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Prostaglandin release is the most accepted etiology d

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Prostaglandin release is the most accepted etiologyd. Onset is associated with menarchee. None of the above83.Medical therapy for 1ry dysmenorrhea includes all of the following EXCEPT :a. Analgesicsb. Prostaglandin inhibitorsc.Oxytocind. Antihistaminicse. Calcium channel blockers84.Dysmenorrhea:a. It is painful menstruationb. It is pain with menstruationc.It is a pain related to menstruationd. It is pain before menstruatione. All of the above85.The following is the accepted theory for primary dysmenorrhea:a. Relative cervical stenosisb. Reversed polarity of the uterus at menstruationc. Decreases pain thresholdd. Relative uterine ischemiae.All of the above86.Premenstrual syndrome(PMS)a. Fluctuating ovarian hormones in the luteal phase may be the causeb. Physiological and psychological aspects should be considered in its treatmentc. Oral contraceptive pills many be used for suppuration of ovulationd. Premenstural administration of diuretics may be of help.e. All to the above204
87.Congestive dysmenorrheaa. May be due to RVFb. The pain is colickyc. Associated with G.I.T manifestationsd. Common in virgins and nulliparouse. Can be treated by antiprostaglandin88.Causes of congestive dysmenorrhea includes all the following EXCEPT :a. Endometroisisb. Cervical stenosisc. Sedentary life styled. Pelvic tumorse. Chronic constipation89.A 20 years old girl is complaining from lower abdominal pain every month during her periods sinceshe was 17years old, the pain is colicky and associated with nausea and vomiting usually in the first day of hermenstruation , which is regular, rather than this her medical history is unremarkable.a. Pelvic examination can usually reveal a fibroid uterusb. This lady is mostly anovulatoryc.Non steroidal anti-inflammatory drugs is effective treatmentd. Possibility of endometriosis is highe. Diagnostic laparoscopy is highly needed90.A 35 years old lady gravida 4, para 3 with 3 living children . She is using an IUD as a method of contraception for4 years.. She is presenting with cyclic attacks of lower abdominal heaviness which starts 2 days before hermenstrual flow associated with vaginal discharge and heavy menstrual flow.a. PID may be the underlying causeb. The IUD should be removed at oncec. IUD has no relation to any of her complainsd. Pregnancy will improve her complainse. None the aboveA 30 years old lady presented with history of 1 ry infertility of 5 years, she is complaining for lower abdominal pain,with increased menstrual flow, the pain starts few days before onset of menstruation, increased by onset ofthe flow. Pelvic examination revealed RVF uterus, investigation showed ovulatory cycles by PEB, normal HSGand normal semen analysis of her husband.91.What is the most probable diagnosis ?

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Term
Summer
Professor
dr.bassam
Tags
Obstetrics, vaginal bleeding

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