Chapter 53 Disorders of the FRS

Question 1

What is elevated and low during PMS?

Answer 1

estrogen, low progesterone, hypothalamic-pituitary disorders

Question 2

PMS signs/symptoms

Answer 2

weight gain, bloating, irritability, edema, headache, mood swings, inability to concentrate, food craving, acne

Question 3

What is dysmenorrhea?

Answer 3

Painful menstruation-lower abdpain, cramping

Question 4

Dysmenorrhea Tx

Answer 4

Tylenol, motrin, anaprox, knee-chest position, HEAT

Question 5

What is amenorrhea?

Answer 5

absence of menstratuion

Question 6

Medications that can cause amenorrhea?

Answer 6

Brimocriptine

Question 7

Progesterone challenge

Answer 7

medroxyprogesterone acetate

Question 8

Premature ovaria failure

Answer 8

Ovaries cease to function in women under 40 years old

Question 9

Polycystic ovarian syndrome

Answer 9

ovaries have many fluid-filled cysts. not secreting progesterone and menses/ovulation affected

Question 10

MENOrrhagia

Answer 10

Excessive bleeding at the time of normal menstruation

Question 11

MENOrrhagia length

Answer 11

> 7 days, extends three days longer than normal

Question 12

MENOrrhagia Tx

Answer 12

NSAIDs, Progestins’ or OCPS

Question 13

Novasure-NovaSure

Answer 13

endometrial ablation is one-time, five min procedure to remove lining

Question 14

METROrrhagia

Answer 14

vaginal bleeding at time other than menstruation

Question 15

METROrrhagia Etiology

Answer 15

response to pituitary and ovarian hormones, or HRT

Question 16

Menopause

Answer 16

cessation of normal menstruation(total of one year)

Question 17

Onset of menopause

Answer 17

45 to 55 years of age

Question 18

Menopause s/s

Answer 18

loss of skin turgor, thinning of hair, vaginal dryness, thinning of vaginal mucosa, weight gain, dry skin, stress incontinence, depression, hot flashes

Question 19

Bisphosphonates-alendronate

Answer 19

take first in the morning with a glass of water

and sit up for at least 30 min.

Question 20

Vaginal mucosa has a pH less than

Answer 20

5.0

Question 21

What can change the pH of vaginal mucosa?

Answer 21

sex partner, menopause, tampons, allerigc reactions

Question 22

Candida albicans s/s

Answer 22

patches of white discharge on the vaginal mucosa, vulva may be reddened and edematous
Chessy curdlike discharge
Severe itching, burning with urination

Question 23

Candida albicans tx

Answer 23

antifungal creams

clotirmazole, miconzole, terconazole, fuconazole

Question 24

Trichomoniasis Vaginalis s/s

Answer 24

copious greenish yellow/white, foamy, fouls smelling dischage
severe itching
external burning

Question 25

Trichomoniasis tx

Answer 25

metronidazole po by BOTH partners

Question 26

Gardnerella Vaginalis s/s

Answer 26

Produces a graywish white water dischage with strong fish odor

Question 27

Metronidazole

Answer 27

Not to be given during the 1st trimester of pregnancy

Question 28

Conization post

Answer 28

Slough is normal | wear a liner

Question 29

Pelvic Inflammatory Disease

Answer 29

Infection of the pelvic organs other than the uterus

Question 30

PID s/s

Answer 30

``` low grade fever pelvic pain on pelvic exam abdominal pain "bearing down" backache foul smelling vaginal dischage n/v dysmenorrhea Dyspareunia ```

Question 31

Endometriosis

Answer 31

a condition resulting from the appearance of endometrial tissue outside the uterus and causing pelvic pain

Question 32

what is Toxic Shock Syndrome?

Answer 32

Type of septic shock, caused by staphylococcus aureus, streptococcus, clostridium

Question 33

Most common organism for TSS?

Answer 33

staph aureus

Question 34

Vaginal fistulas

Answer 34

Unnatural opening b/w ureter and vagina, bladder and vagina, rectum and vagina+ continuous drainage of urine or feces from the vagina

Question 35

IVP (intravenous pyelogram)

Answer 35

dye and pictures of the flow

Question 36

Key indicator with endometrial cancer

Answer 36

METROorrhage

Question 37

what are ovarian cysts?

Answer 37

benign, fluid filled cysts on the ovaries

Question 38

ovaria cysts s/s

Answer 38

lower abd, pressure, backache

Question 39

"The silent killer"

Answer 39

Ovarian cancer

Question 40

Mastitis

Answer 40

inflammation of breast tissue, usually with breast feeding moms

Question 41

Mastitis

Answer 41

fever/malaise, breast pain, redness, | later: swollen, firm hard, crack in nipple, breast abscess