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DU PA GYN Bleeding Fill In The Blanks

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In each blank, try to type in the word that is missing. If you've typed in the correct word, the blank will turn green.

If your not sure what answer should be entered, press the space bar and the next missing letter will be displayed.

When you are all done, you should look back over all your answers and review the ones in red. These ones in red are the ones which you needed help on.
Question: menstrual pain associated with ovulatory cycles in the absence of findingsAnswer: dysmenorrhea
Question: primary dysmenorrhea usually begins within __ years after menarche and may become more severe with Answer: 2-5
Question: dysmenorrhea affects __% of at sometimeAnswer: 50-75
Question: characteristics of painAnswer: low, midline, wave-like, cramping pain often radiating to the back or inner thighs
Question: pain for which an organic cause existsAnswer: secondary
Question: possible causes of secondary Answer: , pelvic inflammatory disease, submucous myoma, IUD use, cervical stenosis with obstruction, or blind uterine horn (rare)
Question: ovary syndrome is a common cause of chronic __Answer:
Question: __% of patients with polycystic syndrome have amenorrheaAnswer:
Question: __% of with polycystic ovary syndrome have abnormal bleedingAnswer:
Question: __% of patients with polycystic ovary syndrome have menstruationAnswer:
Question: aberrant growth of endometrium outside the uterus, particularly in the dependant of the pelvis and in the ovariesAnswer: endometriosis
Question: the most cause of secondary dysmenorrheaAnswer:
Question: what is the most widely accepted cause of Answer: menstruation
Question: characteristics of Answer: pelvic pain, which may be associated with infertility, dyspareunia, or rectal pain with .
Question: with endometriosis the pain generally occurs __ days before menses and worsens until flow Answer: 2-7
Question: with increasing duration of endometriosis pain may __Answer: continuous
Question: most women with endometriosis have a __ pelvic Answer:
Question: pelvic exam in a woman with may reveal __Answer: tender nodules in the cul-de-sac or septum, uterine retroversion with decreased uterine mobility, cervical motion tenderness, or an adnexal mass or tenderness
Question: the diagnosis of endometriosis is presumptive and is usually confirmed by __Answer:
Question: average age of menarche in the Answer: 12.7
Question: menarche usually occurs the ages of __ yearsAnswer: 11-15
Question: the of menarche to appear is called __Answer: amenorrhea
Question: evaluation is commenced if at age __ menarche nor breast development has occured or if height is in the lowest 3%, or at age __ if menarche has not occuredAnswer: 14,
Question: of primary amenorrheaAnswer: hypothalamic pituitary causes, hyperanderogenism, ovarian , pseudohermaphroditism, uterine causes, and pregnancy
Question: the initial endocrine evaluation of a patient with should include serum determination of Answer: FSH, LH, PRL, testosterone, TSH, FT4, and
Question: absence of menses for 3 consecutive months in who have passed menarcheAnswer: amenorrhea
Question: the terminal episode of naturally menses Answer: menopause
Question: a diagnosis, usually made after 6 months of amenorrheaAnswer:
Question: of secondary amenorrheaAnswer: pregnancy, hypothalamic-pituitary causes, hyperandrogenism, causes, premaure ovarian failure, and menopause
Question: __ is the most common cause for amenorrhea in pre-menopausal womenAnswer: pregnancy
Question: the period of natural physiologic decline in function, generally occuring over about 10 yearsAnswer: climacteric
Question: age range for menopause in the US is __Answer: 48-55
Question: average age of in the USAnswer: 51.5
Question: amenorrhea, nausea and breast engorgement are signs of __ Answer: pregnancy
Question: amenorrhea, headache/visual field abnormalities are seen Answer: ptiuitary or tumors
Question: sign of hyperprolactinemiaAnswer:
Question: or virilization may be a sign of Answer:
Question: weakness, psychiactric , hypertension, central obesity, hirsuitism, thin skin, ecchymoses may indicate __Answer: alcoholism or cushings
Question: weight loss, , or skin darkening may indicateAnswer: adrenal
Question: symptoms of climacteric may includeAnswer: depression and
Question: symptoms of estrogen deficiencyAnswer: , irritability, fatigue, insomnia, headache, diminished libido, rheumatologic symptoms, vasomotor instability (hot flashes)
Question: hot flashes with sweat may be more severe when Answer: at night
Question: vasomotor (hot flashes) occur in __% of women in climactericAnswer: 80
Question: an hCG overwhelmingly indicates __Answer:
Question: __ produced by the follicle stimulates the to grow in height during the proliferative phaseAnswer: estradiol
Question: the follicle becomes a corpus and has a life span of __ daysAnswer: 10
Question: upon the corpus luteum begins to produce __Answer: progesterone
Question: when the corpus luteum produces progesterone endometrial growth __ and the becomes compact and rich in glycogenAnswer: stops
Question: if implantation does not occur, the __ involutes and is withdrawnAnswer: luteum
Question: what happens when progesterone is Answer: shrinkage of the height of the endometrium, the spiral arteries rhythmically constrict and relax decreasing blood flow, the spongiosum peels away from the basalis layer
Question: what is the menstrual cycle lengthAnswer: 28 + or - 7
Question: what is the of mensesAnswer: 4 + or - 2
Question: what is the duration of the phaseAnswer: 7-12
Question: what is the of teh luteal phaseAnswer: 14 + or -
Question: cycle <21 day intervalsAnswer: polymenorrhea
Question: irregular Answer:
Question: irregular heavy Answer:
Question: menstrual cycle >35 day Answer: oligomenorrhea
Question: DD of abnormal bleedingAnswer: of pregnancy, trauma, cancer, benign pelvic pathology, systemic disease, iatrogenic
Question: uterus with a fibroid that reaches the of the umbilicus is described as __ weeksAnswer:
Question: vaginal are best done with the bladder __Answer:
Question: Endometriosis within the of the uterus=Answer: adenomyosis (thickened wall, can be mistaken for fibroids)
Question: Endometriosis: 10-fold risk if:Answer: 1st-degree relative has
Question: if menorrhagia at menarche or adolescence, : Answer: coagulopathy
 
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