Dysmenorrhea CMS 250

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Questions and Answers

What is the most common age group affected by primary dysmenorrhea?

  • Nulliparous women (correct)
  • Menopausal women
  • Women under the age of 25 years
  • Women over the age of 30 years

Which of the following conditions is NOT a differential diagnosis for membranous dysmenorrhea?

  • Pelvic inflammatory disease (correct)
  • Endometriosis
  • Adenomyosis
  • Obstruction of the reproductive tract

What is a characteristic feature of secondary dysmenorrhea?

  • Onset typically within 2 years after menarche
  • Tends to improve with age
  • Associated with significant impairment in quality of life (correct)
  • No identifiable pelvic pathology

Which statement is true about psychological distress and dysmenorrhea?

<p>Increased sensitivity to pain can be associated with reduced response to medication (B)</p> Signup and view all the answers

What is a distinguishing feature of surgical intervention for secondary dysmenorrhea compared to primary dysmenorrhea?

<p>Surgical intervention for secondary dysmenorrhea often addresses underlying pelvic pathology (A)</p> Signup and view all the answers

What is the recommendation regarding surgical intervention for dysmenorrhea?

<p>It should only be considered after a failed trial of medical therapy. (B)</p> Signup and view all the answers

How does primary dysmenorrhea tend to improve over time?

<p>It tends to reduce after childbirth. (C)</p> Signup and view all the answers

What are the complications associated with secondary dysmenorrhea?

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

In what ways does the prognosis for primary dysmenorrhea differ from that of secondary dysmenorrhea?

<p>Primary dysmenorrhea has no known complications, while secondary dysmenorrhea can lead to psychological disorders. (C)</p> Signup and view all the answers

What psychological considerations should be kept in mind when dealing with dysmenorrhea?

<p>Psychological disorders can be a complication of secondary dysmenorrhea. (C)</p> Signup and view all the answers

What is the peak onset age range for primary dysmenorrhea?

<p>Adolescent and early 20s (B)</p> Signup and view all the answers

Which factor is NOT considered a protective factor against dysmenorrhea?

<p>Heavy menstrual flow (B)</p> Signup and view all the answers

What is the prevalence of secondary dysmenorrhea among females in their 40-50s?

<p>40-50% (C)</p> Signup and view all the answers

Which modifiable factor is associated with an increased risk of dysmenorrhea?

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

How does dysmenorrhea prevalence change with age and parity?

<p>Decreases with age, increases with parity (A)</p> Signup and view all the answers

What is the initial recommended step if a patient with dysmenorrhea does not have relief after nonpharmacologic therapy?

<p>Continue nonpharmacologic therapy (C)</p> Signup and view all the answers

In young females with suspected primary dysmenorrhea, what is the suggested duration of empiric therapy before considering a different approach?

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

When is surgical intervention typically required in cases of primary dysmenorrhea?

<p>In only a very small percentage of cases (B)</p> Signup and view all the answers

What is the recommended approach if symptom management fails in suspected secondary dysmenorrhea cases?

<p>Start a multidisciplinary team approach immediately (C)</p> Signup and view all the answers

According to the Primary Dysmenorrhea Consensus Guideline (SOGC), when is a pelvic examination indicated?

<p>When organic pathology is suspected or in patients not responding to conventional therapy. (B)</p> Signup and view all the answers

What can be said about the need for surgical intervention in cases where secondary causes of dysmenorrhea are suspected?

<p>Surgical intervention depends on symptom presentation, type of secondary dysmenorrhea, and severity of pain (D)</p> Signup and view all the answers

What is the first-line treatment recommended in the Primary Dysmenorrhea Consensus Guideline (SOGC)?

<p>Non-steroidal anti-inflammatory drugs (D)</p> Signup and view all the answers

For which group of women should hormonal therapies be offered according to the Primary Dysmenorrhea Consensus Guideline (SOGC)?

