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