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Obstetric And Gynecology > PELVIC PAIN > Flashcards

PELVIC PAIN Flashcards

1
Q

Define pain according to the International Association for the Study of Pain.

A

An unpleasant sensory and emotional experience associated with actual or potential tissue damage.

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2
Q

What are the two main classifications of pelvic pain?

A

Acute pelvic pain and chronic pelvic pain.

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3
Q

Fill in the blank: “Pain with an identifiable specific cause is termed __________ pain.”

A

Organic.

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4
Q

What is chronic pelvic pain (CPP), and how is it different from acute pelvic pain?

A

Chronic pelvic pain lasts more than six months and often becomes the disease itself.

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5
Q

Name three gynecological causes of acute pelvic pain.

A

Pelvic inflammatory disease, ectopic pregnancy, ovarian torsion.

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6
Q

List three conditions associated with chronic pelvic pain.

A

Endometriosis, adhesions, interstitial cystitis.

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7
Q

Fill in the blank: “Pelvic pain of more than __________ months duration significantly impacts daily function.”

A

Six months.

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8
Q

What percentage of hysterectomies are performed due to chronic pelvic pain?

A

12–19%.

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9
Q

Identify two psychological factors that may contribute to chronic pelvic pain.

A

Depression, PTSD.

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10
Q

Fill in the blank: “Endometriosis accounts for __________% of chronic pelvic pain cases.”

A

0.33

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11
Q

Describe the role of a psychosocial review in evaluating pelvic pain.

A

Identifies psychosocial factors influencing pain perception and management.

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12
Q

Name two gastrointestinal causes of chronic pelvic pain.

A

Irritable bowel syndrome, diverticulitis.

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13
Q

What is the purpose of the McGill Pain Questionnaire?

A

Provides a multidimensional assessment of pain.

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14
Q

Fill in the blank: “Chronic urinary retention is a __________ cause of pelvic pain.”

A

Genitourinary.

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15
Q

Explain why pain scales are subjective but valuable in assessing pelvic pain.

A

Pain perception varies individually; scales help quantify it.

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16
Q

What are the key components of a detailed pelvic pain history?

A

Onset, duration, severity, menstrual relation, aggravating factors.

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17
Q

Fill in the blank: “The __________ scale is a visual representation used to assess pain severity.”

A

Visual Analog Scale (VAS).

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18
Q

Name three imaging modalities used to investigate pelvic pain.

A

Ultrasound, CT scan, MRI.

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19
Q

Describe the relationship between pain and menstrual cycles in chronic pelvic pain.

A

Pain may be cyclical or non-cyclical.

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20
Q

Fill in the blank: “Diagnostic laparoscopy is particularly useful for identifying __________ and __________.”

A

Endometriosis, adhesions.

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21
Q

Name three pharmacologic therapies for managing pelvic pain.

A

NSAIDs, SSRIs, hormonal suppression.

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22
Q

What are the risks associated with narcotic analgesics in pelvic pain management?

A

Risk of dependence and tolerance.

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23
Q

Fill in the blank: “SSRIs like __________ are used for pelvic pain with psychological components.”

A

Fluoxetine.

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24
Q

Describe the purpose of presacral neurectomy in managing pelvic pain.

A

Interrupts nerve signals to reduce pain.

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25
Q

Name two non-pharmacological therapies for pelvic pain.

A

Acupuncture, physiotherapy.

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26
Q

Fill in the blank: “LUNA stands for __________.”

A

Laparoscopic Uterosacral Nerve Ablation.

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27
Q

What is the prevalence of chronic pelvic pain among women aged 18–50 years?

A

15–20%.

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28
Q

Explain the significance of treating multiple components of pain.

A

Addresses psychological, physical, and hormonal factors.

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29
Q

Name two hormonal therapies used to manage pelvic pain.

A

OCPs, DMPA.

30
Q

Fill in the blank: “__________ therapy uses acupuncture and nerve blocks for pain relief.”

A

Anaesthetic.

31
Q

What are two surgical interventions for endometriosis in pelvic pain?

A

Lysis of adhesions, ablation of endometriosis.

32
Q

Describe the impact of childhood abuse on chronic pelvic pain.

A

Increases sensitivity to pain due to trauma.

33
Q

Fill in the blank: “Pelvic pain accounts for __________% of gynecological visits.”

A

10–30%.

34
Q

What is the role of NSAIDs in pelvic pain management?

A

Reduces inflammation and pain.

