWER: 44-55
yo
What is associated directly with early onset menopause? - ANSWER: Smoking
Premature menopause occurs before the age of what? - ANSWER: 40 yo
Which type of estrogen is the predominant circulating estrogen during Menopause?
- ANSWER: Estrone
What is the MC Vasomotor Sx that menopausal women experience?
When do they most commonly occur (time of day)?
How long does it take for them to cease? - ANSWER: Hot flashes
At night
2-3 years
What level of FSH is diagnostic of Menopause? - ANSWER: >30
What lifestyle change has been directly associated with relieving Menopause Sx? -
ANSWER: Increasing exercise
HRT for Menopause increases the women's chance of developing what? - ANSWER:
Cardiovascular probs, Breast CA, and Cognitive decline
What are the absolute CI's to HRT in a menopausal women? - ANSWER: Undiagnosed
vaginal bleeding, acute vascular thrombosis, liver probs, and Hx of
endometrial/ovarian CA
Name that condition:
Abnormal uterine bleeding in the absence of an anatomical lesion - ANSWER: DUB
What is the MC origin of DUB? - ANSWER: Hypothalamic-pituatary-ovarian hormonal
axis
What are the MC times for DUB to occur? - ANSWER: Shortly after Menarche and
during Perimenopause
How can you Tx DUB? - ANSWER: 1. Conservative Tx
2. OCPs
3. Progestin trial
4. D&C
K. Hackley 9781284045970 Chapter 1-26 Complete Guide .
What is the typical onset of Dysmenorrhea? - ANSWER: Within 2 years of menarche
Painful menstruation caused by excess prostaglandin and leukotriene levels -
ANSWER: Primary dysmenorrhea
What Sx occur with primary dysmenorrhea? - ANSWER: Uterine contraction, N/V,
and Diarrhea
Painful menstruation caused by an identifiable condition, normally of the uterus or
pelvic - ANSWER: Secondary dysmenorrhea
What are some conditions that cause secondary dysmenorrhea? - ANSWER:
Endometriosis, Adenomyosis, Fibroids, PID, and IUDs
What is the MC population that suffers from Secondary Dysmenorrhea? - ANSWER:
Women >25 yo
What is the MC population that suffers from Primary Dysmenorrhea? - ANSWER:
Late teens and early 20's
An 18 yo female presents to your clinic with complaints of cramps that radiate to her
lower back and diarrhea. She says that it started when her period started, but has
continues for 3 days now. You preform a PE, and note that everything is normal. Her
labs also come back as normal.
Dx?
Tx? - ANSWER: Primary dysmenorrhea
NSAIDS --> start 2 days prior to start of menses and continue for 1-3 days
A 27 yo female comes in with complaints of cramps that radiate to her lower back,
bloating, and pain with sex. She states that it does not necessarily occur with the first
day of her cycle. You note in her chart that she had an IUD placed ~6 months ago.
You preform a PE and draw labs. PE is normal, and labs are all normal.
Dx?
Tx? - ANSWER: Secondary Dysmenorrhea
Treat underlying cause if possible, NSAIDS, if severe *in this case*, remove IUD
What is the average length of time that perimenopause lasts? - ANSWER: 3-5 years
, By definition, what is menopause? - ANSWER: The last menses
What is the average age of menopause? - ANSWER: 51.5 years old
What is the average age range most women enter Menopause in? - ANSWER: 44-55
yo
What is associated directly with early onset menopause? - ANSWER: Smoking
Premature menopause occurs before the age of what? - ANSWER: 40 yo
Which type of estrogen is the predominant circulating estrogen during Menopause?
- ANSWER: Estrone
What is the MC Vasomotor Sx that menopausal women experience?
When do they most commonly occur (time of day)?
How long does it take for them to cease? - ANSWER: Hot flashes
At night
2-3 years
What level of FSH is diagnostic of Menopause? - ANSWER: >30
What lifestyle change has been directly associated with relieving Menopause Sx? -
ANSWER: Increasing exercise
HRT for Menopause increases the women's chance of developing what? - ANSWER:
Cardiovascular probs, Breast CA, and Cognitive decline
What are the absolute CI's to HRT in a menopausal women? - ANSWER: Undiagnosed
vaginal bleeding, acute vascular thrombosis, liver probs, and Hx of
endometrial/ovarian CA
Name that condition:
Abnormal uterine bleeding in the absence of an anatomical lesion - ANSWER: DUB
What is the MC origin of DUB? - ANSWER: Hypothalamic-pituatary-ovarian hormonal
axis
What are the MC times for DUB to occur? - ANSWER: Shortly after Menarche and
during Perimenopause
How can you Tx DUB? - ANSWER: 1. Conservative Tx
2. OCPs
3. Progestin trial
4. D&C
