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Abnormal Uterine Bleeding

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

a. Intermenstrual bleeding is bleeding that occurs between cycles.

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

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

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.

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

a. Pad counts

b. Hemoglobin and hematocrit

c. Pictorial blood assessment chart

d. Sodium hydroxide extraction of hemoglobin

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

a. Ovary

b. Uterus

c. Vagina

d. Urethra

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

a. Adolescence—anovulation

b. Childhood—vulvovaginitis

c. Perimenopause—anovulation

d. Menopause—endometrial carcinoma

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

a. Spiral

b. Radial

c. Basalis

d. Functionalis

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

a. Thrombus formation

b. Platelet aggregation

c. Vasoconstriction of endometrial arteries

d. All of the above

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

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