asynch questions Flashcards
What is the process through which sex hormones controlling the menstrual cycle are synthesized from cholesterol?
steroidogenesis
Which part of the brain initially releases the gonadotropin-releasing hormone?
hypothalamus
Which hormones does the pituitary gland produce when stimulated by GNRH?
Follicle-stimulating hormone and lutenizing hormone
The withdrawal of which hormone results in menstruation?
progesterone
What is the purpose of the follicular phase of the menstrual cycle?
to produce an ovum
A surge in the levels of the leutenizing hormone is an indicator of this.
ovulation
In the absence of conception, what process does the unfertilized follicle undergo?
leutenization
During which phase of the menstrual cycle does the endometrial tissue develop?
proliferative phase
Variations of normal menstrual patterns are generally results of higher levels of testosterone in the body.
false
Menorrhagia
heavy prolonged menstrual flow
Metomenorrhagia
irregular heavy menstrual bleeding
Polymenorrhea
frequent bleeding
Hypomenorrhea
light bleeding
Metorrhagia
irregular bleeding
polyp
A condition which presents as overgrowth of endometrial glandular tissue
maligancy/ hyperplasia
A condition in which overgrowth of endometrial glands may develop into a precancerous atypical adenmous hyperplasia
Leiomyoma
A condition in which uterine fibroid or fibromuscular benign tumors arise from smooth muscle in the uterine wall
adenomyosis
A condition in which endometrial tissue from the uterus burrows deep into the uterine muscle
amenorrhea
Which of these terms indicates an absence of menstruation?
dysmenorrhea
Which of these terms describes painful abdominal/pelvic cramps or back pain associated with the menstrual cycle?
Which of the options provided below best describes PMS?
Cluster of mild to moderate physical and psychological symptoms that occur during the late luteal phase of menses and resolve with menstruation
Toxic shock syndrome s/s
Fever Hypotension Skin manifestations (sunburn-like rash) Chills Malaise Headache Sore throat Myalgias Fatigue Vomiting Diarrhea Abdominal pain Orthostatic dizziness or syncope
Fever >38.9 °C
Hypotension
Diffuse erythroderma
Desquamation (may be delayed).
Involvement of at least three organ systems (gastrointestinal, musculoskeletal, mucous membranes, renal, hepatic, hematologic, central nervous system)
TSS by body system
Gastrointestinal: vomiting or diarrhea at onset of illness
Muscular: severe myalgia or creatinine phosphokinase elevation more than two times the upper normal limit
Mucous membranes: vaginal, oropharyngeal or conjunctival hyperemia
Renal: BUN or serum creatinine more than two times the upper normal limit or pyuria
Hepatic: bilirubin or transaminases more than two times the upper normal limit
Hematologic: platelets <100,000/microL
Central nervous system: disorientation or alterations in consciousness without focal neurologic signs in the absence of fever and hypotension
During the initial 48 hours of TSS patients may develop
diffuse erythroderma, severe watery diarrhea, decreased urine output, cyanosis and edema of the extremities.
Neurologic symptoms of TSS:
somnolence, confusion, irritability, agitation, and hallucinations may occur secondary to cerebral ischemia and edema.
S. aureus strains associated with menstrual cases of TSS account for
90 to 100 percent
Birth control helps with
limiting the # of children concieved
Contraception allows for
prevention of pregnancy
Which of these options describes the efficacy of birth control?
likelihood conception occurs despite consistent and correct use
Which of these options describes the effectiveness of birth control?
Success of a method in preventing pregnancy when used typically in practice
types of adoption
open, closed, semi-open
cytotec (misoprostol) in abortion
prostaglandin analog. ripens the cervix and causes expulsion of contraception products.
methotrexate in abortin
inhibits enzyme for DNA synthesis and stops normal mitosis.
not as effective, takes up to 2 weeks to work
less desirable
Identify the type of surgical abortion procedure that can be safely done in the first trimester.
aspiration
Identify the type of surgical abortion procedure that can be safely done in the first trimester.
Dn C
Identify the type of surgical abortion procedure that can be safely done in the first trimester
dilation and evacuation
From the list provided below, identify the drug that is used in combination to induce medical abortions.
mifepristone
From the list provided below, identify the drug that is used in combination to induce medical abortions.
misoprostol
Which medication in combination with oxytocin and misoprostol is used to induce labor after the first trimester?
prostaglandin
Which of these is NOT a nonhormonal method of contraception?
Nuvaring
Which of these is the active chemical agent in spermicidal gels, foams, suppositories, etc?
Nonoxynil-9 (N-9)
Current Card
Which of these contraceptive methods could potentially cause toxic shock syndrome?
sponge & diaphragm
What is the primary form of estrogen in most hormonal contraceptives?
Ethinyl estradiol
The production of which hormone is inhibited by the progestin found in hormonal contraceptives?
Lutenizing hormone
What are the three variations of combination oral contraceptives?
Multiphasic, monophasic, and extended cycle
Which of these is a permanent form of contraception?
essure
Which one of these is the method of emergency contraception that involves taking a regimen of combined oral contraceptive pills (not necessarily a single dose)?
Yuzpe Method
Which of these forms of emergency contraception can be administered within 5 days (120 hours) following unprotected intercourse?
Paraguard IUD
