Polycystic Ovary Syndrome, Endometriosis and Chronic Pelvic Pain

Question 1

What is the percentage of women affected by PCOS?

Select one:

a. 3-5%
b. 5-10%
c. 10-15%
d. 15-20%

Answer 1

b. 5-10%

Question 2

What are the typical initial symptoms that a client would come to the office for?

Select one:

a. Obesity, hirsutism, pregnancy
b. Acne, heart attack, high cholesterol
c. Menstrual abnormalities, hirsutism, acne and infertility
d. Edema, bloating, gas and indigestion

Answer 2

c. Menstrual abnormalities, hirsutism, acne and infertility

Question 3

Women with PCOS are also at a greater risk for the development of:

Select one:

a. neurological disease
b. cancer, diabetes, and coronary artery disease
c. gout and autoimmune conditions
d. Alzheimer’s disease and Parkinson’s disease

Answer 3

b. cancer, diabetes, and coronary artery disease

Question 4

Women with PCOS often have higher than normal range ___________________.

Select one:

a. testosterone
b. estrogen
c. progesterone
d. estradiol

Answer 4

a. testosterone

Question 5

PCOS women often have ___________________________ as the most common co-morbidity and may be completely independent of obesity.

Select one:

a. hyperthyroid
b. hyperadrenal
c. insulin resistance
d. Alzheimer’s

Answer 5

c. insulin resistance

Question 6

_______________ stimulates the release of insulin growth factor-1 (IGF-1) that then contributes to the development of hypertension by causing vascular smooth muscle hypertrophy.

Select one:

a. Hypoinsulinemia
b. Hyperinsulinemia
c. Congestive heart failure
d. Dysglycemia

Answer 6

b. Hyperinsulinemia

Question 7

A pregnant woman with PCOS is at a 10-fold risk for developing ____________.

Select one:

a. preeclampisa
b. pre-term Labor
c. gestational diabetes
d. nutrient deficiency

Answer 7

c. gestational diabetes

Question 8

What is the gold standard test for PCOS in regards to blood glucose imbalances?

Select one:

a. Cholesterol Panel
b. HbA1c
c. Thyroid panel
d. 2-hour glucose tolerance test

Answer 8

d. 2-hour glucose tolerance test

Question 9

________________ is the most commonly prescribed pharmaceutical for PCOS to help with metabolic syndrome and possibly hirsutism.

Select one:

a. Birth control pill
b. Metformin
c. TZD’s
d. Insulin

Answer 9

b. Metformin

Question 10

________________________ are a class of insulin-sensitizing drugs that have shown positive effects in cardiovascular health, a reduction of androgen production and hirsutism as well as improvements in the menstrual cycle.

Select one:

a. Birth control pill
b. Metformin
c. TZD’s
d. Insulin

Answer 10

c. TZD’s

Question 11

The main class of pharmaceutical treatment for PCOS has been ________________ as they are able to regulate unpredictable menstrual cycles and increase SHBG.

Select one:

a. Birth control pill
b. Metformin
c. TZD’s
d. Insulin

Answer 11

a. Birth control pill

Question 12

___________________ is an insulin sensitizing drug that enhances glucose metabolism, decreases cardiovascular risk and may benefit some forms of depression by metabolizing insulin and decreasing total cholesterol and LDL

Select one:

a. Chromium
b. Cinnamon
c. Ginseng
d. Alpha-Lipoic Acid

Answer 12

a. Chromium

Question 13

______________ stimulates glucose uptake and synthesis by fat cells which in turn lowers glucose and insulin levels, lowers blood pressure and improves abnormal lipid profiles.

Select one:

a. Chromium
b. Cinnamon
c. Ginseng
d. Alpha-Lipoic Acid

Answer 13

b. Cinnamon

Question 14

_______________________ may improve glucose tolerance at about a 3-g dosage, but the studies are lacking in determining which part of the plant produces this result.

Select one:

a. Chromium
b. Cinnamon
c. Ginseng
d. Alpha-Lipoic Acid

Answer 14

c. Ginseng

Question 15

___________________________ is an antioxidant that improves glucose transport within the skeletal muscles, which can reduce insulin resistance and oxidative stress.

