Menstrual Disorders Worksheet

Question 1

13 y/o (or anyone really) w/o normal growth or w/o the development of 2nd sex characteristics

Answer 1

primary amenorrhea

Question 2

15 y/o with normal growth and development of secondary sex characteristics with amenorrhea suggests ____ amenorrhea

Answer 2

primary

Question 3

no menses for at least or > 3 months

Answer 3

secondary amenorrhea

Question 4

6 consecutive months of no menses

Answer 4

secondary amenorrhea

Question 5

Number one cause of amenorrhea

Answer 5

pregnancy

Question 6

Progesterone challenge

FSH/LH levels

Prolactin

TSH

are all labs that should be checked with a diagnosis of…

Answer 6

amenorrhea

Question 7

in treating a pt with amenorrhea that wishes to have a pregnancy, you would…

Answer 7

induce ovulation

Question 8

in treating a pt with amenorrhea that does not wish to become pregnant, you would…

Answer 8

try oral combo contraceptives

Question 9

common complications of amenorrhea

Answer 9

infertility

endometrial hyperplasia

Question 10

painful menses

Answer 10

dysmenorrhea

Question 11

does dysmenorrhea require meds?

Answer 11

yes

Question 12

primary dysmenorrhea is related to…

Answer 12

uterine muscle activity

Question 13

secondary dysmenorrhea is related to…

Answer 13

an identifiable cause

Question 14

primary dysmenorrhea is caused by…

Answer 14

prostaglandins!

Question 15

secondary dysmenorrhea is caused by…

Answer 15

something occurring outside uterus or within the uterine wall or within the uterine cavity

Question 16

PE shows a normal exam with ____ dysmenorrhea

Answer 16

primary

Question 17

PE shows an asymmetrical uterus, a tender-boggy uterus, uterine restriction or adnexa tenderness with _____ dysmenorrhea

Answer 17

secondary

Question 18

in dx secondary dysmenorrhea, you should…

Answer 18

conduct dx studies that determine the cause

Question 19

tx of primary dysmenorrhea

Answer 19

NSAIDs

Question 20

tx of secondary dysmenorrhea

Answer 20

treat underlying dx

Question 21

pregnancy
systemic disease
cancer

are all possibilities with…

Answer 21

dysfunctional uterine bleeding

Question 22

in order to dx dysfunctional uterine bleeding, one must…

Answer 22

exclude all possible pathological causes

Question 23

PE is preformed in dysfunctional uterine bleeding to asses for …

Answer 23

masses
irregular uterus
adnexal tenderness

Question 24

pregnancy test
PAP
CBC
TSH
LFT
FSH
Prolacting
Progesterone

should all be run for…

Answer 24

dysfunctional uterine bleeding

Question 25

Other labs you should get with dysfunctional uterine bleeding

Answer 25

pelvic u/s

endometrial bx

Question 26

tx of dysfunctional uterine bleeding in adolescent/young patients

Answer 26

estrogen oral contraceptives

Question 27

tx of dysfunctional uterine bleeding in menopausal women

Answer 27

oral contraceptives

NO unopposed estrogen

Question 28

other optional tx for dysfunctional uterine bleeding

Answer 28

D&C

Question 29

cyclic occurrence of symptoms that interfere with life consistently and predicatably in relation to the menses

Answer 29

PMS!

Question 30

PMS etiology

Answer 30

unknown

Question 31

a psychoneuroendocrine disorder that has biologic, psychological, and social parameters

Answer 31

PMS

Question 32

HA
mastalgia
pelvic pain
bloating
premenstrual tension

Answer 32

common sx of PMS

Question 33

irritability
dsyphoria
mood liability

Answer 33

severe sx of PMS

Question 34

clumsiness
low energy
sleep changes
mood swings

Answer 34

other sx of PMS

Question 35

PMS dx requires at least one of which categories

Answer 35

affective symptoms

and somatic symptoms

Question 36

PMS tx - habit changes

Answer 36

< caffeine
reduce chocolate
reduce EtOH
reduced Na+

Question 37

PMS tx - behavioral changes

Answer 37

stress managment
Cognitive Behavioral Therapy
exercise

Question 38

PMS tx - pharm

Answer 38

SSRI’s

hormones