43 Questions
Which of the following is the most common cause of amenorrhea?
Unrecognized pregnancy
What is the primary concern related to amenorrhea?
Infertility
Which hormone is typically elevated in cases of hyperprolactemia?
Prolactin
What is the first-line intervention for amenorrhea secondary to excessive exercise or anorexia?
Weight gain
Which medication can be used in cases of hyperprolactemia to help decrease prolactin levels?
Bromocriptine
In polycystic ovarian syndrome (PCOS) suspected cases, which test should be performed?
A, B
What is a potential side effect of estrogen replacement therapy?
Endometrial hyperplasia risk
What is the recommended frequency for follow-up monitoring of patients with heavy menstrual bleeding?
Every 3-6 months
Which of the following is a possible cause of heavy menstrual bleeding?
Ectopic pregnancy
What is a potential complication of heavy menstrual bleeding?
Iron deficiency anemia
Which of the following laboratory tests is recommended for evaluating heavy menstrual bleeding?
Ferritin
What pharmacological treatment is used only during menses for heavy menstrual bleeding?
Naproxen
Which contraceptive method is part of the general treatment approach for heavy menstrual bleeding?
Levonorgestrel IUD
What imaging test is recommended in the evaluation of heavy menstrual bleeding?
Pelvic ultrasound
Which medication may require renal adjustment when used for heavy menstrual bleeding?
Tranexamic acid
What should be the initial treatment choice for dysmenorrhea unless contraception is desired?
Naproxen
What is the most common gynecologic complaint characterized by pelvic pain with cramps during or before menstruation?
Dysmenorrhea
Which medication should be considered if the patient desires contraception or if NSAIDs are contraindicated or no longer effective in treating dysmenorrhea?
Depot medroxyprogesterone acetate (DMPA)
What is the recommended follow-up interval for monitoring patients receiving therapy for heavy menstrual bleeding?
Every 3-6 months follow-up
Which non-pharmacologic recommendation is suggested for the treatment of dysmenorrhea?
Topical heat therapy
In the context of dysmenorrhea treatment, what should be monitored in patients to assess the decline in the number of feminine products used?
$\text{Amount of blood flow}$
Which contraceptive method may be considered if the patient prefers contraception and NSAIDs are contraindicated in treating dysmenorrhea?
$\text{Depot medroxyprogesterone acetate (DMPA)}$
$\text{Tranexamic acid is commonly used for the treatment of}$ ________.
$\text{Heavy menstrual bleeding}$
Which of the following should be monitored in a patient using NSAIDs for treatment of primary dysmenorrhea?
Pain improvement and adverse drug reactions (ADRs)
What action would be most appropriate for the 20-year-old woman presenting with amenorrhea due to significant weight loss?
All of the above
Which of the following symptoms is most concerning in a patient with heavy menstrual bleeding who has been taking naproxen for 6 months?
Feeling tired all the time
What is the recommended follow-up time after initiating therapy for a patient with dysmenorrhea?
1-2 months
What aspect should be monitored in a patient with amenorrhea who is using a natural bariatric system?
Mood changes
In a patient with amenorrhea due to weight loss, what factor is crucial for the management of this condition?
Improving caloric intake
'Intermittent fasting' may contribute to amenorrhea in women through which mechanism?
Disruption of menstrual cycle regulation
'Caloric intake restriction' as low as 1,200 Kcal/day may result in amenorrhea primarily due to:
'Starvation mode' activation
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?
Levonorgestrel IUD (Mirena®)
In the context of heavy menstrual bleeding, which medication could be considered as a treatment option for the patient with a history of DVT?
Consider Tranexamic acid
Which of the following drugs should be avoided in a patient with a history of DVT who presents with heavy menstrual bleeding?
Consider Levonorgestrel-IUD
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?
Consider Tranexamic acid
Which medication would not only help with heavy menstrual bleeding but also provide contraception in a 26-year-old woman without medication allergies?
Consider Levonorgestrel-IUD
In the context of treating dysmenorrhea, which medication might be most beneficial for a patient who is experiencing very painful periods and desires contraception?
Levonorgestrel IUD (Mirena®)
For a patient with a history of DVT, which medication should be avoided in the treatment of dysmenorrhea due to its potential thrombotic risk?
Levonorgestrel IUD (Mirena®)
What other drug is used for hyperclactermia
Cabergoline
What Drug class is used in Hyperprolactinemia?
Dopamine Agonist
Iron deficiency anemia is a complication of heavy bleeding.
True
What NSAIDS can be used to reduce blood flow during heavy menstrual bleeding?
Ibuprofen and Naproxen
Which Antifibrinolytic agents used in Menstrual bleeding increase the risk of VTE?
Tranexamic acid
This quiz covers key concepts related to menopause and menstruation-related disorders as discussed in Chapter 50 of the Pharmacotherapy Principles & Practice, 6th edition. Topics include CHC, IUD, and PCOS. Test your knowledge on this important subject!
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