Dysmenorrhoea: Non-Prescription Drugs and Parapharmaceuticals

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What is the duration of painful uterine cramps in dysmenorrhoea?

Only during menstruation
Only after menstruation
Throughout the entire menstrual cycle
Few days prior and during menstruation, but subsides at the end of menstruation (correct)

What is the prevalence of dysmenorrhoea?

Most common in older women
Most common gynecologic complaint in all ages and races (correct)
Least common cause of pelvic pain
Most common in women with underlying pelvic disease

What is the characteristic of pain in primary dysmenorrhoea?

Spasmodic or cramping in nature
Sharp, stabbing pain
Radiating pain into the upper back and arms
Dull, aching pain (correct)

What is the typical onset of associated symptoms in primary dysmenorrhoea?

6 to 12 months after menarche (B) Signup and view all the answers

What is the difference between primary and secondary dysmenorrhoea?

Primary dysmenorrhoea is not caused by an underlying pelvic pathology, while secondary dysmenorrhoea is (A) Signup and view all the answers

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 (B) Signup and view all the answers

What is typically associated with women aged over 30 years?

Associated symptoms (C) Signup and view all the answers

What is used to predict whether dysmenorrhoea is primary or secondary?

Age and medical history (A) Signup and view all the answers

What is the suspected cause of dysmenorrhoea?

Increased prostaglandin activity (D) Signup and view all the answers

When is it advisable to refer to a doctor for dysmenorrhoea treatment?

After 2 cycles of treatment (D) Signup and view all the answers

What is the logical treatment for dysmenorrhoea?

Non-steroidal anti-inflammatory drug (NSAID) (C) Signup and view all the answers

What is a possible indication for referral to a doctor?

Presence of fever (D) Signup and view all the answers

What is the primary mechanism of action of hyoscine in treating dysmenorrhoea?

Relaxation of uterine smooth muscle (D) Signup and view all the answers

Why is hyoscine not recommended for patients taking tricyclic antidepressants?

Due to the risk of increased anticholinergic effects (C) Signup and view all the answers

What is the approximate amount of caffeine in a cup of freshly brewed coffee?

130 mg (A) Signup and view all the answers

What is the mechanism of action of oral contraceptive pills in treating dysmenorrhoea?

Decrease in endometrial thickness and ovulation (A) Signup and view all the answers

What is the primary characteristic of premenstrual syndrome (PMS)?

Mood changes and physical symptoms occur together (B) Signup and view all the answers

What is the effect of transcutaneous electrical nerve stimulation (TENS) on dysmenorrhoea?

It reduces pain perception (B) Signup and view all the answers

What is the maximum daily dose of Naproxen?

1200 mg (D) Signup and view all the answers

Which medication has little or no effect on prostaglandin levels involved in pain and inflammation?

Paracetamol (C) Signup and view all the answers

What is the age restriction for taking Ibuprofen?

12 years and over (C) Signup and view all the answers

What is the primary benefit of using sustained release preparations of NSAIDs?

Convenience of less frequent dosing (B) Signup and view all the answers

What is a unique property of Mefenamic acid among NSAIDs?

It possesses prostaglandin E receptor blocking activity (B) Signup and view all the answers

What is a common side effect of NSAIDs that is particularly problematic for asthma patients?

Bronchospasms (A) Signup and view all the answers