menstrual cycle irreg

Question 1

diagnosis of PCOS made by

Answer 1

2 of 3 factors:
hyperandrogenism
chronic anovulation
polycystic ovaries on US

Question 2

menometrorrhagia

Answer 2

heavy menstrual flow or prolonged duration of flow occurring at irregular intervals

Question 3

menorrhagia

Answer 3

excessive menstrual flow or prolonged duration of flow occurring at regular intervals

Question 4

PE for menstrual cycle irregularity

Answer 4

BMI
thyroid
skin, hair changes (thyroid disease)
breasts-galactorrhea
unexplained bruising, easy bleeding

pelvic exam (urethral, rectal, vag wall, or cervical bleeding?)

signs of infec-cervicitis may predispose to cervical bleeding
Pap smear

bimanual exam-uterus, masses? adnexa?

Question 5

unpredictable bleeding in terms of timing and flow-dysfunctional uterine bleeding-usu implies

Answer 5

abnormality within hypothalamic pituitary ovarian axis

Question 6

dysfunctional uterine bleeding in women younger than 35-what to do?

Answer 6

not at increased risk of endometrial cancer, so tx may be offered w/o workup beyond HPI and PE

Question 7

a common cause of vaginal spotting

Answer 7

endometritis