Women's Health

Question 1

If nonpharmacologic management failed with treating dysmenorrhea, what is the next best intervention?

Answer 1

NSAIDS

Question 2

what is the first line non-pharm therapy for PMS/dysmenorrhea?

Answer 2

Heat pack

Question 3

what is the first line therapy for PMDD?

Answer 3

(Premenstural dysphoric disorder) aka SEVERE PMS

SSRI (fluoxetine, sertraline, paroxetine

Question 4

where is the Tail of spence? Why do we assess it?

Answer 4

By the axilla of the armpit.

screen for breast cancer. “tail” part of breast cancer

Question 5

Estrogen replacement therapy would be contraindicated in which patient?

Answer 5

Prior hx of breast cancer

• <21 days postpartum
• Older than 35 + smokes >15 cigs/day, -thromboembolic disorders

Question 6

Patients with polycystic ovarian syndrome probably have elevated levels of

Answer 6

Insulin

Question 7

WHich is not a risk factor of breast cancer?

Answer 7

Low social economical

Question 8

what is most likely to be present if there is bloody discharge from nipples?

Answer 8

Intraductal papilloma (non-malignant) 
Intraductal/lobular carcinoma / Paget's disease of the beath (Malignant)

Question 9

what would you NOT suspect as breast cancer?

Answer 9

Mastoplasia - rope like cyst in the breast tissue (fibrocystic breast disease)