Menarche, Puberty, And Menstral Disorders (Moulton(

Question 1

If conception does not occur by what day, the corpus Luteum begins to regress?

Answer 1

23

Question 2

When should initial reproductive health visit occur?

Answer 2

Between ages 13-15

Question 3

When should a female get her first Pap smear?

Answer 3

21

Question 4

Median age for menarche?

Answer 4

12.43

Question 5

Absence of menarche by age 13 years without secondary sexual development OR by the age of 15 with secondary sexual development?

Answer 5

Primary amenorrhea

Question 6

What is breast budding called?

Answer 6

Thelarche

Question 7

What Tanner stage does menarche occur?

Answer 7

Stage 4, rare before stage 3

Question 8

Average menstrual product use?

Answer 8

3-6 pads or tampons per day

Question 9

Absence of menstration for 6 months

Answer 9

Secondary amenorrhea

Question 10

How much menstral flow is considered TOOO heavy?

Answer 10

Greater than 80 cc

Question 11

Abnormally frequent menses at intervals less than 21 days

Answer 11

Polymenorrhea

Question 12

Excessive and/or prolonged menses occurring at regular intervals

Answer 12

Menorrhagia

Question 13

Irregular episodes of uterine bleeding

Answer 13

Metrorragia

Question 14

Heavy and irregular uterine bleeding

Answer 14

Menometrorrhagia

Question 15

Scant bleeding at ovulation for 1 or 2 days

Answer 15

Intermenstrual bleeding

Question 16

Menstral cycles at greater than 35 day cycles

Answer 16

Oligomenorrhea

Question 17

Abnormal uterine bleeding that cannot be attributed to medications, blood dyscrasias, systemic disease, Trauma, or organic conditions

Answer 17

Dysfunctional Uterine bleeding (DUB)

Question 18

Classification for AUB- PALM COEIN

Answer 18

P: Polymenorrhea
A: adenomyosis
L: leiomyoma
M: malignancy and hyperplasia

C:coagulopathy
O: ovulatory dysfunction
E: endometrial
I:Iatrogenic
N: not yet classified

Question 19

What is the normal length of a menstral cycle?

Answer 19

28 +/- 7 days . . . 21-35 days

Question 20

What is the first sign of puberty and what does it require?

Answer 20

Thelarche; estrogen

Question 21

What does pubarche/adrenarche require?

Answer 21

Androgens

Question 22

Name the progression of puberty

Answer 22

Thelarche –> Pubarche/Adrenarche –> Maximal growth –> menarche

TAG Me

Question 23

Stage 1 of Tanner staging

Answer 23

Elevation of papilla only

Question 24

Stage 2 of tanner staging

Answer 24

Elevation of breast and papilla as a small mound with enlargement of the Areolar region

Question 25

Stage 3 of tanner staging

Answer 25

Further enlargement of breast and areola WITHOUT separation of their contours

Question 26

Stage 4 of tanner staging

Answer 26

Projection of areola and papilla to form a secondary mound above the level of the breast

Question 27

Stage 5 of tanner staging

Answer 27

Mature: projection of papilla only resulting from recession of the areola to the general contour of the breast

Question 28

What is a normal term for a pregnancy?

Answer 28

37-42

Question 29

What is a preterm pregnancy?

Answer 29

20-36 weeks 6 days

Question 30

Abortion?

Answer 30

All pregnancy losses before 20 weeks