Quiz 5. Menstrual disorders and menopause.

Question 1

lack of menstruation and cyclical pain indicative of?

Answer 1

outflow tract obstruction

e.g. imperforate hymen

Question 2

turners syndrome signs

Answer 2

short stature
lack of secondary characteristics
elevated FSH as lack of response from gonad

Question 3

classifications of abnormal uterine bleeding

Answer 3

PALM COEIN

structural etiologies: 
polyp, 
adenomyosis,
leiomyoma, 
malignancy 
hyperplasia

nonstructural etiologies:
coagulopathy
ovulatory dysfunction (e.g. hypothyroid)
endometrial
iatrogenic
not otherwise classified

Question 4

endometriosis presentation

Answer 4

dysmenorrhea
dyspareunia
infertility

Question 5

what is considered regular

Answer 5

each cycle within 3 days of the other

Question 6

what is considered frequent

Answer 6

less than every 24 days

Question 7

irregular periods definition

Answer 7

metrorrhagia

Question 8

infrequent periods definition

Answer 8

oligomenorrhoea

Question 9

why are menopausal women ph>4.5

Answer 9

less glycogen production due to less oestrogen

less lactobacilli which usually metabolise the glycogrn

Question 10

what is NOT a risk of taking oestrogen and progesterone HRT

Answer 10

endometrial cancer

only a risk in oestrogen only HRT in women who haven’t had hysterectomy