Select one:

a. Chromium
b. Cinnamon
c. Ginseng
d. Alpha-Lipoic Acid

Answer 15

d. Alpha-Lipoic Acid

Question 16

Women with PCOS often have higher ___________________, which presents as diastolic hypertension from enhanced adrenal function.

Select one:

a. sympathetic nervous tone
b. central nervous tone
c. parasympathetic nervous tone
d. simplistic nervous tone

Answer 16

a. sympathetic nervous tone

Question 17

Why is endometriosis difficult to diagnosis?

Select one:

a. Not enough women present with the same symptoms
b. Poor correlation between the degree of symptoms and the extent of the disease
c. It looks like many other conditions
d. Most women think it’s normal to have that severe of cramping at their period

Answer 17

b. Poor correlation between the degree of symptoms and the extent of the disease

Question 18

Endometriosis is defined as:

Select one:

a. the presence of ectopic implants of endometrial glands and stroma outside of the uterus
b. the presence of ectopic implants of endometrial glands and storma inside the uterus
c. heavy menstrual bleeding and cramps at least once a month
d. excess estrogen driving the cycle to be longer than 28 days

Answer 18

a. the presence of ectopic implants of endometrial glands and stroma outside of the uterus

Question 19

The MOST common location of endometriosis includes:

Select one:

a. the intestinal wall
b. the stomach
c. the pelvic peritoneal surfaces and the external surfaces of the ovary, fallopian tubes and uterus
d. the space between the uterus and the bladder

Answer 19

c. the pelvic peritoneal surfaces and the external surfaces of the ovary, fallopian tubes and uterus

Question 20

Endometriosis is more likely in women with other conditions such as:

Select one:

a. lupus
b. cancer
c. leukemia
d. hypothyroidism

Answer 20

d. hypothyroidism

Question 21

What is the MOST common presenting symptom of endometriosis?

Select one:

a. Cyclic severe dysmenorrhea
b. Inflammatory bowel disease
c. Urinary tract infections
d. Amenorrhea

Answer 21

a. Cyclic severe dysmenorrhea

Question 22

What is the gold standard of diagnosis for endometriosis?

Select one:

a. Pelvic exam
b. Laparoscopy
c. MRI
d. Endoscopy

Answer 22

b. Laparoscopy

Question 23

What are the two front line traditional treatments that are offered by doctors for the treatment or management of endometriosis?

Select one:

a. Metformin and oral contraceptives
b. NSAIDs and ibuprofen
c. NSAIDs and oral progestins
d. NSAIDs and metformin

Answer 23

c. NSAIDs and oral progestins

Question 24

What is the front-line defense for the alternative treatment of endometriosis?

Select one:

a. Mirena IUD
b. Anti-inflammatory diet
c. Chaste tree
d. High carbohydrate diet

Answer 24

b. Anti-inflammatory diet

Question 25

Chronic Pelvic Pain (CPP) is a common complaint of many women. What is one area that should be checked that a traditional gynecologist may not think of during the examination?

Select one:

a. Pelvic exam
b. Blood pressure since high blood pressure could be contributing to a forced flow of blood the pelvic area
c. Meridian alignment
d. Psychological health as in past or present physical, emotional or sexual abuse

Answer 25

d. Psychological health as in past or present physical, emotional or sexual abuse

Question 26

CPP may also be a result of:

Select one:

a. fascia tension
b. visceral dysfunction
c. psychological health
d. all of the above

Answer 26

d. all of the above

Question 27

Of the different etiologies of CPP, only ________ is actually physical or musculoskeletal.

Select one:

a. 22%
b. 32%
c. 42%
d. 52%

Answer 27

a. 22%

Question 28

Chronic Pelvic Pain (CPP) can stem from deeply rooted endometriosis. According to the study by Marziali, et al., what is one dietary strategy that may help in relieving the inflammation?

Select one:

a. Dairy free
b. Vegan
c. Gluten free
d. Low vegetable consumption

Answer 28

c. Gluten free

Question 29

According to Porpora, et al., ____________ should be suspected in those with chronic pelvic pain.

Select one:

a. Rheumatoid Arthritis
b. Celiac disease
c. Alcoholism
d. PTSD

Answer 29

b. Celiac disease