Menopause and Menstruation-Related Disorders - Pharmacotherapy Principles & Practice, 6e
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Questions and Answers

Which of the following is the most common cause of amenorrhea?

  • Recent significant weight gain
  • Hair loss and acanthosis nigricans
  • Unrecognized pregnancy (correct)
  • Presence of acne and hirsutism

What is the primary concern related to amenorrhea?

  • Infertility (correct)
  • Vaginal dryness
  • Decreased libido
  • Acne and hirsutism

Which hormone is typically elevated in cases of hyperprolactemia?

  • Estrogen
  • Progesterone
  • Prolactin (correct)
  • Thyroid-stimulating hormone

What is the first-line intervention for amenorrhea secondary to excessive exercise or anorexia?

<p>Weight gain (B)</p> Signup and view all the answers

Which medication can be used in cases of hyperprolactemia to help decrease prolactin levels?

<p>Bromocriptine (B)</p> Signup and view all the answers

In polycystic ovarian syndrome (PCOS) suspected cases, which test should be performed?

<p>A, B (C)</p> Signup and view all the answers

What is a potential side effect of estrogen replacement therapy?

<p>Endometrial hyperplasia risk (B)</p> Signup and view all the answers

What is the recommended frequency for follow-up monitoring of patients with heavy menstrual bleeding?

<p>Every 3-6 months (B)</p> Signup and view all the answers

Which of the following is a possible cause of heavy menstrual bleeding?

<p>Ectopic pregnancy (B)</p> Signup and view all the answers

What is a potential complication of heavy menstrual bleeding?

<p>Iron deficiency anemia (A)</p> Signup and view all the answers

Which of the following laboratory tests is recommended for evaluating heavy menstrual bleeding?

<p>Ferritin (E)</p> Signup and view all the answers

What pharmacological treatment is used only during menses for heavy menstrual bleeding?

<p>Naproxen (B)</p> Signup and view all the answers

Which contraceptive method is part of the general treatment approach for heavy menstrual bleeding?

<p>Levonorgestrel IUD (B)</p> Signup and view all the answers

What imaging test is recommended in the evaluation of heavy menstrual bleeding?

<p>Pelvic ultrasound (C)</p> Signup and view all the answers

Which medication may require renal adjustment when used for heavy menstrual bleeding?

<p>Tranexamic acid (B)</p> Signup and view all the answers

What should be the initial treatment choice for dysmenorrhea unless contraception is desired?

<p>Naproxen (D)</p> Signup and view all the answers

What is the most common gynecologic complaint characterized by pelvic pain with cramps during or before menstruation?

<p>Dysmenorrhea (C)</p> Signup and view all the answers

Which medication should be considered if the patient desires contraception or if NSAIDs are contraindicated or no longer effective in treating dysmenorrhea?

<p>Depot medroxyprogesterone acetate (DMPA) (D)</p> Signup and view all the answers

What is the recommended follow-up interval for monitoring patients receiving therapy for heavy menstrual bleeding?

<p>Every 3-6 months follow-up (A)</p> Signup and view all the answers

Which non-pharmacologic recommendation is suggested for the treatment of dysmenorrhea?

<p>Topical heat therapy (C)</p> Signup and view all the answers

In the context of dysmenorrhea treatment, what should be monitored in patients to assess the decline in the number of feminine products used?

<p>$\text{Amount of blood flow}$ (A)</p> Signup and view all the answers

Which contraceptive method may be considered if the patient prefers contraception and NSAIDs are contraindicated in treating dysmenorrhea?

<p>$\text{Depot medroxyprogesterone acetate (DMPA)}$ (A)</p> Signup and view all the answers

$\text{Tranexamic acid is commonly used for the treatment of}$ ________.

<p>$\text{Heavy menstrual bleeding}$ (C)</p> Signup and view all the answers

Which of the following should be monitored in a patient using NSAIDs for treatment of primary dysmenorrhea?

<p>Pain improvement and adverse drug reactions (ADRs) (D)</p> Signup and view all the answers

What action would be most appropriate for the 20-year-old woman presenting with amenorrhea due to significant weight loss?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following symptoms is most concerning in a patient with heavy menstrual bleeding who has been taking naproxen for 6 months?

<p>Feeling tired all the time (D)</p> Signup and view all the answers

What is the recommended follow-up time after initiating therapy for a patient with dysmenorrhea?

<p>1-2 months (D)</p> Signup and view all the answers

What aspect should be monitored in a patient with amenorrhea who is using a natural bariatric system?

<p>Mood changes (A)</p> Signup and view all the answers

In a patient with amenorrhea due to weight loss, what factor is crucial for the management of this condition?

<p>Improving caloric intake (D)</p> Signup and view all the answers

'Intermittent fasting' may contribute to amenorrhea in women through which mechanism?

<p>Disruption of menstrual cycle regulation (B)</p> Signup and view all the answers

'Caloric intake restriction' as low as 1,200 Kcal/day may result in amenorrhea primarily due to:

<p>'Starvation mode' activation (C)</p> Signup and view all the answers

Which of the following treatments would be most appropriate for a 26-year-old woman complaining of 'very painful periods' and looking for a medication that can help with pain and provide contraception?

<p>Levonorgestrel IUD (Mirena®) (C)</p> Signup and view all the answers

In the context of heavy menstrual bleeding, which medication could be considered as a treatment option for the patient with a history of DVT?

<p>Consider Tranexamic acid (C)</p> Signup and view all the answers

Which of the following drugs should be avoided in a patient with a history of DVT who presents with heavy menstrual bleeding?

<p>Consider Levonorgestrel-IUD (C)</p> Signup and view all the answers

What would be the most appropriate initial pharmacotherapy for a 26-year-old with heavy menstrual bleeding who has not used any medications but has a known NSAID allergy?

<p>Consider Tranexamic acid (B)</p> Signup and view all the answers

Which medication would not only help with heavy menstrual bleeding but also provide contraception in a 26-year-old woman without medication allergies?

<p>Consider Levonorgestrel-IUD (C)</p> Signup and view all the answers

In the context of treating dysmenorrhea, which medication might be most beneficial for a patient who is experiencing very painful periods and desires contraception?

<p>Levonorgestrel IUD (Mirena®) (B)</p> Signup and view all the answers

For a patient with a history of DVT, which medication should be avoided in the treatment of dysmenorrhea due to its potential thrombotic risk?

<p>Levonorgestrel IUD (Mirena®) (B)</p> Signup and view all the answers

What other drug is used for hyperclactermia

<p>Cabergoline (A)</p> Signup and view all the answers

What Drug class is used in Hyperprolactinemia?

<p>Dopamine Agonist (A)</p> Signup and view all the answers

Iron deficiency anemia is a complication of heavy bleeding.

<p>True (A)</p> Signup and view all the answers

What NSAIDS can be used to reduce blood flow during heavy menstrual bleeding?

<p>Ibuprofen and Naproxen (A)</p> Signup and view all the answers

Which Antifibrinolytic agents used in Menstrual bleeding increase the risk of VTE?

<p>Tranexamic acid (D)</p> Signup and view all the answers

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