Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Clin Med Final Material 5 > Menstrual Disorders- Paulson > Flashcards

Menstrual Disorders- Paulson Flashcards

1
Q

When does puberty start?

A

Age 8-13

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

increase in androgens before the onset of puberty

A

Adrenarche

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

breast development

A

Thelarche

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

pubic hair development

A

Pubarche

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is precocious puberty?

A

pubertal development before age 8 in girls and age 9 in boys

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Avg age to start menstruation?

A

12-13 years old

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How long should periods last?

A

4-6 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Regular interval between periods, excessive flow and duration

A

Menorrhagia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Decreased flow during normal duration of regular period

A

Hypomenorrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Irregular intervals of menses

A

Metorrhagia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

shortened interval between periods , < 19-21 day interval

A

Polymenorrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Irregular or excessive bleeding during periods and between

A

Menometorrhagia periods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Lengthened interval between periods, > 35 days intervals

A

Oligomenorrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Bleeding following coitus

A

Post-Coital Bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Absent period

A

Amenorrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is primary vs secondary amenorrhea?

A

Primary- absence of spontaneous menstruation by 13 without normal growth and with secondary sex characterics
Secondary-absence of menses after 3 months of previous menses and after 6 months if irregular menses

17
Q

Turner syndrome

A

congenital developmental disorder of the reproductive system. Does not develop properly – underdeveloped and malfunctioning.

18
Q

Turner syndrome and hypothalamic pituitary insufficiency result in lifelong absence of menses whereas outflow obstruction: imperforate hymen does/does not result in lifelong absence of menses?

A

Does not result in lifelong (just needs to be surgically opened)

19
Q

If a patient has primary amenorrhea and presence of secondary sex characteristics, with uterus present, what is the most likely cause?

A

Outflow tract obstruction

20
Q

If a patient has primary amenorrhea and NO presence of secondary sex characteristics what is the most likely cause?

A

Karotype analysis should be done because could be genetic

21
Q

What are common causes of secondary amenorrhea?

A
  • ***Pregnancy
  • PCOS
  • Medications (IUD, birth control)
  • Diabetes
  • Hyperthyroidism/Hypothyroidism
  • Surgery
22
Q

What is the first thing you should work up a patient with secondary amenorrhea?

A

CHECK A PREGNANCY TEST

23
Q

What is the progesterone challenge test?

A

Done by giving progesterone medication to a woman with absent or irregular periods to INDUCE a period (once progresterone withdrawn, the bleeding stops)

  • *A + test = patient had period so just anovulation
  • *A - test indicates low estrogen or outflow tract is blocked
24
Q

A patient presents with irregular periods, overweight, hirtuism. What is the most likely dx? What imaging is helpful?

A

PCOS

Pelvic U/S to determine if ovaries are cystic

25
Q

Treatment for acne in PCOS?

A

OCP or combo estrogen and progesterone pill

26
Q

Treatment for hyperglycemia and/or weight loss for PCOS?

A

Metformin

27
Q

What is the female athlete triad?

A
  1. Eating disorder
  2. Amenorrhea
  3. Low bone mineral density
28
Q

What is mittleschmerz?

A

Pain w/ ovulation that occurs in the middle of menstrual cycle

29
Q

How should you treat mittleschmerz?

A

NSAIDs

30
Q

painful menstruation

A

Dysmenorrhea

Dysmenorrhea is reserved for women whose pain prevents normal activity and requires medication (OTC or prescription)

31
Q

Difference between primary dysmenorrhea and secondary dysmenorrhea?

A

Primary is caused by excessive prostaglandins leading to cramping whereas secondary is due to pathologic cause like endometriosis or IUD or soemthing (pain that lasts longer than a normal period)

32
Q

What is the #1 RF for dysmenorrhea?

A

Heavy periods

33
Q

First line treatment for dysmenorrhea?

A

NSAID (Ibuprofen)

34
Q

Menstrual flow outside of normal volume, duration, regularity, or frequency

A

Abnormal uterine bleeding

35
Q

Best imaging to do for abnormal uterine bleeding?

A

Transvaginal U/S

36
Q

Best tx for non-emergent AUB?

A

IUD or combo OCPs

37
Q

Best tx for acute AUB?

A

IV estrogen

38
Q

What is the treatment for premenstrual dysphoric disorder?

A

SSRIs are first line (fluoxetine, sertraline)

Clin Med Final Material 5 (18 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions