Complex Reproductive Health-Women's Health Issues
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| the proliferation phase is a period of | rapid growth
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| which phase involves edematous, vascular functional endometrium | secretory
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| during which phase is the blood supply blocked to the endometrium | ischemic
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| in what phase do PMS symptoms occur | luteal phase
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| when does the luteal phase take place | just before menses
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| what are the respiratory symptoms of PMS | runny nose, hoarseness and flare ups of asthma
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| in order to receive a dx of PMS symptoms must occur and resolve when | occur in luteal phase and resolve within a few days of the start of menses
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| PMS has a symptom free period beginning in what phase | follicular
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| which phase occurs before ovulation? | follicular
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| which phase occurs after ovulation? | luteal
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| long-term OCP use and smoking are risk factors for what type of cancer | cervical
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| the treatment of cervical abnormalities depends on what | stage
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| what are the goals of management of cervical CA | exlcude presense of invasive CA, determine extent and stage and treat
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| a colposcopy is performed for | visualization and biopsy
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| endocervical curettage is for | cell sampling and evaluation
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| loop electrosurgical excision is | common
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| conization causes what | sloughing of cervix
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| when is conization used | when lesions are large
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| what is the most common female genital tract cancer | endometrial cancer
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| what is the rate of cure for endometrial cancer | high
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| in what group of women does endometrial cancer occur in more often | postmenopausal women
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| what is the key diagnostic used to diagnose endometrial cancer | endometrial biopsy
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| what type of procedure is performed to stage endometrial cancer | exploratory lap
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| what procedure includes uterine tissue biopsy and lymph node biopsy when endometrial cancer is present | exploratory lap
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| what type of meds are used to treat endometrial polyps | GnRH agonists
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| what are the four phases of the endometrial cycle | mentrual, proliferation, secretory and ischemic
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| during what phase does menses begin | ischemic
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| during what phase is the endometrium shedding | menstrual
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| during what phase is the endometrium edematous, vascular and functional | secretory
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| what phase is observed for in the billings method | proliferation
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| an increase in estrogen has what affect on vaginal mucus | thin and increased
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| what is the mucus called during the proliferation phase | spinnbarket
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| what is the only definitive diagnostic procedure for cervix or endocervical cancer | tissue biopsy
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| antenatal DES exposure or a history of dysplasia increases a womans risk for what type of cancer | cervical
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| what is dysplasia | abnormal cells
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| what is the treatment for Stage I cervical cancer | TAH and BSO
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| stage II involves what | lymph nodes
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| stage III or IV indicates what | cancer is extrauterine
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| what is the standard treatment for stage III or IV cervical cancer | surgery plus pelvic radiation and hormone therapy with progestins or chemo
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| a mass in the ovaries, fallopian tubes, broad ligament, bowel or uterus | adnexal mass
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| asymptomatic or fullness, cramping, dysparenunia, irregular bleeding or delayed menses | symptoms of ovarian mass
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| vague abdominal swelling, heaviness, bloating, pelvic pressure, mild constipation, increased abdominal girth | symptoms of ovarian cancer
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| does an ovarian mass always produce symptoms | no
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| bloating, mild constipation, increased abdominal girth are all symptoms of possible | ovarian cancer
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| pressure, swelling and heaviness could indicate | ovarian cancer
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| ovarian cancer symptoms are very | vague
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| what may coexist with carcinoma of the endometrium | polyps
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| what is the treatment of endometrial polyps | curettage or hysteroscopy and removal
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| the majority of fibroid tumors shrink how and when | by menopause with no treatment
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| what is the percentage of women with fibroid tumors by 40 years of age | 20-50%
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| fibroid tumors are | smooth muscle cells present in whorls
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| what is the recommended tx for a healthy non smoking woman experiencing perimenopause | OCP
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| menopause is the time when | menses ceases
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| for how long does menses have to be absent for menopause to be confirmed | 1-2 years
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| can a woman still get pregnant when she is menopausal | yes
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| estrogen levels in menopaus are | lower
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| FSH levels in menopause are | higher
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| endometriosis is the | presence and growth of endometrial tissue outside of the uterus
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| endometriosis grows during what phases | proliferatory and secretory
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| what is the order of the phases | menses -> proliferation -> secretory -> ischemic
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| lap surgery with laser removal of endometrial tissue improves what | fertility
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| is laser removal of endometrial tissue a cure? | no
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| when do endometrial tissues bleed | during or after menses
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| what medication prescribed for endometriosis is a steroid | danazol
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| what medication prescribed for endometriosis affects cholesterol levels | danazol
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| how long will danazol be prescribed | 3-6 months
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| what GnRH agonist is prescribed for treatment of endometriosis | lupron
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| which medication stops ovulation: danazol or lupron | danazol
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| which medication can cause masculine symptoms | danazol
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| how long will a patient be on lupron? | 6 months
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| besides danazol and lupron what other medication is often prescribed for endometriosis | OCP
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| which tx has fewer side effects: lupron, danazol or OCP | OCP
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| what causes infertility in endometriosis | blockage of tubes
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| what does endometrial tissue include | glands and a stoma
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| could the inguinal and colon be affected by endometriosis | yes
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| what ethnic group is most affected by endometriosis | equal across all groups
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| is pain experienced in all women with endometriosis | no
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| if pain is present when would it be most likely | during intercourse, exercise
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| pain when stooling, heaviness in the pelvic region and pain in the thighs is most likely a symptom of | endometriosis
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| what affect does suppression of estrogen have on endometriosis | stops tissue growth
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