<p>Women and girls not planning pregnancy unless contraindications exist. (D)</p> Signup and view all the answers

Which of the following treatments is recommended as a complementary treatment for dysmenorrhea in the Primary Dysmenorrhea Consensus Guideline (SOGC)?

<p>Local heat therapy (D)</p> Signup and view all the answers

According to the Primary Dysmenorrhea Consensus Guideline (SOGC), when should initiation of treatment for dysmenorrhea depend on establishing a precise diagnosis?

<p>Never, both primary and secondary dysmenorrhea are likely to respond to the same medical therapy. (D)</p> Signup and view all the answers

Which type of dysmenorrhea is associated with menstrual pain but no identifiable pelvic pathology?

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

What is the main characteristic of membranous dysmenorrhea?

<p>Intense cramping pelvic pain with endometrial sloughing in one piece (B)</p> Signup and view all the answers

Which condition is associated with menstrual pain and an identifiable pelvic pathology?

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

What is the role of laparoscopy in the diagnosis of dysmenorrhea?

<p>To investigate pelvic pathology like endometriosis (A)</p> Signup and view all the answers

Which type of dysmenorrhea is associated with intense cramping pelvic pain due to sloughing of endometrium in one piece?

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

Which of the following is a common surgical intervention for dysmenorrhea?

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

What is the prognosis of primary dysmenorrhea?

<p>It usually improves after childbirth. (D)</p> Signup and view all the answers

In dysmenorrhea, what distinguishes secondary from primary dysmenorrhea?

<p>Presence of underlying pathology (A)</p> Signup and view all the answers

What psychological consideration is important in managing dysmenorrhea?

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

Which surgical procedure involves the removal of one or both ovaries?

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

What is a common misconception about primary dysmenorrhea?

<p>It can be cured with surgery. (A)</p> Signup and view all the answers

How does psychological stress impact dysmenorrhea?

<p>It can exacerbate pain perception. (D)</p> Signup and view all the answers

What role does age play in the development of secondary dysmenorrhea?

<p><strong>Younger</strong> women are more likely to develop secondary dysmenorrhea. (A)</p> Signup and view all the answers

What is a potential cause of membranous dysmenorrhea?

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

Which condition is NOT typically associated with dysmenorrhea?

<p>Transverse vaginal septum (A)</p> Signup and view all the answers

In the evaluation of dysmenorrhea, which condition might be considered as a differential diagnosis?

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

How might musculoskeletal causes contribute to dysmenorrhea?

<p>By affecting sacroiliac joints (A)</p> Signup and view all the answers

Which non-gynecological condition might share symptoms with dysmenorrhea, potentially leading to misdiagnosis?

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

What distinguishes secondary dysmenorrhea from primary dysmenorrhea in terms of prognosis?

<p>The risk of complications like infertility and anemia (D)</p> Signup and view all the answers

Which is NOT typically associated with membranous dysmenorrhea?

<p>Identifiable pelvic pathology (A)</p> Signup and view all the answers

How does primary dysmenorrhea differ from secondary dysmenorrhea in terms of psychological considerations?

<p>Secondary dysmenorrhea involves psychological disorders (B)</p> Signup and view all the answers

Which factor is NOT considered a differential diagnosis for dysmenorrhea?

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

How does dysmenorrhea impact daily life compared to other gynecological conditions?

<p>It often causes intense cramping pelvic pain (C)</p> Signup and view all the answers

What is the main differentiator between primary dysmenorrhea and secondary dysmenorrhea?

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

Which factor is NOT typically associated with an increased risk of developing membranous dysmenorrhea?

<p>Family history of dysmenorrhea (B)</p> Signup and view all the answers

Among the listed risk factors, which one has the least significant impact on the development of secondary dysmenorrhea?

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

What is a key distinguishing feature between primary and membranous dysmenorrhea?

<p>Menstrual cycle characteristics (C)</p> Signup and view all the answers

Which of the following risk factors has the strongest association with the development of secondary dysmenorrhea?

<p>Family history of dysmenorrhea (A)</p> Signup and view all the answers

What is the rare condition characterized by intense cramping and passage of a cast of the endometrium?

