Infertility, Menopause, PO

Question 1

Infertility is the inability of the couple to conceive after this period of time of trying

Answer 1

1 year

Question 2

First line treatment for anovulation

Answer 2

Clomiphene citrate

Question 3

This drug for anovulation or ovarian hyperstimulation syndrome competes with estrogen binding sites on the hypothalamus and increases FSH and estrogen

Answer 3

Clomiphene citrate

Question 4

Aromatase inhibitor that inhibits E2 production and increases FSH

Answer 4

Letrozole

Question 5

This occurs due to complications from gonadotropin administration Fluid shift Ascites Pleural effusion Electrolyte imbalance Thromboembolism

Answer 5

Ovarian Hyperstimulation syndrome

Question 6

Characteristic feature seen in the uterus when a patient has TB infection

Answer 6

Pipe stem tube

Question 7

Menopause occurs after __ months of amenorrhea after the LMP with no attributable cause

Answer 7

12 months

Question 8

Hallmark of perimenopause

Answer 8

Skipped periods, longer intervals

Question 9

Period of time when a woman passes from reproductive stage to non reproductive Perimenopause, menopause and postmenopausal years

Answer 9

Climacteric

Question 10

Average age of menopause for Filipinos

Answer 10

48 years old

Question 11

Mean duration of perimenopause

Answer 11

5 years

Question 12

Inhibin, FSH and LH levels in menopausal transition is

Answer 12

FSH- increased Inhibin- decreased LH- remain normal

Question 13

Principal steroid secreted by the ovary in menopause

Answer 13

Androstenedione

Question 14

Hallmark of female climacteric

Answer 14

Hot flush

Question 15

Bone changes with decreased estrogen levels in menopause include

Answer 15

Loss of trabecular bone

Question 16

Most common bone fracture in postmenopausal women

Answer 16

Vertebral bone fracture

Question 17

Absolute contraindication for hormone replacement therapy in postmenopausal women

Answer 17

Porphyria cutanea tarda

Question 18

Stage of POP when it is 1cm above hymenal ring

Answer 18

Stage 1

Question 19

Stage of POP when it is 1cm below hymenal ring

Answer 19

Stage 3

Question 20

Conservative therapy for POP

Answer 20

Pessary Pelvic floor muscle training

Question 21

Surgical treatment for cystocele

Answer 21

Anterior colporraphy

Question 22

Surgical treatment for rectocele

Answer 22

Posterior colporraphy

Question 23

Mean age of perimenopause

Answer 23

45.1y/o (39 to 51 y/o)