Chapter 4

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Chapter 4
2010-09-16 18:21:43
Women\'s Health core curriculum

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  1. Which statement is incorrect?
    A. 20% of women w PID have difficulty conceiving
    B. chronic abdo pain may be the result of sexual abuse
    C. chronic abdo pain can be due to PID resulting from a previously undiagnosed chlamydial infection
    D. chronic abdo pain, by definition, has been present for >= 6/52
    E. chronic abdo pain can be caused by endometriosis
    D. chronic abdo pain, by definition, has been present for >= 6/52
    (this multiple choice question has been scrambled)
  2. Which of the following statements are true of ectopic pregnancies?
    A. 95% occur in the fallopian tube
    B. the diagnosis is ruled out by a negative pregnancy test
    C. PID is the most important factor in the aetiology
    D. vaginal cancida infection increases the risk of ectopic pregnancy
    E. bleeding is usually the first symptom
    A. and b.
    (this multiple choice question has been scrambled)
  3. a 25yo woman presents to ED w severe lower abdo pain and greenish vaginal discharge... whats up?
    • PID - results from ascending infection from cervic.
    • there may be vag discharge, abN bleeding or dypareunia but there is no good evidence to relate these nonspecific symx to PID
  4. a 25yo woman complains of very painful periods and abdo pain in the week before menstruation?
    • Endometriosis - needs oestrogen ( :. uncommon in women past menopause.
    • in pts in reproductive years:
    • - provide pain relief
    • - restrict progression of the process
    • - restore or preserve fertility where needed
    • in younger women:
    • surgical rx to try to remove endometrial tissue and preserve ovaries w/o damaging N tissue
    • in older women:
    • may remove lesions or complete pelvic clarance - last resort
    • medical mx:
    • - analgesics
    • - hormone stabilisation
    • - pestrogen reduction or suppression