04 May QuestionQUESTION 1Samira is a 26-year-old female with a history of intense dysmenorrhea. She experience menar
Question
QUESTION 1
Samira is a 26-year-old female with a history of intense dysmenorrhea. She experience menarche at age 11. Her menstrual cycles average 25 days in length. She has a BMI of 18. Her menstrual cycle pain had decreased over the last 3 years while she was consistently taking birth control pills. However, she is now planning her first pregnancy and has been off birth control for 6 months now. She has yet to conceive, even though she and her partner have been carefully timing intercourse and monitoring Samira’s fertility window each month. Her dysmenorrhea has returned and she has developed menometrorrhagia, along with other cyclical symptoms like diarrhea, bloating, and craving salty foods.
Samira’s physician is concerned that she may have endometriosis. Briefly explain the pathophysiology of this condition.
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1 points
QUESTION 2
Which of Samira’s symptoms is most likely NOT related to endometriosis?
Craving salty food
Diarrhea
Dysmenorrhea
Bloating
1 points
QUESTION 3
Why would Samira’s dysmenorrhea symptoms decrease when taking birth control pills?
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1 points
QUESTION 4
List and briefly describe 3 risk factors Samira has for endometriosis.
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1 points
QUESTION 5
Aside from the symptoms Samira has, which of the following symptoms is also likely for women who experience endometriosis? (Select all that apply.)
Fatigue
Pain with bowel movements
Pain with intercourse
Increased likelihood of gonorrhea
Increased risk of genital warts
1 points
QUESTION 6
Samira’s physician wants to perform several tests to diagnose her condition. Which of the following procedures would NOT be helpful in diagnosing endometriosis?
Pap smear
Ultrasound
Pelvic exam
Laparoscopy
1 points
QUESTION 7
If Samira still wishes to become pregnant, which treatment option may decrease her symptoms while allowing fertilization and implantation of an ovum?
Progestin therapy
Depo-Provera
Estrogen-Progesterone patch
Conservative surgery
1 points
QUESTION 8
List and describe 3 lifestyle or at-home treatments that may help Samira reduce her symptoms.
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