CH. 6 and 7 : notes

Question 1

Clinical symptom for variety of disorders

Can be result of ant-pituitary disorder, endocrine disorders diabetes), drug use, anatomic abnormalities, Hysterectomy

Answer 1

Amenorrhea

Question 2

Increasing nutritional intake and decreasing intensity of exercise may increase nutritional balance and help with

Answer 2

amenorrhea management

Question 3

NSAIDS’s start 2-3 days before menses begins for

Answer 3

primary dysmenorrhea

Question 4

OCP’s which decrease menstrual flow thus decrease amount of prostaglandin release can be used to rx

Answer 4

dysmenorrhea

Question 5

Women often have other symptoms that may suggest an underlying cause.
Pelvic pathology may include PID, polyps and endometriosis
Pain often characterized by low dull abdominal aches that radiate to back and or thighs

Answer 5

secondary dysmenorrhea

Question 6

Endometrial tissue responds to cyclic hormonal stimulation both in and outside of the uterus causing what

Answer 6

endometriosis

Question 7

During the proliferation and secretory phases the tissues grows, then bleeds, then has as inflammatory response and adhesions form on various areas. Infertility may be an issues resulting from adhesions.

Answer 7

endometriosis

Question 8

Drug therapy : includes NSAID’s for pain. OCP’s may be used to treat in order to shrink tissue-however when woman goes off the pill pain returns

Answer 8

endometriosis

Question 9

GNRH agonist therapy(Leuprolide and Naferelin (Synarel) may be used this decreases FSH and LH stimulation to the ovary and woman has less pain -women often experience menopause symptoms that take these medications for what

Answer 9

endometriosis

Question 10

Common sites for endometriosis to develop

Answer 10

ovaries, uterine ligaments colon, pelvic peritoneum

Question 11

Oligomenorrhea (infrequent menstrual periods) may be caused by a hypothalamic pituitary or ovarian problem, can also be a normal part of early menstruation and a sign of menopause may be treated with

Answer 11

hormones

Question 12

Metrorrhagia (abnormal bleeding) may be caused by

Answer 12

OCP’s, foreign body, trauma, IUD, Polyps, tumor, STI or other infection

Question 13

Menorrhagia excessive bleeding may be caused by fibroids or myomas (leiomyomata). Cauese may be

Answer 13

hormones, pregnancy loss, misscarriage, tumors, fibroids, infections,

Question 14

Untreated infections lead to PID or acute salpingitis, increased risk of ectopic pregnancies and infertitlity, PID most serious complication of

Answer 14

Chlamydia

Question 15

Drug therapy is usually doxycycline or azithromycin single dose used with issues with compliance or Treatment is antibiotics –ceftriaxone over time for what

Answer 15

chlamydia

Question 16

occurs 6 weeks to 6 months , rash develops on palms and soles ,condyloma (genital warts) on vulva, perineum and anus. Person develops fever, headache and general malaise. If left untreated neurological problems can develop

Answer 16

Secondary syphilis

Question 17

Tests are VDRL and RPR
Venereal disease research laboratories
Rapid Plasma reagin
Penicillin dose depends upon stage of disease
PARTNER MUST BE TREATED
Long term follow up to ensure absence of all symptoms

Answer 17

syphilis

Question 18

Sub acute may be cramping, intermittent abdominal pain
Acute may be persistent pain, vaginal discharge, n/v
Chronic may be constant and worsening pain, chills, fever, n/v, discharge, UTI s and s, and bleeding

Answer 18

PID

Question 19

Daily use of valtrex has been shown to decrease sexual transmission

Answer 19

HSV

Question 20

For example, when the normal, protective bacteria are eradicated by antibiotics (taken to treat a urinary tract, respiratory, or other types of infection) or by immunosuppressive drugs, the yeast can multiply, invade tissues, and cause irritation of the lining of the vagina (vaginitis).

Answer 20

VVC

Question 21

PCN drug of choice

Answer 21

Group B streptococci

Question 22

Prevention of mother-to-newborn HIV transmission is most effective when the woman receives antiretroviral drugs when

Answer 22

during pregnancy and labor and birth, and the infant receives the drugs after birth.

Question 23

HPV is the most common viral

Answer 23

STI

Question 24

Chlamydia is the most common STI in women in the United States and the most common cause of

Answer 24

PID