NM717 GYN EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE

NM717 GYN EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE What is the cyclic occurrence, in luteal phase, of a group of distressing physical and psychological symptoms that begin about 5-7 days before menses and resolve within about 4 days after onset of mense and that disrupt normal activities and interpersonal relationships? PMS What is a way to help diagnose PMS? Documentation of symptoms in a diary (recall has been shown to not be accurate) What vitamin has been shown to be useful in treating PMS? B6 (50 to 150 mg per day) What herbal preparation has been shown to be useful in treating PMS? Chaste berry tree What must PMDD include for diagnosis? (1) markedly depressed mood (2) marked anxiety (3) marked affective lability (4) persistent and marked anger What is a sensation of cramping in the lower abdomen during or just before menses; most severe on the first day, usually lasts two days, may radiate to back and thighs? Dysmenorrhea What is no menstruation previously; no menstruation by age 14 in absence of development of secondary sex characteristics; no menstruation by age 16 regardless of secondary sex characteristics? Primary amenorrhea What is the absence of menses in a previously menstruating woman, no menses for 3 to 6 months in a woman who usually has normal periods for a length of time equivalent to 3 cycles? Secondary amenorrhea How do you do a progestin challenge test? Take for each day 10-14, wait for bleeding 7-14 days after What are predisposing factors for yeast infection? (1) pregnancy (2) uncontrolled diabetes (3) antibiotic use (4) steroid use (5) frequent intercourse (6) immunosuppressive disorders What 2 tests would you do for infrequent menstrual bleeding (one or two bleeding episodes in a 90 day period)? (1) pregnancy test (2) TSH, prolactin, FSH/LH levels What amount of blood is considered heavy and/or prolonged menstrual bleeding? More than 80ml or 8 days heavy bleeding What is Rotterdam Criteria for PCOS? (1) oligo/anovulation (2) clinical/biochemical hyperandrogenism (3) polycystic ovaries What is the presence of endometrial stoma and glands outside of the uterus? Endometriosis What are the most common complaints with endometriosis? (1) dysmenorrhea (2) infertility (3) premenstrual spotting (4) menorrhagia (5) pelvic pain (6) dyspareunia What are pedunculated growths arising from the mucosal surface of the endocervix? Cervical polyps Hypothalamus secretes what in menstrual cycle? GnRH Where does FSH and LH come from? Anterior pituitary FSH, follicles, and? Estrogen Where do FSH and LH act? Ovaries What does LH do? Ovulation 3 cycles of ovarian cycle? (1) follicular phase (2) ovulatory phase (3) luteal phase 3 cycles of uterine cycle? (1) proliferative phase (2) secretory phase (3) menstrual phase Ovarian cycle from start of menses to just before ovulation? Follicular phase When does one follicle become dominant? Day 7 Follicle bulges on ovary? End of follicular phase 32-44 hours after LH surge, 10-12 hours after LH peak? Ovulation Begins with ovulation and ends when new cycle starts? Luteal phase How long does luteal phase last? 14 days Corpus luteum is what? Progesterone What hormone causes an elevation when ovulation occurs? Progesterone Uterine cycle when endometrium and regenerates? Proliferative phase What helps endocervical glands, produce thin, clear mucus to lubricate vagina and facilitate sperm capture and transport? Estrogen The corpus luteum is created from what? Remains of dominant follicle Will rise in BBT occur when ovulation has not occurred? No High estrogen levels after a dominant follicle has been established will increase what?