Premenstrual syndrome

Question 1

Tanisha is a twenty-two-year-old woman who presents with extreme irritability and mood swings, bloating, constipation, fluid retention, and headache. She tearfully tells you, “This happens every month in my cycle. I get like a crazy woman, lashing out at everyone. I’m afraid I’ll lose my job if I can’t stop this. Sometimes, it’s so bad. I just want to quit living. I need help!” Tanisha’s symptoms are typical of what disorder?

Question 1 options:

Depression

Premenstrual syndrome (PMS)

Bipolar disorder

Premenstrual dysphoric disorder (PMDD)

Question 2

Sylvia is a forty-four-year-old woman with abnormal uterine bleeding (AUB) and is unable to use combined hormonal oral contraceptives. Which of the following medications can be used for management of AUB?

Question 2 options:

Ethinyl estradiol

Medroxyprogesterone

Musculoskeletal relaxants

Conjugated estrogen

Question 3

Your fifteen-year-old patient has been diagnosed with secondary amenorrhea. The urine human chorionic gonadotropin (HCG) is negative and Prolactin levels are within normal limits. The physical examination reveals growth of breast tissue and Tanner stage III. Which of the following medication regimes would be most appropriate?

Question 3 options:

Oral estrogen 1.25 mg daily for three weeks

Oral progestin 5 mg every other day for three cycles

Medrol 16 mg dose pack

Medroxyprogesterone acetate 5 to 10 mg daily for first 12 to 14 days of each cycle