OBGYN_Menstrual Disorders Flashcards
(38 cards)
What are the usual hormone changes in PCO syndrome?
A) increased
B) decreased
C) no change
A) increased
Which are the characteristic symptoms of the adenomyosis?
A) dysmenorrhea
B) hypermenorrhea
C) infertility is a main symptom
D) uterine enlargement
E) all of the symptoms are characteristic
F) only A) and C) are correct
E) all of the symptoms are characteristic
Match the following situatons with the proper reactions.
Missed one day taking the tablet
A) Stop taking the pills, then continue taking them after 7 days
B) Continue taking the pills as usual
C) You have to continue taking the pills and combine it with another contraceptive methode
D) Take 1 more pill
E) Stop taking the pills and medical examination is needed
C) You have to continue taking the pills and combine it with another contraceptive methode
Which are the main symptoms of premenopause?
A) abnormal uterine bleeding
B) anovulatory cycles
C) reduction of fertility, then infertility
D) A), B) and C) are all correct
E) Vulvovaginal atrophy
D) A), B) and C) are all correct
What is the LH:FSH ratio in PCO syndrome?
A) 1:4
B) at least 3:1
C) 1:1
B) at least 3:1
What’s the cause of the raised temperature in the second half of the menstruational period?
A) progesteron increases the metabolism
B) oestrogen increases the metabolism
C) combined effect of progesteron and oestrogen increase the metabolism
D) progesteron stimulates the thermoregulation centre
E) prolactine stimulates the thermoregulation centre
D) progesteron stimulates the thermoregulation centre
What is hypomenorrhoea?
A) period last longer with more bleeding
B) regular, but shorter menstruation with light bleeding
C) period is between 30 and 120 days
D) more than 120 days between two menstruations
E) less then 25 days between two menstruations
B) regular, but shorter menstruation with light bleeding
Which cannot cause dysmenorrhea?
A) endometriosis
B) adenomyosis
C) leiomyoma
D) cervical stenosis
E) long-term combined oral contraceptives
E) long-term combined oral contraceptives
34 Hysteroscopy is suitable for detecting the cause of irregular uteral bleeding in following:
A) Focal lesion of the endometrium
B) developmental failure of the uterus
C) endometrial polyp
D) submucosal leiomyomas
E) All of them
E) All of them
Characteristics of dysmenorrhea, except:
A) The most characteristic symptom is the lower abdomen pain, other symptoms may include nausea and vomiting
B) The main symptom is nausea and vomiting, and the lower abdomen pain is an often co-occuring symptom
C) The symptoms may occur even after the first childbirth
D) The symptoms may occur after the menarche
E) The symptoms occur primarily in the anovulatory cycles
E) The symptoms occur primarily in the anovulatory cycles
What are the usual hormone changes in PCO syndrome?
TSH
A) increased
B) decreased
C) no change
C) no change
Which is the most common cause of secondary amenorrhea?
A) hypothalamo-hypophyseal
B) ovarian
C) uterine
D) vaginal
E) adrenal
A) hypothalamo-hypophyseal
Characteristics of an endometrial polyp, except:
A) benign mass in the inner lining of the uterus
B) can lead to infertility
C) the prevalence increases with age
D) the mass is benign, malignant transformation is not possible
E) can removed by hysteroscopic resection
D) the mass is benign, malignant transformation is not possible
What are the usual hormone changes in PCO syndrome?
Testosterone
A) increased
B) decreased
C) no change
A) increased
What are the usual hormone changes in PCO syndrome?
SHBG
A) increased
B) decreased
C) no change
B) decreased
Which can cause Asherman’s syndrome?
A) infections leading to endometrial sclerosis (e.g. genitalis tuberculosis)
B) ovarian dysfunction
C) destruction of the endometrial basal layer (e.g. after curettage of the uterus)
D) all of them are correct
E) A and C
E) A and C
Match the following situatons with the proper reactions.
Scratching all over the body
A) Stop taking the pills, then continue taking them after 7 days
B) Continue taking the pills as usual
C) You have to continue taking the pills and combine it with another contraceptive methode
D) Take 1 more pill
E) Stop taking the pills and medical examination is needed
E) Stop taking the pills and medical examination is needed
Recommended drugs to treat dysmenorrhea:
A) hormonal contraceptive pills
B) inhibitors of the prostaglandine synthesis
C) terbutalin or phenoterol
D) Diazepam
E) A and B
F) all of them are correct
E) A and B
Which treatment is not recommended in menorrhagia?
A) Combined oral contraceptive pills
B) Intrauterine system that contains progestogen
C) NSAIDs
D) Endometrial resection
E) In case of unsuccessful initial treatment, surgery can be an effective second line treatment
F) Copper intrauterin device (IUD)
F) Copper intrauterin device (IUD)
In case of primer amenorrhea genetical examination has to be done, in order to indentify the disease.
A) both are correct, there is a causal relationship between the two,
B) both are correct, there is no causal relationship between the two,
C) the first is correct, the second is incorrect
D) the first is incorrect , the second is correct
E) both are incorrect
A) both are correct, there is a causal relationship between the two,
Does the GnRH puls frequency change in different parts of the normal menstruational period?
A) higher in follicular phase
B) higher in luteal phase
C) no difference
C) no difference
Characteristics of the normal menstual cycle, except:
A) The typical length of the period is 21 to 35 days
B) The blood loss is no more than 80 ml
C) it may occur more frequent, than 21 days, although the bleeding lasts for 7 days, so the 28-day cycle remains
D) the estimation of the blood loss is subjective, and has a large interpersonal variation
C) it may occur more frequent, than 21 days, although the bleeding lasts for 7 days, so the 28-day cycle remains
Which are the physiological states of amenorrhea?
A) before puberty
B) during pregnancy
C) while breastfeeding
D) after the menopause
E) all of them
E) all of them
What are the usual hormone changes in PCO syndrome?
Androstendion
A) increased
B) decreased
C) no change
A) increased
