Menstruation Disorders Flashcards

1
Q

What are the 3 phases of the Menstrual Cycle?

A
  1. Follicular (days 1-14)
  2. Ovulatory (days 14-17)
  3. Luteal (days 15-28
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2
Q

LH and FSH promote ovarian synthesis of what two things?

A
  1. Follicles

2. Ovum (egg)

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3
Q

What do the follicles secrete? At what phase?

A

Estrogen; follicular

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4
Q

What is Primary Dysmenorrhea?

A

Lower ab pain

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5
Q

When does Primary Dysmenorrhea occur?

A

During Ovulatory phase

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6
Q

What is the pathophysiology of Primary Dysmenorrhea?

A
  1. Release of prostaglandins + leukotriens
  2. Increased vasopressin
  3. Stimulation of vasoconstriction + uterine contraction
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7
Q

What are some RX that are excluded from Primary Dysmenorrhea?

A
  1. Warfarin
  2. Heparin
  3. Lithium
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8
Q

Which OTC therapies risk harm to the fetus in pregnancy for Primary Dysmenorrhea?

A

Ibuprofen + Naproxen

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9
Q

Which OTC therapies is excreted into breast milk?

A

Naproxen + Aspirin

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10
Q

What is the preferred first-line therapy for Primary Dysmenorrhea?

A

NSAIDS

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11
Q

What are some pharmacological Tx for Premenstrual Syndrome?

A

If mild, NSAIDS + Pyridoxine (Vit. B6) + Calcium w/ Vit. D (which can prevent PMS symptoms) + Magnesium

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12
Q

Which Tx for Premenstrual Syndrome causes constipation?

A

Calcium w/ Vit. D

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13
Q

Which Tx for Premenstrual Syndrome causes diarrhea?

A

Magnesium

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14
Q

What are the OTC diuretics for PMS?

A
  1. Ammonium chloride
  2. Caffeine in combination
  3. Pamabrom in combination
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15
Q

Should you recommend Pamprin or Midol for PMS?

A

No, NSAIDs are better

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16
Q

What was the strongest predictor of risk for Toxic Shock Syndrome?

A

Use of tampons

17
Q

What should you use for nearly eliminate risk for Toxic Shock Syndrome?

A

Sanitary pads

18
Q

Which bacteria caused Toxic Shock Syndrome?

A

S. aureus

19
Q

If you dont use sanitary pads for Toxic Shock Syndrome, what else can you use?

A

Low absorbency tampons