menstrual cycle

Question 1

in irregular cycles, teh duration of the _____remains constant, and the duration of the ____phase can vary

Answer 1

luteal; follicular

Question 2

normal menstrual cycle is an interval of

Answer 2

21-35 days

Question 3

max number of oocytes at____weeks gestation

Answer 3

16-20

Question 4

follicles will progress only if ____is elevated and ____is low

Answer 4

FSH; LH

Question 5

ovulation occurs ___hrs after LH peak, and ____hrs after estradiol peak

Answer 5

10-12; 24-36

Question 6

time from LH surge to menses is

Answer 6

14 days

Question 7

absence of menstruation for 6 mon

Answer 7

amenorrhea

Question 8

uterine bleeding occuring at regular intervals under 21 days

Answer 8

polymenorrhea

Question 9

cycle frequency of >40 days but under 6 months

Answer 9

oligomenorrhea

Question 10

prolonged ( >7 days) or excessive (>80 ml) uterine bleeding at regular intervals.

Answer 10

menorrhagia

Question 11

cycle length of 2 days or less or also can be a reduction in flow

Answer 11

hypomenorrhea

Question 12

bleeding of variable amounts between regular periods

Answer 12

intermenstrual bleeding

Question 13

bleeding at irregular but frequents intervals of variable amount

Answer 13

metrorrhagia

Question 14

frequent bleeding that is excessive and irregular in amount and duration

Answer 14

Menometrorrhagia

Question 15

what is the most common cause of amenorrhea?

Answer 15

functional

Question 16

most frequent anatomic cause of secondary amenorrhea

Answer 16

asherman syndrome

Question 17

how to assess amenorrhea

Answer 17

progesterone challenge test

Question 18

how to tx hyperprolactinemia

Answer 18

cabergoline or bromocriptine

Question 19

noncyclic blood estrogen that continuously keeps in follicular phase (ovulation does not occur)

Answer 19

anovulatory

Question 20

ovulation occurs but corpus luteum doesn’t secret adequate progesterone to support endometrium/pregnancy

Answer 20

luteal phase defect

Question 21

bleeding at the time of ovulation contributed to the sudden drop in estrogen after ovulation

Answer 21

midcycle spotting

Question 22

causes of abnormal uterine bleeding

Answer 22

1. anovulatory
2. luteal phase defect
3. midcycle bleeding

Question 23

tx of abnormal uterine bleeding

Answer 23

1. progestin x 1-14 days OR

2. combo OCP

Question 24

tx of acute heavy abnormal bleeding

Answer 24

1. high dose estrogen and/or progesterone acutely

2. progestin or OCP for management

Question 25

tx of choice in women with acute heavy abnormal bleeding with hypovolemia

Answer 25

dilation and curretage with hysterecopy