Menstrual Disorders

Question 1 of 29

1

In the primary stage of the menstrual cycle, which pituitary hormone is responsible for stimulating ovarian follicle development?

Select one of the following:

LH
FSH
ACTH
Prolactin
Growth Hormone
ADH
Oxytocin

Explanation

Question 2 of 29

1

A surge of which pituitary hormone triggers ovulation?

Select one of the following:

FSH
LH
Oxytocin
ADH
ACTH
Growth Hormone
TSH

Explanation

Question 3 of 29

1

Fill the blank space to complete the text.

The is a hormone-secreting structure that develops in an ovary after an ovum has been discharged but degenerates after a few days unless pregnancy has begun.

Explanation

Question 4 of 29

1

Fill the blank space to complete the text.

The corpus luteum secretes , which is a steroid hormone responsible for the development of the endometrium

Explanation

Question 5 of 29

1

Fill the blank space to complete the text.

The average menstrual cycle last days

Explanation

Question 6 of 29

1

Select from the dropdown list to complete the text.

Breakdown of the corpus luteum (luteolysis) typically occurs ( 14 days, 7 days, 4 days, 24 hours ) post ovulation

Explanation

Question 7 of 29

1

Stages of the menstrual cycle:
❌ = FSH stimulates follicle development. Raising oestrogen levels inhibit FSH production, therefore all follicles other than the dominant follicle die
❌ = Release of oocyte from ruptured dominant follicle
❌ = Formation of corpus luteum

Drag and drop to complete the text.

Luteal Phase

Ovulation

Follicular phase

Menstrual phase

Explanation

Question 8 of 29

1

Fill the blank space to complete the text.

During menstruation, arteriolar constriction brings above shedding of the functional layer of the

Explanation

Question 9 of 29

1

Select from the dropdown lists to complete the text.

Whilst the average menstrual cycle is 4 weeks long (28 days), a normal menstrual cycle is considered anything between ( 3, 3.5, 2.5 ) and ( 5, 4.5, 6 ) weeks in frequency.

Explanation

Question 10 of 29

1

The passing of clots is a normal finding for a woman undergoing menstruation.

Select one of the following:

True
False

Explanation

Question 11 of 29

1

Select from the dropdown list to complete the text.

Menstrual bleeding should be light - there should not be in excess of ( 80, 120, 50 )ml passed.

Explanation

Question 12 of 29

1

Menorrhagia: ❌
Metrorrhagia: ❌
Polymenorrhoea: ❌
Amenorrhoea: ❌
Oligomenorrhoea: ❌

Drag and drop to complete the text.

Periods at intervals of > 35 days

Absence of menstruation > 6 months

Periods occurring at < 21 day interval

Prolonged and increased menstrual flow

Regular intermenstrual bleeding

Explanation

Question 13 of 29

1

Pelvic Inflammatory Disease (PID) is typically caused by which organism?

Select one of the following:

Chlamydia
Gonorrhea
Herpes
Haemophilus

Explanation

Question 14 of 29

1

Chlamydia infection typically affects which structure?

Select one of the following:

Fallopian Tubes
Cervix
Uterus
Vagina
Ovaries

Explanation

Question 15 of 29

1

Fill the blank space to complete the text.

Which layer of the uterus is most prone to development of carcinomas?

Explanation

Question 16 of 29

1

A woman presents to her GP complaining of heavy, painful periods. She describes that she has recently found sex painful. After referral to Ninewells and the relevant investigations have been conducted, she is diagnosed with benign smooth muscle tumors of the uterus.
This is known clinically as ...

Select one of the following:

Uterine Fibroids
Adenomyosis
Endometriosis
Pelvic Inflammatory Disease
Endometrial Hyperplasia
Cervical Eversion

Explanation

Question 17 of 29

1

The following picture shows which condition?

Select one of the following:

Endometriosis
Uterine Fibroids
Adenomyosis
Pelvic Inflammatory Disease

Explanation

Question 18 of 29

1

Fill the blank space to complete the text.

Which condition can be described as the following:
"an often painful disorder in which tissue that normally lines the inside of your uterus grows outside of your uterus, most commonly in your ovaries, fallopian tubes and the tissue lining your pelvis.

