Misc. 4

Question 1

Nomenclature around premenstrual dysphoria?

Answer 1

Premenstrual symptoms

Premenstrual syndrome

Premenstrual Dysphoric Disorder

Question 2

Normal premenstrual symptoms are usually……. !

Answer 2

mild and transient

Question 3

Normal premenstrual symptoms include

Answer 3

Minor mood change
Physical discomfort (e.g. bloating)

Question 4

Premenstrualy syndrome refers to

Answer 4

Mild to moderate symptoms including
Emotional, physical and cognitive changes
not impairing

Question 5

when do premenstrual syndrome (PMS) is thought to happen?

Answer 5

during luteal phase

Question 6

how does PMS changes to PMDD?

Answer 6

when symptoms cause impairment in daily functioning + one affective symptom (mood lability, depression or anxiety)

Question 7

Prevalence of normal PM symptoms?

Answer 7

60-80%

Question 8

Prevalence of PMS?

Answer 8

20-40% (mild to moderate)

Question 9

Prevalence of PMDD?

Answer 9

1-8% (moderate to severe)

Question 10

The term Premenstrual Tention Synrome in ICD 11?

Answer 10

-idiopathic
— changes in environmental, metabolic or behavioural during luteal phase of menstrual cycle
—–>impairing cyclic emotional, physical adn behaviours symptoms

Question 11

criteria for PMTS in ICD 11?

Answer 11

at least specific clyclic association with luteal phase and impairment

Question 12

Management of PMDD/PMTD?

Answer 12

Combined oral contraceptives (COC)
SSRI
CBT

Question 13

COC in Rx PMDD/PMTD

Answer 13

drospirenone and ethinylestradiol

Question 14

SSRI in Rx PMDD/PMTD

Answer 14

Only if affective symptom present

either continue or on during luteal ph.

Question 15

why could PMDD be result of?

Answer 15

Heightened sensitivity to cyclinical variationin reproductive hormones

Question 16

Onset in PMDD?

Answer 16

about 1 week before menses

Question 17

Criteria for PMDD in ICD-11?

Answer 17

1- hx of PMD
2- majority of menses within past year
3- Pattern of mood, somatic and cognitive symptoms
4-Temporal link for symptoms & luteal
5-At least 2 symptomatic cycles
6-AT LEAST ONE AFFECTIVE SYMPTOMS

Question 18

RISK FOR PMD?

Answer 18

OBESITY
CIGARRETE SMOKING
PREV. TRAUMA

Question 19

Treatments with strong evidence in PMD?

Answer 19

SSRI

COC
GnRH

CBT &DBT

Question 20

surgical Rx for PMDD?

Answer 20

bilateral salpingo-oophorectormy w/ or w/out hysterectomy