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</p> Signup and view all the answers

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

    <p>Bromocriptine</p> Signup and view all the answers

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

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

    What is a potential side effect of estrogen replacement therapy?

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

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

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

    What is a potential complication of heavy menstrual bleeding?

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

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

    <p>Ferritin</p> Signup and view all the answers

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

    <p>Naproxen</p> Signup and view all the answers

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

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

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

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

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

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

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

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

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

    <p>Topical heat therapy</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>$\text{Amount of blood flow}$</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>$\text{Depot medroxyprogesterone acetate (DMPA)}$</p> Signup and view all the answers

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

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

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

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

    What other drug is used for hyperclactermia

    <p>Cabergoline</p> Signup and view all the answers

    What Drug class is used in Hyperprolactinemia?

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

    Iron deficiency anemia is a complication of heavy bleeding.

    <p>True</p> Signup and view all the answers

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

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

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

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

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