Explanation

Question 19 of 29

1

Fill the blank space to complete the text.

is a condition affecting 50% of women with abnormal uterine bleeding. This diagnosis is made by exclusion and is also known as non-organic menorrhagia.

Explanation

Question 20 of 29

1

Select from the dropdown lists to complete the text.

Endometrial Carcinomas typically affect women who are ( post, pre )-menopausal - the peak age of incidence being around ( 60, 80, 35, 25 ) years old

Explanation

Question 21 of 29

1

Most cases of Dysfunctional Uterine Bleeding are ...

Select one of the following:

Anovulatory
Ovulatory

Explanation

Question 22 of 29

1

Select from the dropdown lists to complete the text.

Dysfunctional Uterine Bleeding:
Tends to present with an ( irregular, regular ) cycle of menorrhagia
More common in ( obese, underweight ) women

Explanation

Question 23 of 29

1

Fill the blank space to complete the text.

Ovulatory Dysfunctional Uterine Bleeding (the less common type) is thought to be caused by an inadequate production of by the corpus luteum.

Explanation

Question 24 of 29

1

The thicker a woman's endometrium, the more likely she is to develop endometrial carcinoma.

Select one of the following:

True
False

Explanation

Question 25 of 29

1

Fill the blank space to complete the text.

Investigations of Dysfunctional Uterine Bleeding may require imaging of the uterus. Where Ultrasound scans are not enough, a scope can be inserted into the vagina and into the uterus in order to view its contents.
This procedure is called

Explanation

Question 26 of 29

1

Which of the following are the two main treatments for Dysfunctional Uterine Bleeding?

Select one or more of the following:

Progestogens (Synthetic Progesterone)
Combined Oral Contraceptive Pill
Danazol
GnRH Analogues
NSAIDs
Capillary Wall Stabilisers

Explanation

Question 27 of 29

1

Select from the dropdown list to complete the text.

Patients that fail on ( 2, 3, 4 ) medical therapies for Dysfunctional Uterine Bleeding are typically then given a progestogen-releasing intrauterine device in the form of a coil.

Explanation

Question 28 of 29

1

Fill the blank spaces to complete the text.

If medical treatments fail for Dysfunctional Uterine Bleeding, surgical treatment in the form of endometrial should be attempted. If this is unsuccessful, surgical removal of the uterus (called a ) should be considered.

Explanation

Question 29 of 29

1

	Created by Matthew Coulson over 5 years ago

Menstrual Disorders lecture given on 07/11/2018

Menstrual Disorders

Question 1 of 29

In the primary stage of the menstrual cycle, which pituitary hormone is responsible for stimulating ovarian follicle development?

Select one of the following:

Explanation

Question 2 of 29

A surge of which pituitary hormone triggers ovulation?

Select one of the following:

Explanation

Question 3 of 29

Fill the blank space to complete the text.

The is a hormone-secreting structure that develops in an ovary after an ovum has been discharged but degenerates after a few days unless pregnancy has begun.

Explanation

Question 4 of 29

Fill the blank space to complete the text.

The corpus luteum secretes , which is a steroid hormone responsible for the development of the endometrium

Explanation

Question 5 of 29

Fill the blank space to complete the text.

The average menstrual cycle last days

Explanation

Question 6 of 29

Select from the dropdown list to complete the text.

Breakdown of the corpus luteum (luteolysis) typically occurs 14 days 7 days 4 days 24 hours( 14 days, 7 days, 4 days, 24 hours ) post ovulation

Explanation

Question 7 of 29

Stages of the menstrual cycle: ❌ = FSH stimulates follicle development. Raising oestrogen levels inhibit FSH production, therefore all follicles other than the dominant follicle die ❌ = Release of oocyte from ruptured dominant follicle ❌ = Formation of corpus luteum

Drag and drop to complete the text.

Explanation

Question 8 of 29

Fill the blank space to complete the text.

During menstruation, arteriolar constriction brings above shedding of the functional layer of the

Explanation

Question 9 of 29

Select from the dropdown lists to complete the text.

