Test 2 - Female Health

Question 1

re-occurrence of a variety of unpleasant symptoms during the premenstrual period and the absence of those symptoms in the post-menstrual period.

Answer 1

premenstrual syndrome (PMS)

Question 2

3 categories women suffering from PMS fall into

Answer 2

Symptoms begin at ovulation with the clearing of symptoms for 3-4 days followed by another rise in symptoms

Those that have severe symptoms with the onset of ovulation and continue without remission until menstruation begins

Those in which the symptoms begin 2-3 days before the period commences

Question 3

Women who get headaches from taking oral contraceptives usually have or will have ___

Answer 3

PMS

Question 4

78% of women who have ____ during pregnancy will develop PMS—rises 100% after four such
gestations -> feel their best while pregnant—rapid surge of progesterone.

Answer 4

eclampsia

Question 5

Symptoms occur 7-10 days prior and are relieved when _____ begins

Answer 5

menstrual flow

Question 6

pt symptoms with PMS

Answer 6

Inability to concentrate, depression, irritability, anxiety, mood swings, anger, aggressive behavior, acne,
herpes recurrence, backache, edema, food cravings, weight gain, increased susceptibility to infection

Question 7

Treatment

Answer 7

management focuses on diet, exercise, relaxation and stress management

Question 8

this aids in balancing the estrogen levels and helps rejuvenate the
adrenal glands

Answer 8

Glycyrrhiza glabra (5% glycyrrhizin)

Question 9

150 mg to balance gonadotropins

Answer 9

Ovarian glandular

Question 10

Inhibits the inflammatory mediators such as the leukotrienes,
thromboxanes and prostaglandins -> It is quite effective as an anti-spasmodic, anti-inflammatory and
anti-vasoconstrictive.

Answer 10

Eleutherococcus senticosis

Question 11

severe form of PMS: Affects 2-10% of reproductive aged women

Answer 11

Premenstrual dysmorphic disorder (PMDD)

Question 12

is classified as a depressive disorder with emphasis on emotional and cognitive behavioral symptoms.

Answer 12

Premenstrual dysmorphic disorder (PMDD)

Question 13

Symptoms: Throbbing or cramping pain in the lower abdomen—may be intense, Dull,
constant ache, Pain may radiate to the low back and thighs

Answer 13

Menstrual cramps

Question 14

Treatment of menstrual cramps

Answer 14

Consider heating pads, warm baths, acupuncture/acupressure, TENS unit and pinus pinaster

Question 15

persistent pelvic pain for 6 months or more is considered to be chronic and it is one of the most common reasons women seek care in primary care practice.

Answer 15

Chronic pelvic pain

Question 16

Three subgroups of chronic pelvic pain

Answer 16

Women in their early twenties with a hx of childhood sexual assault and an onset of pain after the beginning of sexual activity

Women in their forties with a history of significant sexual assault and the onset of pain during social stress

Women between the ages of thirty and sixty for when the somatization of symptoms is a meaning of coping.

Question 17

associated with pelvic pain in women with multiple post-gestational pregnancies.

Answer 17

Pelvic congestion syndrome

Question 18

T/F: Suffering with chronic pelvic pain were more likely to have a history of physical, sexual and drug abuse, unemployment and various mental health disorders.

Answer 18

TRUE