PMS occurs with greatest frequency and severity in the:
a. Late luteal phase
b. Midfollicular phase
c. Proliferative phase
d. Early luteal phase - ANSWERS-a. Late luteal phase
24 yo female is dx'd w/primary dysmenorrhea. Which med would be
used as first-line to help control symptoms?
a. Antianxiety meds
b. Progesterone-only contraception
c. Oral steroids
d. NSAIDs - ANSWERS-d. NSAIDs
Which is not a common cause of irregular menstrual bleeding?
a. Endocrine disorders
b. Stress
c. Anovulation
, d. Anatomical abnormality - ANSWERS-c. Anovulation
What is considered the primary etiology of primary dysmenorrhea?
a. Ovarian cysts
b. Prostaglandin production
c. Endometriosis
d. Adenomyosis - ANSWERS-b. Prostaglandin production
28 yo female c/o breast tenderness, fatigue, abd bloating, fluid
retention, irritability 1 wk before her menses onset. What is most
important info to obtain from this pt to determine if the pt has PMS?
a. Severity of symptoms
b. Occurrence of symptoms in menstrual cycle
c. Frequency and number of symptoms over past 4mo
d. How often she craves salty foods and chocolate - ANSWERS-b.
Occurrence of symptoms in menstrual cycle
35 yo woman c/o 6mo h/o hypermenorrhea, backache, pelvic pressure.
On exam, you discover 12wk size uterus w/irregular contour. What
does this represent?
a. Uterine cancer
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