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

Which of the following gynecological conditions is NOT a potential differential diagnosis for dysmenorrhea?

<p>Obstruction of the reproductive tract (C)</p> Signup and view all the answers

In women experiencing chronic pelvic pain, what psychological factors are they more likely to be associated with according to Zaks et al, 2023?

<p>Depression (OR: 3.91) (D)</p> Signup and view all the answers

What percentage of females under the age of 30 experience absenteeism due to primary dysmenorrhea?

<p>34-50% (D)</p> Signup and view all the answers

Which type of dysmenorrhea is most severe in young, nulliparous women and tends to improve with age?

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

Which of the following is NOT a common differential diagnosis for secondary dysmenorrhea?

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

In membranous dysmenorrhea, what is the most common presentation related to uterine lining shedding?

<p>Passing intact tissue resembling a membrane (D)</p> Signup and view all the answers

How does secondary dysmenorrhea typically differ from primary dysmenorrhea in terms of symptom onset?

<p>Sudden and severe onset of symptoms (B)</p> Signup and view all the answers

What is a key differentiating feature between primary and secondary dysmenorrhea in terms of response to treatment?

<p>Primary dysmenorrhea responds well to NSAIDs (A)</p> Signup and view all the answers

How can membranous dysmenorrhea be distinguished from other forms of dysmenorrhea?

<p>Passing a membrane-like tissue with menstruation (C)</p> Signup and view all the answers

Which of the following is a characteristic feature that helps differentiate secondary dysmenorrhea from primary dysmenorrhea?

<p>Onset after age 25 and associated with endometriosis (D)</p> Signup and view all the answers

In membranous dysmenorrhea, what distinguishes it from other types of dysmenorrhea?

<p>Presence of intense cramping pelvic pain due to sloughing of endometrium in one piece (D)</p> Signup and view all the answers

When considering the impact of dysmenorrhea on daily life, which statement accurately reflects its prognosis?

<p>Dysmenorrhea can significantly impact a person's quality of life and may lead to missed school or work days (B)</p> Signup and view all the answers

Which factor plays a crucial role in differentiating primary from secondary dysmenorrhea when considering differential diagnoses?

<p>Family history of primary dysmenorrhea (D)</p> Signup and view all the answers

What is a common misconception regarding the impact of age on the development of primary dysmenorrhea?

<p>Primary dysmenorrhea is more common in older age groups due to hormonal changes (A)</p> Signup and view all the answers

What is a distinguishing feature of membranous dysmenorrhea?

<p>Intense cramping pelvic pain associated with the spontaneous sloughing of the endometrium in one piece (D)</p> Signup and view all the answers

In women with secondary dysmenorrhea, the menstrual pain is usually associated with what?

<p>Identifiable pelvic pathology (C)</p> Signup and view all the answers

Which condition is typically associated with secondary dysmenorrhea?

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

What is the primary characteristic that distinguishes primary dysmenorrhea from secondary dysmenorrhea?

<p>Menstrual pain without identifiable pelvic pathology (D)</p> Signup and view all the answers

What differentiates membranous dysmenorrhea from other types of dysmenorrhea?

<p>Intense cramping pelvic pain due to sloughing of endometrium in one piece (C)</p> Signup and view all the answers

Which condition may share symptoms with dysmenorrhea, potentially leading to misdiagnosis?

<p>Urinary tract infection (B)</p> Signup and view all the answers

How does secondary dysmenorrhea impact daily life compared to primary dysmenorrhea?

<p>Significant impact on daily functioning due to underlying pathologic conditions (B)</p> Signup and view all the answers

What is a common differential diagnosis for dysmenorrhea?

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

What role does age play in secondary dysmenorrhea development?

<p>More common in younger females (B)</p> Signup and view all the answers

How does membranous dysmenorrhea differ from other types of dysmenorrhea?

<p>Intense cramping due to sloughing of the endometrium in one piece (C)</p> Signup and view all the answers

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