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Abnormal Uterine Bleeding

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Which of the following definitions of abnormal uterine bleeding is incorrect?

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a. Intermenstrual bleeding is bleeding that occurs between cycles.

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b. Oligomenorrhea refers to cycles with intervals shorter than 35 days.

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c. Hypomenorrhea refers to menses with diminished flow or shortened interval.

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d. Heavy menstrual bleeding is defined as prolonged or heavy cyclic menstruation, with menses lasting longer than 7 days or exceeding 80 mL of blood loss.

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Which of the following tools is NOT clinically useful to estimate menstrual blood loss?

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a. Pad counts

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b. Hemoglobin and hematocrit

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c. Pictorial blood assessment chart

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d. Sodium hydroxide extraction of hemoglobin

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In premenarchal girls, which of the following is the most common source of abnormal bleeding?

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a. Ovary

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b. Uterus

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c. Vagina

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d. Urethra

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Age groups have been correctly paired with their most common etiology of abnormal genital tract bleeding in all of the following EXCEPT:

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a. Adolescence—anovulation

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b. Childhood—vulvovaginitis

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c. Perimenopause—anovulation

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d. Menopause—endometrial carcinoma

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Which layer of the endometrium sloughs and therefore is responsible for observed menstrual discharge?

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a. Spiral

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b. Radial

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c. Basalis

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d. Functionalis

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Control of blood loss during menses involves which of the following mechanisms?

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a. Thrombus formation

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b. Platelet aggregation

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c. Vasoconstriction of endometrial arteries

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d. All of the above

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A 30-year-old patient presents to your office complaining of heavy menstrual bleeding. With additional ...

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