OnlineMedEd: Gynecology - "Vaginal Bleeding"

Question 1

The most common cause of premenarchal vaginal bleeding is _______________.

Answer 1

foreign body

Question 2

The most common cause of vaginal bleeding in a postmenopausal woman is ____________.

Answer 2

intercourse

Question 3

The most common cause of unexpected vaginal bleeding in a reproductive-age woman is _____________.

Answer 3

pregnancy

Question 4

Other than foreign bodies, what do you need to rule out in premenarchal women with vaginal bleeding?

Answer 4

• Sexual abuse

* Precocious puberty

Question 5

Other than intercourse, what do you need to rule out in a postmenopausal woman with vaginal bleeding?

Answer 5

• Endometrial cancer

* Hormone replacement therapy

Question 6

If someone is bleeding profusely, you need to start with __________________.

Answer 6

two large bore IVs, a bolus, and then type and cross for blood transfusion

Question 7

In a uterine bleed, you should administer ____________ after fluids/blood.

Answer 7

estrogen

Question 8

When estrogen fails, you then ______________.

Answer 8

perform intracavitary tamponade (either D&C or uterine artery embolization)