Primary Dysmenorrhea Treatment Options
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Questions and Answers

What is the first line of treatment for primary dysmenorrhea?

  • Mefenamic acid alone
  • Metformin
  • NSAIDs (correct)
  • Oral contraceptives

What is the effect of estrogen-progestin contraceptives on the endometrium?

  • It becomes thin over time (correct)
  • It has no effect on the endometrium
  • It causes the endometrium to bleed excessively
  • It thickens the endometrium

Which of the following is a characteristic of PCOS?

  • High E2 and low LH
  • High LH and low FSH (correct)
  • Low insulin levels
  • High FSH and low LH

What is the effect of hyperinsulinemia on sex hormone-binding globulin (SHBG) in PCOS?

<p>It decreases SHBG (A)</p> Signup and view all the answers

What is the effect of metformin on androgen levels in PCOS?

<p>It decreases androgen levels (A)</p> Signup and view all the answers

Which of the following is a benefit of metformin in PCOS?

<p>It induces ovulation and regular menstrual cycle (D)</p> Signup and view all the answers

Which of the following factors inhibits prolactin secretion by acting on the D2 receptors of lactotrophs?

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

Which of the following is a cause of hyperprolactinemia?

<p>Hypothyroidism with high TRH (D)</p> Signup and view all the answers

What is the effect of thyrotropin-releasing hormone (TRH) on prolactin release?

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

Where are prolactin receptors primarily located?

<p>In multiple tissues, including mamillary glands, ovaries, and pituitary gland (A)</p> Signup and view all the answers

What is the mechanism of action of antidopaminergic drugs, such as Domperidone, Metoclopramide, and Sulpiride, on prolactin secretion?

<p>Blocking dopamine, leading to increased prolactin secretion (C)</p> Signup and view all the answers

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