Lecture 3- Domestic Violence/ Dysfunction/Menstrual Cycle Flashcards
What are two screening questions for domestic violence?
Do you feel safe in your current relationship?
Have you felt safe in past relationships?
What are some signs of childhood sexual assalt?
Change in sleeping habits (terrors) Acting out Somatic complaints (GI, HAs, dysuria) Encopresis (pooping pants) Enuresis (urinary incontinence) Hematocheezia, vaginal injury, blood, D/C
What are the two phases of PTSD/ Rape Trauma syndrome?
Acute Delayed phase (months to years)
When should an assault victim be contacted after initial treatment?
24-28 hours
What are the four aspects of the current model for cycle of violence (heise)?
Personal hx
Microsystem
Exosystem
Macrosytem
What is the definition of domestic violence?
Violence perpetrated within the context of family or intimate relationships.
What is the RADAR method for a physician’s approach to domestic violence?
Remember Ask directly Document Assess Review
What is persistently or recurrently deficient sexual fantasies and desire for sexual activity.
Hypoactive sexual desire disorder
What is persistent inability to attain, or to maintain until completion of the sexual activity.
Female sexual arousal disorder
What is recurrent delay in, or absence of orgasm following a normal excitatory phase?
Female orgasmic disorder
Recurrent or persistent genital pain associated with sexual intercourse?
Dyspareunia
Recurrent or persistent involuntary spasm of teh musculature of the outer 1/3 of the vagina that interferes with sexual intercourse?
Vaginismus
Persistent or recurrent genital pain associated with noncoital sexual stimulation.
Noncoital sexual pain disorder
what are four main factors that affect sexuality?
Depression
Medications
Medical conditions
Psychological factors
What refers to the complex interactions b/w the hypothalamus, pituitary, and ovaries that regulate the reproductive cycle?
hypothalamic-pituitary-gonadal axis
What are the two gonadotropins?
FSH and LH
What are the two ovarian sex steroid hormones?
Estrogen
Progesterone
WHat serves as the pulse generator of the reproductive cycle by secretion GnRH?
Hypothalamus
What triggers ovulation?
A marked increase in LH
What is the immature oocyte encircled by in a single layer?
Granulosa cells
What produces estrogen?
Granulosa cells
What phase begins at onset of menses and ends on day of LH surge? Lasts about 14 days.
Follicular
After ovulation the dominant ovarian follicle releases its oocyte and transitions to a progesterone-secreting ovarian cyst called ______.
Corpus luteum
What are the three phases of the menstrual cycle?
Follicular phase
Ovulation
Luteal Phase
What hormone is produced after ovulations?
Progesterone
What is a twinge of pain at the time of ovulation and can precisely identify the time of ovulation.
Mittelschmerz
This phase of the menstrual cycle that is characterized by an alteration in the balance of sex steroid secretion from perdominance of estrogen to predominance of progesterone.
Luteal phase
What does the corpus luteum become?
corpus albicans
When does the LH sure occurs?
11-13 days into the cycle (30-36 hour prior to ovulation)
What cells produce progesterone?
Granulosa and theca cells
When does the luteal phase end?
Onset of menses
