RNSG 1247 - Exam 2|Female Reproductive Disorders and Gynecologic
Oncology Examination: Premenstrual Syndrome, Dysmenorrhea, Abnormal
Uterine Bleeding, Menorrhagia, Metrorrhagia, Menopause, Vasomotor
Instability, Pelvic Inflammatory Disease, Endometriosis, Uterine Fibroids,
Polycystic Ovary Syndrome, Hyperandrogenism, Infertility, Cervical Cancer,
Endometrial Cancer, Ovarian Cancer, Human Papillomavirus, Pap Smear
Screening, Colposcopy, Endometrial Biopsy, CA-125 Tumor Marker,
Hormone Replacement Therapy, Selective Serotonin Reuptake Inhibitors,
Oral Contraceptive Therapy, Spironolactone Therapy, Metformin Therapy,
Clomiphene Ovulation Induction, Gonadotropin-Releasing Hormone
Agonists, Chemotherapy, Radiation Therapy, Brachytherapy, Hysterectomy,
Pelvic Floor Dysfunction Exam Questions Verified and Provided with
Complete A+ Graded Rationales Latest Updated 2026
Female Reproductive Disorders
Menstrual disorders
PID
Endometriosis
Uterine Fibroids
PCOS
Female Reproductive Cancers
Uterine Prolapse
,Premenstrual Syndrome (PMS)
-Why is PMS not considered a disease? every woman experiences it, it's part of the normal process
-What is the challenge in diagnosing PMS?
the symptoms can occur with a wide range of other conditions or experiences.
-When does it occur?
luteal phase/ up to 10 days before menstration
-What are s/sx of PMS?
physical symptoms are breast discomfort, bloating and swelling, headache, and cramping. Emotional
symptoms include mood swings, irritability, and feeling anxious or depressed. Changes in behavior such
as food cravings or increased appetite are common. Some patients have cognitive symptoms like
difficulty concentrating. With PMDD, patients often have irritability, anger, fatigue, anxiety, and
depressed mood. PMDD may be superimposed on other psychiatric conditions.
PMS Cues
-Breast tenderness
-Peripheral edema/Abdominal bloating
-Menstrual cramping (dysmenorrhea)
-Headaches/Back pain/General muscle pain
-Anxiety/Irritability/Moodiness/Depression
-Insomnia
-Fatigue
,Dysmenorrhea: menstrual cramps
One symptom of PMS
◦Most severe in first few days of menses
Cause - excessive prostaglandin production
What is the action of prostaglandin on smooth muscle?
vasoconstriction/contraction of the uterus
What classification of drugs will inhibit prostaglandin production? NSAIDs
PMS Treatment & Care
-Management begins with acknowledgement
-Stress reduction techniques
-Application of heat, Acupuncture, TENS
-Exercise
-Diet therapy
, ◦Avoid caffeine and alcohol
◦Reduce salt intake
↑ food with B6 (chocolate, starchy veg, non-citrus fruit, meat/poultry/fish, organ meat)
medications:
-SSRIs
-fluoxetine (Prozac)
-sertraline (Zoloft)
-NSAIDs
-OCPs (oral contraceptions)
-Vit B6
Abnormal Uterine Bleeding (AUB)
Two types
Heavy menstrual bleeding (HMB)
-Menorrhagia
Oncology Examination: Premenstrual Syndrome, Dysmenorrhea, Abnormal
Uterine Bleeding, Menorrhagia, Metrorrhagia, Menopause, Vasomotor
Instability, Pelvic Inflammatory Disease, Endometriosis, Uterine Fibroids,
Polycystic Ovary Syndrome, Hyperandrogenism, Infertility, Cervical Cancer,
Endometrial Cancer, Ovarian Cancer, Human Papillomavirus, Pap Smear
Screening, Colposcopy, Endometrial Biopsy, CA-125 Tumor Marker,
Hormone Replacement Therapy, Selective Serotonin Reuptake Inhibitors,
Oral Contraceptive Therapy, Spironolactone Therapy, Metformin Therapy,
Clomiphene Ovulation Induction, Gonadotropin-Releasing Hormone
Agonists, Chemotherapy, Radiation Therapy, Brachytherapy, Hysterectomy,
Pelvic Floor Dysfunction Exam Questions Verified and Provided with
Complete A+ Graded Rationales Latest Updated 2026
Female Reproductive Disorders
Menstrual disorders
PID
Endometriosis
Uterine Fibroids
PCOS
Female Reproductive Cancers
Uterine Prolapse
,Premenstrual Syndrome (PMS)
-Why is PMS not considered a disease? every woman experiences it, it's part of the normal process
-What is the challenge in diagnosing PMS?
the symptoms can occur with a wide range of other conditions or experiences.
-When does it occur?
luteal phase/ up to 10 days before menstration
-What are s/sx of PMS?
physical symptoms are breast discomfort, bloating and swelling, headache, and cramping. Emotional
symptoms include mood swings, irritability, and feeling anxious or depressed. Changes in behavior such
as food cravings or increased appetite are common. Some patients have cognitive symptoms like
difficulty concentrating. With PMDD, patients often have irritability, anger, fatigue, anxiety, and
depressed mood. PMDD may be superimposed on other psychiatric conditions.
PMS Cues
-Breast tenderness
-Peripheral edema/Abdominal bloating
-Menstrual cramping (dysmenorrhea)
-Headaches/Back pain/General muscle pain
-Anxiety/Irritability/Moodiness/Depression
-Insomnia
-Fatigue
,Dysmenorrhea: menstrual cramps
One symptom of PMS
◦Most severe in first few days of menses
Cause - excessive prostaglandin production
What is the action of prostaglandin on smooth muscle?
vasoconstriction/contraction of the uterus
What classification of drugs will inhibit prostaglandin production? NSAIDs
PMS Treatment & Care
-Management begins with acknowledgement
-Stress reduction techniques
-Application of heat, Acupuncture, TENS
-Exercise
-Diet therapy
, ◦Avoid caffeine and alcohol
◦Reduce salt intake
↑ food with B6 (chocolate, starchy veg, non-citrus fruit, meat/poultry/fish, organ meat)
medications:
-SSRIs
-fluoxetine (Prozac)
-sertraline (Zoloft)
-NSAIDs
-OCPs (oral contraceptions)
-Vit B6
Abnormal Uterine Bleeding (AUB)
Two types
Heavy menstrual bleeding (HMB)
-Menorrhagia
