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35 Cards in this Set

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  • Back
At what average chronological age is a regular, predictable reproductive cycle established?
13 years
Dysfunctional uterine bleeding is defined as
irregular menstruation without anatomic lesions of the uterus
Which of the following do amenorrhea and dysfunctional utering bleeding have in common?
Both can result from anovulation
What is the most common cause of secondary amenorrhea?
Pregnancy
What is the most common cause of pathologic amenorrhea?
Disruption of the hypothalamic-pituitary axis
Which of the following distinguishes secondary from primary amenorrhea?
History of prior menses
Disruption of the pulsatile secretion of gonadotropin-releasing hormone directly interferes with the secretion of
FSH
What tests can help differentiate hypothalamic-pituitary amenorrhea from ovarian failure?
Measurement of FSH levels
Ovarian failure is associated with
amenorrhea
The most common anatomic abnormality to cause secondary amenorrhea is
Asherman syndrome
What is the typical cause of the endometrial scarring that characterizes Asherman syndrome?
Dilation and curettage
Which of the following patients would be classified as having oligomenorrhea?
A 45-year-old woman with periods that occur every 8 to 10 months and last 3 to 5 days
Estrogen is the primary therapy for which of the following conditions?
Menopausal vaginal atrophy
What is the endocrine environment that leads to dysfunctional uterine bleeding?
Chronic estrus
What causes irregular bleeding in women with dysfunctional uterine bleeding?
Outgrowth of endometrial blood supply
What is the medical treatment of choice for immediate management of dysfunctional uterine bleeding?
Progestin for 10 days
What is the medical treatment of choice for long-term management of dysfunctional uterine bleeding?
Daily oral contraceptives
In luteal phase defect, the endometrium is not maintained because there is insufficient
progesterone
In evaluating the patient with amenorrhea, in what situation is serum prolactin elevated?
Pituitary adenoma
In patients with hypothalamic amenorrhea, what is the typical pattern of FSH and LH?
FSH low, LH low
What is the best treatement for mild cases of intrauterine scarring?
Dilation and curettage
In cases of Asherman syndrome, teh regeneration of endometrium in previously denuded areas is stimulated by
Estrogen
Hyperprolactinemia caused by a pituitary adenoma is frequently associated with amenorrhea and
galactorrhea
What percent of pituitary tumors secrete prolactin?
80%
Which of the following conditions is commonly associated with chronic anovulation?
Obesity
What type of bleeding pattern is characteristic of polycystic ovarian syndrome?
Dysfunctional uterine bleeding
In patients with dysfunctional uterine bleeding, the lack of predictable ovulation results in the lack of
progesterone
What phenomenon do amenorrhea and dysfunctional uterine bleeding share?
Anovulation
Which of the following is an example of dysfunctional uterine bleeding in the presence of ovulation?
Midcycle spotting
A patient with luteal phase defect would typically experience
shortened interval between periods
Premenstrual syndrome should be absent in which of the following conditions?
Polycystic ovary syndrome
In which condition is the menstrual cycle totally unpredictable?
Dysfunctional uterine bleeding
What is a likely finding on endometrial biopsy of a patient with dysfunctional uterine bleeding (chronic anovulation)?
Endometrial hyperplasia
A patient with dysfunctional uterine bleeding is at greater risk for developing what type of cancer?
Endometrial
Which of the following mimics the physiologic hormonal event that induces normal menstrual bleeding?
Discontinuing progestin