35
Q

Explain why dyspareunia is a significant symptom in chronic pelvic pain.

A

Indicates pain during intercourse.

36
Q

Name two psychological disorders associated with pelvic pain.

A

Anxiety, personality disorders.

37
Q

Fill in the blank: “Pelvic congestion syndrome is a __________ cause of pelvic pain.”

A

Gynecologic.

38
Q

What is the difference between visual analog scales and categorical pain scales?

A

Visual analog scales are graphical; categorical scales use verbal descriptions.

39
Q

Name two laboratory tests essential in evaluating pelvic pain.

A

Urinalysis, FBC.

40
Q

Fill in the blank: “Hysterectomy combined with __________ is a surgical option for severe pelvic pain.”

A

BSO.

41
Q

What is the goal of uterine suspension in chronic pelvic pain management?

A

Corrects uterine position to reduce pain.

42
Q

Describe how interstitial cystitis contributes to chronic pelvic pain.

A

Causes bladder pain and urinary symptoms.

43
Q

Fill in the blank: “Adhesions are responsible for __________% of chronic pelvic pain cases.”

A

0.25

44
Q

Why is fibromyalgia considered a neuromuscular cause of pelvic pain?

A

Chronic musculoskeletal pain affects pelvic structures.

45
Q

What are the benefits of physiotherapy in managing pelvic pain?

A

Improves mobility, reduces pain.

46
Q

Fill in the blank: “Pain during daily activities is a hallmark of __________ pelvic pain.”

A

Chronic.

47
Q

Name two complications of untreated pelvic pain.

A

Functional disability, psychological distress.

48
Q

What is the significance of the Brief Pain Inventory in pelvic pain assessment?

A

Tracks pain severity and impact on daily life.

49
Q

Fill in the blank: “Anxiety and depression are common in patients with __________ pelvic pain.”

A

Chronic.

50
Q

Describe the function of diagnostic laparoscopy in unexplained pelvic pain.

A

Identifies internal abnormalities not seen on imaging.

51
Q

What percentage of chronic pelvic pain cases have no apparent pathology?

A

0.33

52
Q

Name two genitourinary causes of chronic pelvic pain.

A

Chronic urinary retention, interstitial cystitis.

53
Q

Fill in the blank: “Pain related to menstrual cycles is described as __________ pelvic pain.”

A

Cyclical.

54
Q

What is the significance of a detailed abdominal exam in pelvic pain evaluation?

A

Detects tenderness, masses, or abnormalities.

55
Q

Name two types of analgesics used in pelvic pain management.

A

Acetaminophen, NSAIDs.

56
Q

Fill in the blank: “Myofascial pain syndrome is a __________ cause of pelvic pain.”

A

Neuromuscular.

57
Q

Why is a multidisciplinary approach crucial in pelvic pain management?

A

Combines expertise for comprehensive care.

58
Q

What is the role of SSRIs in managing chronic pelvic pain?

A

Addresses pain linked to depression or anxiety.

59
Q

Fill in the blank: “Acute pelvic pain is usually __________ once the underlying cause is treated.”

A

Resolved.

60
Q

What percentage of laparoscopies are performed due to chronic pelvic pain?

A

0.3

61
Q

Describe the effect of adhesions on chronic pelvic pain.

A

Restricts organ movement, causing pain.

62
Q

Fill in the blank: “Neuropathic components of pain are often treated with __________.”

A

Antiepileptics.

63
Q

Name three reproductive causes of chronic pelvic pain.

A

Endometriosis, adhesions, adenomyosis.

64
Q

Why is hormonal suppression therapy effective in chronic pelvic pain?

A

Suppresses ovulation, reduces inflammation.

65
Q

Fill in the blank: “The prevalence of chronic pelvic pain in women aged 18–50 years is __________ to __________%.”

A

15–20%.

66
Q

Describe the role of trauma history in assessing chronic pelvic pain.

A

Reveals links between trauma and pain perception.

67
Q

What is the significance of uterine retroversion in pelvic pain?

A

Alters pelvic organ positioning.

68
Q

Fill in the blank: “Irritable bowel syndrome is a __________ cause of pelvic pain.”

A

Gastrointestinal.

69
Q

Explain the purpose of trigger point injections in pelvic pain therapy.

A

Relieves localized muscle spasms.

70
Q

Fill in the blank: “Endometriosis accounts for __________% of laparoscopic findings in pelvic pain cases.”

A

0.33

Obstetric And Gynecology (26 decks)

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