Whilst the average menstrual cycle is 4 weeks long (28 days), a normal menstrual cycle is considered anything between 3 3.5 2.5( 3, 3.5, 2.5 ) and 5 4.5 6( 5, 4.5, 6 ) weeks in frequency.

Explanation

Question 10 of 29

The passing of clots is a normal finding for a woman undergoing menstruation.

Select one of the following:

Explanation

Question 11 of 29

Select from the dropdown list to complete the text.

Menstrual bleeding should be light - there should not be in excess of 80 120 50( 80, 120, 50 )ml passed.

Explanation

Question 12 of 29

Menorrhagia: ❌ Metrorrhagia: ❌ Polymenorrhoea: ❌ Amenorrhoea: ❌ Oligomenorrhoea: ❌

Drag and drop to complete the text.

Explanation

Question 13 of 29

Pelvic Inflammatory Disease (PID) is typically caused by which organism?

Select one of the following:

Explanation

Question 14 of 29

Chlamydia infection typically affects which structure?

Select one of the following:

Explanation

Question 15 of 29

Fill the blank space to complete the text.

Which layer of the uterus is most prone to development of carcinomas?

Explanation

Question 16 of 29

A woman presents to her GP complaining of heavy, painful periods. She describes that she has recently found sex painful. After referral to Ninewells and the relevant investigations have been conducted, she is diagnosed with benign smooth muscle tumors of the uterus. This is known clinically as ...

Select one of the following:

Explanation

Question 17 of 29

The following picture shows which condition?

Select one of the following:

Explanation

Question 18 of 29

Fill the blank space to complete the text.

Which condition can be described as the following: "an often painful disorder in which tissue that normally lines the inside of your uterus grows outside of your uterus, most commonly in your ovaries, fallopian tubes and the tissue lining your pelvis.

Explanation

Question 19 of 29

Fill the blank space to complete the text.

is a condition affecting 50% of women with abnormal uterine bleeding. This diagnosis is made by exclusion and is also known as non-organic menorrhagia.

Explanation

Question 20 of 29

Select from the dropdown lists to complete the text.

Breakdown of the corpus luteum (luteolysis) typically occurs ( 14 days, 7 days, 4 days, 24 hours ) post ovulation

Stages of the menstrual cycle:
❌ = FSH stimulates follicle development. Raising oestrogen levels inhibit FSH production, therefore all follicles other than the dominant follicle die
❌ = Release of oocyte from ruptured dominant follicle
❌ = Formation of corpus luteum

Whilst the average menstrual cycle is 4 weeks long (28 days), a normal menstrual cycle is considered anything between ( 3, 3.5, 2.5 ) and ( 5, 4.5, 6 ) weeks in frequency.

Menstrual bleeding should be light - there should not be in excess of ( 80, 120, 50 )ml passed.

Menorrhagia: ❌
Metrorrhagia: ❌
Polymenorrhoea: ❌
Amenorrhoea: ❌
Oligomenorrhoea: ❌

A woman presents to her GP complaining of heavy, painful periods. She describes that she has recently found sex painful. After referral to Ninewells and the relevant investigations have been conducted, she is diagnosed with benign smooth muscle tumors of the uterus.
This is known clinically as ...

Which condition can be described as the following:
"an often painful disorder in which tissue that normally lines the inside of your uterus grows outside of your uterus, most commonly in your ovaries, fallopian tubes and the tissue lining your pelvis.

Endometrial Carcinomas typically affect women who are ( post, pre )-menopausal - the peak age of incidence being around ( 60, 80, 35, 25 ) years old

Dysfunctional Uterine Bleeding:
Tends to present with an ( irregular, regular ) cycle of menorrhagia
More common in ( obese, underweight ) women

Investigations of Dysfunctional Uterine Bleeding may require imaging of the uterus. Where Ultrasound scans are not enough, a scope can be inserted into the vagina and into the uterus in order to view its contents.
This procedure is called

Patients that fail on ( 2, 3, 4 ) medical therapies for Dysfunctional Uterine Bleeding are typically then given a progestogen-releasing intrauterine device in the form of a coil.