EXAM QUESTIONS AND CORRECT
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1.What term refers to the period from about 7 to 10 days before menstrual flow
begins until the first or second day of menstrual flow?
a) Amenorrhea
b) Premenstrual
c) Dysmenorrhea
d) Perimenstrual - ANSWER ✓ d) Perimenstrual
2. Approximately what percentage of women experience severe recurring
symptoms associated with their menstrual cycle?
a) 10%
b) 20%
c) 5%
d) 25% - ANSWER ✓ a) 10%
3. Why shouldn't symptoms such as bloating and breast tenderness be considered
disordered perimenstrual symptoms?
a) Because only a small minority of women have these symptoms
b) Because these symptoms affect the majority of women
c) Because these symptoms do not affect women's moods
d) Because it is not possible to quantify these symptoms - ANSWER ✓ b)
Because these symptoms affect the majority of women
, 4. Of the four symptom clusters of perimenstrual symptoms identified by Woods,
Mitchell & Lentz (1999), which was the dominant one in terms of explaining
variance in premenstrual symptoms?
a) Fluid retention
b) Arousal
c) Turmoil
d) Somatic symptoms - ANSWER ✓ c) Turmoil
5. How is secondary dysmenorrhea defined?
a) Absence of menstruation due to an underlying pathology
b) Painful menstruation in the absence of pathology
c) An underlying pathology causing pain symptoms during menstrual flow
d) Painful menstruation that occurs in women after the age of 35 - ANSWER ✓ c)
An underlying pathology causing pain symptoms during menstrual flow
6. What is the term for the exacerbation of somatic or mood symptoms in the late
luteal or menstrual phase of the cycle?
a) Premenstrual magnification
b) Perimenstrual dysmenorrhea
c) Premenstrual syndrome
d) Premenstrual dysphoric disorder - ANSWER ✓ a) Premenstrual magnification
7. Which of the following is a diagnostic label that is listed in the Diagnostic and
Statistical Manual IV-TR?
a) Premenstrual dysphoric disorder
b) Premenstrual magnification
c) Dysmenorrhea
d) Premenstrual syndrome - ANSWER ✓ a) Premenstrual dysphoric disorder
8. Women who report experiencing the most severe symptoms of PMS tend to be
a) in their late 40s.
b) in their early 20s.
c) in their late teens.
d) in their late 30s. - ANSWER ✓ d) in their late 30s.
9. Which of the following is one of the key criteria for a diagnosis of PMS?
a) The symptoms markedly interfere with occupational functioning
b) One of the symptoms is depressed mood, anxiety, or irritability
c) Exclusion of other diagnoses that may better explain the symptoms
,b) One of the symptoms is depressed mood, anxiety, or irritability - ANSWER ✓
c) Exclusion of other diagnoses that may better explain the symptoms
10. All menstruating women report that which type of symptoms is highest during
menses?
a) Muscular
b) Gastrointestinal
c) Incontinent
d) Skeletal - ANSWER ✓ b) Gastrointestinal
11. What hormone has been shown to help with relieving the mood discomfort
cluster of symptoms of PMS?
a) Diuretics
b) NSAID
c) Progesterone
d) Fluoxetine - ANSWER ✓ c) Progesterone
12. Which dietary supplement has been shown to help treat PMS?
a) Calcium
b) Magnesium
c) Vitamin B12
d) Iron - ANSWER ✓ a) Calcium
13. The only botanical treatment with Level I evidence to support its use in PMS
is
a) echinacea.
b) chaste tree berry.
c) linolenic acid.
d) cramp bark. - ANSWER ✓ b) chaste tree berry.
14. Research suggests a link between PMS and
a) seasonal affective disorder.
b) celiac disease.
c) high blood pressure.
d) hypoglycemia. - ANSWER ✓ a) seasonal affective disorder.
Which are the most common forms of hepatitis seen in women's health practices? -
ANSWER ✓ b and c
, BV abnormalities - ANSWER ✓ pH>4.5, Clue Cells, KOH fishy odor, may be
asymptomatic, risk of PID
Vulvovaginal Candidiasis Abnormals - ANSWER ✓ KOH pseudohyphae & yeast
buds, curd like discharge, vulvar swelling/excoriation/redness,
itching/burning/discharge.
Criteria for clinical diagnosis of BV - ANSWER ✓ white, thin adherent vaginal
discharge. pH >4.5. Positive whiff KOH test. Clue cells on microscope. More than
20% epithelial cells are clue cells.
BV treatment - ANSWER ✓ metronidazole 500 mg BID for 7 d
white vinegar, goldenseal (not pregnant), garlic clove, boric acid powder
yeast VVC treatment - ANSWER ✓ Cream: clotrimazole, miconazole,
tioconazole, terconazole, butoconazole. PO: fluconazole 150 mg PO single dose.
gentian violet, white vinegar, acidophilus culture, Vitamin C, yogurt, sassafras
bark
toxic shock syndrome dx - ANSWER ✓ Fever at least 102F. diffuse macular
erythroderma rash, desquamation 1-2 w post rash, SBP less than 90, multisystem
involvement of at least 3 systems
5 P's of sexual health - ANSWER ✓ Partners, Practices, Pregnancy Prevention,
Protection from STI, Past History of STI
HSV primary treatment - ANSWER ✓ Acyclovir 400 mg TID x7-10d. Acyclovir
200 mg 5xd x7-10d. Famciclovir 250 mg TID x7-10d. Valacyclovir 1 g BID x7-
10d
CT treatment - ANSWER ✓ Azithromycin 1 g once or doxycycline 100 mg BID
x7d. Erythromycin 500 mg QID x7d. EES 800 mg QID x7d. Levaquin 500 mg
daily for 7d. Ofloxacin 300 mg BID x7d.