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