Lecture 3- Domestic Violence/ Dysfunction/Menstrual Cycle

Question 1

What are two screening questions for domestic violence?

Answer 1

Do you feel safe in your current relationship?

Have you felt safe in past relationships?

Question 2

What are some signs of childhood sexual assalt?

Answer 2

Change in sleeping habits (terrors)
Acting out
Somatic complaints (GI, HAs, dysuria)
Encopresis (pooping pants)
Enuresis (urinary incontinence)
Hematocheezia, vaginal injury, blood, D/C

Question 3

What are the two phases of PTSD/ Rape Trauma syndrome?

Answer 3

Acute 
Delayed phase (months to years)

Question 4

When should an assault victim be contacted after initial treatment?

Answer 4

24-28 hours

Question 5

What are the four aspects of the current model for cycle of violence (heise)?

Answer 5

Personal hx
Microsystem
Exosystem
Macrosytem

Question 6

What is the definition of domestic violence?

Answer 6

Violence perpetrated within the context of family or intimate relationships.

Question 7

What is the RADAR method for a physician’s approach to domestic violence?

Answer 7

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Question 8

What is persistently or recurrently deficient sexual fantasies and desire for sexual activity.

Answer 8

Hypoactive sexual desire disorder

Question 9

What is persistent inability to attain, or to maintain until completion of the sexual activity.

Answer 9

Female sexual arousal disorder

Question 10

What is recurrent delay in, or absence of orgasm following a normal excitatory phase?

Answer 10

Female orgasmic disorder

Question 11

Recurrent or persistent genital pain associated with sexual intercourse?

Answer 11

Dyspareunia

Question 12

Recurrent or persistent involuntary spasm of teh musculature of the outer 1/3 of the vagina that interferes with sexual intercourse?

Answer 12

Vaginismus

Question 13

Persistent or recurrent genital pain associated with noncoital sexual stimulation.

Answer 13

Noncoital sexual pain disorder

Question 14

what are four main factors that affect sexuality?

Answer 14

Depression
Medications
Medical conditions
Psychological factors

Question 15

What refers to the complex interactions b/w the hypothalamus, pituitary, and ovaries that regulate the reproductive cycle?

Answer 15

hypothalamic-pituitary-gonadal axis

Question 16

What are the two gonadotropins?

Answer 16

FSH and LH

Question 17

What are the two ovarian sex steroid hormones?

Answer 17

Estrogen

Progesterone

Question 18

WHat serves as the pulse generator of the reproductive cycle by secretion GnRH?

Answer 18

Hypothalamus

Question 19

What triggers ovulation?

Answer 19

A marked increase in LH

Question 20

What is the immature oocyte encircled by in a single layer?

Answer 20

Granulosa cells

Question 21

What produces estrogen?

Answer 21

Granulosa cells

Question 22

What phase begins at onset of menses and ends on day of LH surge? Lasts about 14 days.

Answer 22

Follicular

Question 23

After ovulation the dominant ovarian follicle releases its oocyte and transitions to a progesterone-secreting ovarian cyst called ______.

Answer 23

Corpus luteum

Question 24

What are the three phases of the menstrual cycle?

Answer 24

Follicular phase
Ovulation
Luteal Phase

Question 25

What hormone is produced after ovulations?

Answer 25

Progesterone

Question 26

What is a twinge of pain at the time of ovulation and can precisely identify the time of ovulation.

Answer 26

Mittelschmerz

Question 27

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.

Answer 27

Luteal phase

Question 28

What does the corpus luteum become?

Answer 28

corpus albicans

Question 29

When does the LH sure occurs?

Answer 29

11-13 days into the cycle (30-36 hour prior to ovulation)

Question 30

What cells produce progesterone?

Answer 30

Granulosa and theca cells

Question 31

When does the luteal phase end?

Answer 31

Onset of menses