24 Questions
What is the duration of painful uterine cramps in dysmenorrhoea?
Few days prior and during menstruation, but subsides at the end of menstruation
What is the prevalence of dysmenorrhoea?
Most common gynecologic complaint in all ages and races
What is the characteristic of pain in primary dysmenorrhoea?
Dull, aching pain
What is the typical onset of associated symptoms in primary dysmenorrhoea?
6 to 12 months after menarche
What is the difference between primary and secondary dysmenorrhoea?
Primary dysmenorrhoea is not caused by an underlying pelvic pathology, while secondary dysmenorrhoea is
What is the impact of dysmenorrhoea on daily life?
Disruption of day-to-day activities, school absence, and limitation on social, academic, and sports activities
What is typically associated with women aged over 30 years?
Associated symptoms
What is used to predict whether dysmenorrhoea is primary or secondary?
Age and medical history
What is the suspected cause of dysmenorrhoea?
Increased prostaglandin activity
When is it advisable to refer to a doctor for dysmenorrhoea treatment?
After 2 cycles of treatment
What is the logical treatment for dysmenorrhoea?
Non-steroidal anti-inflammatory drug (NSAID)
What is a possible indication for referral to a doctor?
Presence of fever
What is the primary mechanism of action of hyoscine in treating dysmenorrhoea?
Relaxation of uterine smooth muscle
Why is hyoscine not recommended for patients taking tricyclic antidepressants?
Due to the risk of increased anticholinergic effects
What is the approximate amount of caffeine in a cup of freshly brewed coffee?
130 mg
What is the mechanism of action of oral contraceptive pills in treating dysmenorrhoea?
Decrease in endometrial thickness and ovulation
What is the primary characteristic of premenstrual syndrome (PMS)?
Mood changes and physical symptoms occur together
What is the effect of transcutaneous electrical nerve stimulation (TENS) on dysmenorrhoea?
It reduces pain perception
What is the maximum daily dose of Naproxen?
1200 mg
Which medication has little or no effect on prostaglandin levels involved in pain and inflammation?
Paracetamol
What is the age restriction for taking Ibuprofen?
12 years and over
What is the primary benefit of using sustained release preparations of NSAIDs?
Convenience of less frequent dosing
What is a unique property of Mefenamic acid among NSAIDs?
It possesses prostaglandin E receptor blocking activity
What is a common side effect of NSAIDs that is particularly problematic for asthma patients?
Bronchospasms
This quiz covers the definition and characteristics of dysmenorrhoea, a common gynecologic complaint. It also explores non-prescription drugs and parapharmaceuticals related to the condition. Test your knowledge of dysmenorrhoea and its management!
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