GYN Chapter 26: AUB

Question 1

Mean amount of menstrual blood loss in one cycle

Answer 1

35mL

Question 2

Average iron lost in once cycle

Answer 2

13mg

Question 3

What treatment is preferred in women with inherited bleeding disorders?

Answer 3

LNG-IUS

Question 4

Define oligomenorrhea

Answer 4

Intervals vary between 35days to 6mos

Question 5

Define amenorrhea

Answer 5

No menses for at least 6mos

Question 6

What is normal menstrual flow in terms of (mean):
Duration
Interval

Answer 6

Mean duration: 4days
Mean interval 28+/-7days
(>21 and <35)

Question 7

Pictorial bleeding assessment is a subjective method in peedicting blood loss. What is a more accurate method?

Answer 7

Alkaline hematic method - measures hematin

Question 8

Heavy menstrual bleeding is defined as (in mL)

Answer 8

80mL

Question 9

In the absence of disease MBL increases with age. True or false.

Answer 9

False. It increases with parity but NOT AGE.

Question 10

AUB-P:
Symptomatic and postmenopausal status are associated with increased risk of malignancy.

Enumerate percent risk of malignancy.

Answer 10

4.5% among symptomatic postmenopausal

1.5% in adymptomatic postmenopausal

Question 11

Most significant factor for developing adenomyosis

Answer 11

Multiparity