Chapter 21 Pelvic Pain

Question 0

NSAIDs inhibit ___ the enzyme that catalyzes formation of prostaglandins from arachadonic acid

Answer 0

Cyclooxygenase

Question 1

Etiology of primary dysmenorrhea has to do with

Answer 1

Uterine contractions with ischemia and production of prostaglandins

Question 2

Hormonal contraception a that block ___ significantly reduce production of ___

Answer 2

Ovulation. Prostaglandins

Question 3

NSAIDs act as

Answer 3

Cyclooxygenase inhibitors (cox)

Question 4

Ibuprofen dosage

Answer 4

400mh q 6

Question 5

Naproxen dosage

Answer 5

250mg q6

Question 6

Mefamic acid dosage

Answer 6

500mg q 8

Question 7

Ocps, vaginal rings, patches help with dysmenorrhea because

Answer 7

Reduce menstrual flow and inhibit ovulation

Question 8

Basis of NSAIDs use in dysmenorrhea

Answer 8

Decreasing prostaglandin production by enzyme inhibition is the basis

Question 9

Resistant cases of dysmenorrhea may respond to to lotto agents

Answer 9

1. Salbutamol
2. Calcium channel blocker nifedipine
3. High dose continuous daily progestogens such as medroxyprpgesterone acetate or dydrogesterone

Question 10

What
Are
Some causes of
Secondary dysmenorrhea?

Answer 10

Endometriosis, pelvic inflammation, adenomyosis, ovarian cysts, pelvi congestion

Question 11

Endometriosis pain

Answer 11

Deep duspareunia, premenstrual spotting, tender pelvic nodules ESP on uterosacral ligaments

Question 12

Appendiits is a common cause of go pain that eventually localized to the lower right and area known as ___.

Answer 12

McBurney’s point

Question 13

Rupture of appendix into the pelvi cavity might have significant effects on

Answer 13

Female fertility

Question 14

Careful evaluation of pelvi pain is necessary to distinguish between

Answer 14

Orthopedic, gastrointestinal , urologic, neurological, and psychosomatic Origin

Question 15

Painful impulses that originate in the skin, muscles, joint,parietal peritoneum travel in what fibers?

Answer 15

Somatic nerve fibers

Question 16

Pain originating in internal organs originate in what fibers?

Answer 16

Visceral nerves

Question 17

Laboratory studies of chronic pelvic pain include

Answer 17

CBC, esr, ua

Question 18

Esr checks for what?

Answer 18

Est is nonspecific and will be elevated in any inflammatory condition such as subacute salpingitis, inflammatory bowel disease, tuberculosis.

Question 19

Wen do uterine mom as cause pain?

Answer 19

1. Degenerating
2. Undergoing torsion
3. Or compressing pelvic nerves