Quiz
Abnormal Uterine Bleeding/ Amenorrhea/ Hyperandrogenic Disorders
This quiz has question types that open in the usual player.
Questions in this quiz (18)
1The normal cycle length is [blank_start]21 to 35 days[blank_end]. The normal length of menstrual flow is [blank_start]2 to 7 days[blank_end]. The normal amount of menstrual blood loss is [blank_start]20 - 60 ml[blank_end].
- A21 to 35 days
- B20 to 30 days
- C21 to 30
- D18 to 35
- E2 to 8 days
- F1 to 8 days
- G3 to 9 days
- H4 to 7 days
- I20 - 80 ml
- J10 - 90 ml
- K20 - 40 ml
- L10 - 100 ml
2Abnormal uterine bleeding is defined as any of the following except
- Afrequency of menses
- Bduration of flow
- Camount of blood loss
- Dpain with menstruation
- Ebleeding between periods
3Broad classifications of Abnormal Uterine Bleeding include Ovulatory and Anovulatory. Accurate terminology includes the following terms: check all that apply
- Aacute uterine bleeding
- Bmenorrhagia
- Cheavy menstrual bleeding
- Dpolymenorrhea
- Eprolonged menstrual bleeding
- Foligomenorrhea
- Gmenometrorhagia
4All of the following complaints may be classified as Abnormal Uterine Bleeding except:
- A16 yo dancer who is concerned because she only gets her period every 60 days
- B49 yo who reports reports heavy uterine bleeding and that her last period before this episode was 18 months ago
- C25 year old who complains that she has spotting requiring the use of a light pad usually for 1-2 days between periods most months
- D29 yo who has severe cramps with regular menstrual cycle and menses lasting for 9 days each month
5When the etiology of AUB is structural, the most common cause is
- Apolyps
- Bfibroids
- Cectopic pregnancy
- Dtraumatic injury
6Choose all of the risk factors for endometrial cancer:
- AAge > 35
- Banovulation
- CPCOS
- Dfamily hx of endometrial cancer
- Egrandmultiparity
- Fnew onset of heavy, irregular bleeding, particularly after menopause
- GBMI <25
- Htamoxifen
7In the PALM-COEIN classification, PALM stands for:
- APolymenorrhea, amenorrhea, Leukorrhea, and Metrorrhagia
- BPolymenorrhea, amenorrhea, Leukorrhea, and Menorrhagia
- CPolyps, Adenomyosis, Leiomyoma, Malignant and Premalignant
- DPolyps, Adenomyosis, Leiomyoma, Menorrhagia
8In the PALM-COEIN classification, COIEN stands for:
- ACoagulapathy, Ovulatory dysfunction, Endometrial, Iatrogenic, Not classified
- BCoagulapathy, Ovulatory dysfunction, Endometrial, Immunologic, Neoplasia
- CCoagulapathy, Ovulatory dysfunction, Endemic, Iatrogenic, Neoplasia
- DCoagulapathy, Ovulatory dysfunction, Endometrial, Immunologic, Not classified
9AUB that is ovulatory is likely the result of endocrine process in which estrogen is stimulating endometrial growth without progesterone opposition, then is sloughed only once the endometrium outgrows its blood supply/loses nutrients.
- ATrue
- BFalse
10A 41 yo female presents with a complaint of heavy but regular periods occuring at her usual 29-30 intervals. She states that her last period was very heavy and lasted for 8 days. She has had no problems with abdominal pain, menstrual cramping or pain with sex. She does occasionally feel some pressure in her pubic area. Expected pelvic examination findings with this client would include:
- Adiffusely enlarged uterus
- Birregularly enlarged uterus
- Cfixed retroverted uterus
- Dprolapsed uterus
11You have prescribed your patient the first line therapy for her AUB, you tell her that you are prescribing
- Acontinuous COCs and that it can take up to 3 months to be effective.
- BCyclic COCs and that she should results after 1 month treatment.
- CNSAIDS which will help reverse the prostglandin imbalance and be effective within the first 12 hours.
- DEstrogen therapy to calm the hyperactive growth of her uterine lining.
12Progestins are the first line of treatment for an acute bleeding episode due to a denuded endometrium because it will stimulate the synthesis of PgF2 alpha which is vasoconstrictive.
- ATrue
- BFalse
13A woman brings her daughter in to see you because she is not menstruating. You would evaluate her for all of the following except:
- Aprimary amenorrhea because she is 16 years, 7 months old and has never menstruated
- Bprimary amenorrhea because she is 14, has no breast budding, no pubic and has never menstruated
- Cnothing because she is a 17 year old with previous regular periods, but they stopped after joining cross country team six months ago. this is secondary amenorrhea and you know that this is not uncommon for athletes
- Dnothing because she is a 17 year old and had regular periods, but she started taking depo and her periods stopped. Secondary amenorrhea is a normal side effect of depo.
14You suspect that your patient's AUB is annovulatory so you order _________ to confirm the diagnosis.
- Aserum progesterone on day 1 of her cycle
- Bserum progesterone on day 22 of her cycle
- Cprolactin
- Dquantitative serum hCG
15The following pts present for AUB. Match their complaints with the supplemental labs you would order:
[blank_start]TSH[blank_end] - hair loss, cold intolerance
[blank_start]Prolactin[blank_end] - headaches and peripheral vision changes
[blank_start]PTT/PT[blank_end] - easy bruising, heavy periods
[blank_start]Progesterone[blank_end] - irregular bleeding- AProlactin
- BTSH
- CProgesterone
- DPTT/PT
16A client comes in asking more about GnRH agonists, you could tell her all of the following except:
- AThey are appropriate for short term use while a woman is awaiting surgical treatment for her heavy bleeding.
- BThey should not be used long term because of menopausal side effects including negative impact on bone density
- CThey are a first line therapy for women who are anemic
- DThere is an estridiol "flare" that occurs around day 5, accompanied by heavy bleeding that lasts for several days.
17In evaluating a client for primary amenorrhea, you administer a progesterone challenge test. Check off all the following things that are true for this test
- AYou administer micronized progesterone 400mg daily X10 days, medroxyprogesterone acetate 5-10mg daily for 5-10 days, or progesterone in oil 200mg IM
- BIf the challenge is positive, should should observe a withdrawal bleed while taking the progesterone.
- CIf the challenge is positive, it confirms that the client has functioning ovaries which produce enough circulating endogenous estrogen
- DIf the challenge is positive, it confirms rules out an obstruction of the genital tract
- EIf the challenge is negative, it confirms exercise induced annovulation.
18The Rotterdam PCOS Consensus Group requires 2 of the following 3 criteria to diagnose PCOS EXCEPT:
- Aoligo- or annovulation
- BClinical and/or biochemical signs of hyperandrogenism
- Cpolycystic ovaries
- Dexclusion of other androgen excess or related disorders
Information
- Description
- bleeding/endocrine disorders
- Author
- Mary L
- Language
- English
- Views
- 121
- Tags
- Rating
- No ratings yet Rate this quiz