Question 1
Needs Grading
Samira is a 26-year-old female with a history of intense dysmenorrhea. She experience
menarche at age 11. Her menstrual cycles average 25 days in length. She has a BMI of 18. Her
menstrual cycle pain had decreased over the last 3 years while she was consistently taking
birth control pills. However, she is now planning her first pregnancy and has been off birth
control for 6 months now. She has yet to conceive, even though she and her partner have
been carefully timing intercourse and monitoring Samira’s fertility window each month. Her
dysmenorrhea has returned and she has developed menometrorrhagia, along with other
cyclical symptoms like diarrhea, bloating, and craving salty foods.
Samira’s physician is concerned that she may have endometriosis. Briefly explain the
pathophysiology of this condition.
Selected
"Endometriosis is the presence of endometrial tissue outside of the uterine
Answer: cavity, most commonly surrounding the ovaries and fallopian tubes. It is
relatively common disorder in reproductive-age women and is associated
with significant pain and morbidity. In most cases, the spread of extrauterine
endometrial tissue appears to result from retrograde menstruation and
capillary or lymph dissemination. Endometrial cells implanted ectopically
respond to cyclical changes in estrogen and progesterone with proliferation
and secretion. Their presence in extrauterine areas can initiate immune and
inflammatory responses that lead to pain and peritoneal adhesions, and may
interfere with fertility. Diagnosis is based on the occurrence of cyclical
symptoms and surgical validation via laparoscopy or laparotomy. Treatment
is aimed at alleviating pain and preventing complications. Most treatments
work by reducing estrogen levels and/or menstrual cycling."
EJ, C. (2019, August 31). Endometriosis: pathophysiology, diagnosis, and
treatment. Retrieved from US National Library of Medicine National
Institutes of Health : https://www.ncbi.nlm.nih.gov/pubmed/9355116
, Correct [None]
Answer:
Response [None Given]
Feedback:
Question 2
1 out of 1 points
Which of Samira’s symptoms is most likely NOT related to endometriosis?
Selected Answer:
Craving salty food
Answers:
Craving salty food
Diarrhea
Dysmenorrhea
Bloating
Question 3
Needs Grading
Why would Samira’s dysmenorrhea symptoms decrease when taking birth control pills?
Selected
Because birth control pills can/will block menstruation therefore reducing
Answer: or eliminating her pain from menstrual cramps. No menstruation = No
menstrual cramps.
Correct [None]
Needs Grading
Samira is a 26-year-old female with a history of intense dysmenorrhea. She experience
menarche at age 11. Her menstrual cycles average 25 days in length. She has a BMI of 18. Her
menstrual cycle pain had decreased over the last 3 years while she was consistently taking
birth control pills. However, she is now planning her first pregnancy and has been off birth
control for 6 months now. She has yet to conceive, even though she and her partner have
been carefully timing intercourse and monitoring Samira’s fertility window each month. Her
dysmenorrhea has returned and she has developed menometrorrhagia, along with other
cyclical symptoms like diarrhea, bloating, and craving salty foods.
Samira’s physician is concerned that she may have endometriosis. Briefly explain the
pathophysiology of this condition.
Selected
"Endometriosis is the presence of endometrial tissue outside of the uterine
Answer: cavity, most commonly surrounding the ovaries and fallopian tubes. It is
relatively common disorder in reproductive-age women and is associated
with significant pain and morbidity. In most cases, the spread of extrauterine
endometrial tissue appears to result from retrograde menstruation and
capillary or lymph dissemination. Endometrial cells implanted ectopically
respond to cyclical changes in estrogen and progesterone with proliferation
and secretion. Their presence in extrauterine areas can initiate immune and
inflammatory responses that lead to pain and peritoneal adhesions, and may
interfere with fertility. Diagnosis is based on the occurrence of cyclical
symptoms and surgical validation via laparoscopy or laparotomy. Treatment
is aimed at alleviating pain and preventing complications. Most treatments
work by reducing estrogen levels and/or menstrual cycling."
EJ, C. (2019, August 31). Endometriosis: pathophysiology, diagnosis, and
treatment. Retrieved from US National Library of Medicine National
Institutes of Health : https://www.ncbi.nlm.nih.gov/pubmed/9355116
, Correct [None]
Answer:
Response [None Given]
Feedback:
Question 2
1 out of 1 points
Which of Samira’s symptoms is most likely NOT related to endometriosis?
Selected Answer:
Craving salty food
Answers:
Craving salty food
Diarrhea
Dysmenorrhea
Bloating
Question 3
Needs Grading
Why would Samira’s dysmenorrhea symptoms decrease when taking birth control pills?
Selected
Because birth control pills can/will block menstruation therefore reducing
Answer: or eliminating her pain from menstrual cramps. No menstruation = No
menstrual cramps.
Correct [None]
