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PHARMACY PRACTICE II > MENSTRUAL CYCLE > Flashcards

MENSTRUAL CYCLE Flashcards

1
Q

Regulation of menstrual cycle

A

Hypothalamus
Pituitary glands
Ovaries
Uterus

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2
Q

Mean age of menarche in ghana

A

12.7 years

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3
Q

Mean age of menopause

A

48 +-3 years

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4
Q

Mean duration of the menstrual cycle

A

Mean 28 days +- 7days
Range 21-35 days

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4
Q

Average duration of normal menses:

A

3-7 days

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4
Q

Average blood loss over the period is about

A

30-80 mls

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5
Q

Ovulation usually occurs

A

day 14 before next menses

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6
Q

Follicular phase duration

A

Day 1-14 of a 28 day cycle

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6
Q

Normal menses can delay up to

A

10 days

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6
Q

What happens during the follicular phase

A

Follicles develop in ovaries
Proliferative growth of the endometrium
Ovulation or release of ovum occurs

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6
Q

Duration of luteal phase

A

days 14 to 28 of a 28-day cycle)

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6
Q

Phases of menstrual cycle

A

Follicular/Proliferative
Luteal or postovulatory phase

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6
Q

Menstrual irregularities

A

Abnormal duration of flow
Abnormal frequency of the cycle
Spotting
Amenorrhea
Ovulatory bleeding

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6
Q

What happens during the luteal phase

A

Secretory changes occur in the endometrium

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6
Q

Types of abnormal uterine bleeding

A

Prepubertal
Peripubertal
Reproductive age
Postmenopausal bleeding

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6
Q

Amenorrhea

A

absence of menses

6
Q

Spotting

A

bleeding unrelated to menses

6
Q

Differential of abnormal uterine bleeding

A

Medications
Systemic Disease
Infection
Trauma
Complications of Pregnancy
Benign Pelvic Pathology
Neoplasm

7
Q

Medications that cause abnormal uterine bleeding

A

Anticoagulants
Antipsychotics
Corticosteroids
Herbal
Hormone replacement
Intrauterine devices
OCP
SSRIs
Tamoxifen
Thyroid hormone replacement

7
Q

Complications of pregnancy that cause abnormal uterine bleeding

A

Intrauterine pregnancy
Ectopic pregnancy
Spontaneous abortion
Gestational trophoblastic disease
Placenta previa

7
Q

Supplements that cause abnormal uterine bleeding

A

ginseng, soy

7
Q

Infections that cause abnormal uterine bleeding

A

Cervicitis
Endometritis
Myometritis
Salpingitis

7
Q

Traumas that cause abnormal uterine bleeding

A

Laceration
Abrasion
Foreign body
Sexual Abuse/ Assault

7
Q

Benign pelvic pathologies that cause abnormal uterine bleeding

A

Cervical polyp
Endometrial polyp
Leiomyoma
Adenomyosis

PHARMACY PRACTICE II (17 decks)

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