Abnormal Bleeding CPC

Question 1

Average length of menstrual cycle

Answer 1

24-35 days

Question 2

Average length of menses

Answer 2

4-7 days

Question 3

Menstruation refers to priming by ___

Answer 3

estrogen –> thicker lining –> shedding

Question 4

Anovulatory bleeding

Answer 4

unopposed estrogen –> dysnchronous shedding

Question 5

PALM-COEIN

Answer 5

a system to help differential dx of bleeding –> polyp, adenoma, leiomyoma, malignancy/hyperplasia + coagulopathy, ovulatory dysfunciton, endometrial, iatrogenic, not yet classified == structural and then unrelated

Question 6

Causes: structural: uterine bleeding

Answer 6

fibroids, polyps, endomyosis, endometrial hyperplasia, cancer

Question 7

Causes: structural: cervical bleeding

Answer 7

cancer, chronic cervicitis

Question 8

Causes: structural: vaginal bleeding

Answer 8

cancer, vaginitis, hypoestrogenic vaginitis

Question 9

Causes: hormonal: ovarian

Answer 9

PCOS –> unopposed estrogen,

Question 10

Causes: hormonal: hormonal

Answer 10

stromal tumor, granulosa cell tumor, thecoma/androgen tumors, coagulopathies, pregnancy, pituitary tumors