Topic 7 Premenstrual syndrome. Pathogenesis, clinical forms, diagnosis and treatment

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Education 2023-2024 academic year
Obstetrics and Gynecology No. 1
Uch. year 2023-24 Tests. General information for students
Faculty of Medicine 6 k
Gynecological endocrinology
Topic 7: Premenstrual syndrome. Pathogenesis, clinical forms, diagnosis and treatment.
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Wednesday, 13 December 2023, 20:09
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Question 1
Wednesday, 13 December 2023, 20:25
16 min. 10 sec.
Points
11.00/29.00
Grade
3.79 out of 10.00 ( 38 %)
Menopause is the period of a woman's life:
Right
Points: 1.00 out of
1.00
Select one answer:
a. after 55 years.
b. after 60 years;
c. 45-55 years
d. after the birth of the last child;
e. after 45 years;
Correct answer: 45-55 years
Question 2
Frequency of hot flashes in severe CS
Right
Points: 1.00 out of
1.00
Select one answer:
a. over 20 tides
b. up to 10 per day
c. up to 5 per day
d. the severity of the disease does not depend on the number of hot flashes
per day.
e. 11-20 per day
Correct answer: over 20 tides
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Question 3
Manifestations of urogenital atrophy do not include:
Right
Points: 1.00 out of
1.00
Select one answer:
a. vaginal dysbiosis;
b. hot flashes;
c. dyspareunia;
d. dryness of the vaginal mucosa;
e. itching and burning;
Correct answer: hot flashes;
Question 4
For hormonal therapy of premenstrual syndrome, the following are used:
Right
Points: 1.00 out of
1.00
Select one answer:
a. gestagens
b. combined oral contraceptives;
c. parlodel;
d. corticosteroids;
e. androgens
Correct answer: combined oral contraceptives;
Question 5
Wrong
Points: 0.00 out of
1.00
Clinical manifestations of premenstrual syndrome (on the eve of menstruation) do
not include:
Select one answer:
a. headache, dizziness
b. painful breast engorgement
c. depression, sometimes aggressiveness
d. anorexia
e. weight gain of 1-2 kg.
Correct answer: anorexia
Question 6
Right
Points: 1.00 out of
1.00
In postmenopausal patients with climacteric syndrome, there is usually an increase in
the level of:
Select one answer:
a. FSH
b. cortisol
c. TSH
d. prolactin
e. insulin
Correct answer: FSH
Question 7
Wrong
Points: 0.00 out of
1.00
Which of the following menopausal symptoms does not disappear during
menopausal hormone therapy with estrogen:
Select one answer:
a. depression;
b. atrophic colpitis;
c. prolapse of the vaginal walls;
d. insomnia;
e. frequent urination.
Correct answer: prolapse of the vaginal walls;
Question 8
The concept of “window of therapeutic opportunity” includes:
Wrong
Points: 0.00 out of
1.00
Select one answer:
a. the period of menopausal transition and 2 years after the last menstruation
in life;
b. Juvenile period
c. period of menopausal transition and early postmenopause.
d. perimenopause;
e. the period of menopausal transition and the first 10 years after the
cessation of menstruation;
Correct answer: menopausal transition and early postmenopause.
Question 9
The duration of the menopausal transition (perimenopause) is:
Wrong
Points: 0.00 out of
1.00
Select one answer:
a. 2 years;
b. 3 years;
c. 1 year;
d. 10 years;
e. 5 years;
Correct answer: 5 years;
Question 10
Neurovegetative manifestations of menopausal syndrome do not include:
Wrong
Points: 0.00 out of
1.00
Select one answer:
a. dryness and atrophy of the skin and mucous membranes;
b. heartbeat;
c. hot flashes;
d. night sweats;
e. dizziness;
Correct answer: dryness and atrophy of the skin and mucous membranes;
Question 11
The most effective treatment for postmenopausal osteoporosis is:
Wrong
Points: 0.00 out of
1.00
Select one answer:
a. diet therapy;
b. hormone therapy;
c. prescription of drugs - bone resorption inhibitors.
d. vitamin therapy;
e. physiotherapy and exercise therapy;
Correct answer: hormone therapy;
Question 12
Right
Points: 1.00 out of
1.00
Specify the most effective method for early diagnosis of postmenopausal
osteoporosis:
Select one answer:
a. radiography of the hand;
b. CT scan;
c. radiography of the lumbosacral spine;
d. determination of the level of calcium and parathyroid hormone in the blood.
e. osteodensitometry
Correct answer: osteodensitometry
Question 13
It is not typical for the atypical form of menopausal syndrome
Wrong
Points: 0.00 out of
1.00
Select one answer:
a. severe diabetes mellitus
b. sympathoadrenal crises
c. endocrine infertility
d. severe course of bronchial asthma
e. transformed premenstrual syndrome
Correct answer: endocrine infertility
Question 14
Menopause is:
Wrong
Points: 0.00 out of
1.00
Select one answer:
a. 1 year after the last menstruation in life;
b. the period of life after the cessation of menstruation;
c. the first 10 years after the cessation of menstruation;
d. 2 years after the last menstruation in life;
e. the first 5 years after the cessation of menstruation
Correct answer: 1 year after the last menstruation in life;
Question 15
Not used for hormone replacement therapy during menopause
Wrong
Points: 0.00 out of
1.00
Select one answer:
a. "livial"
b. “kliogest”
c. "femoston"
d. "klymen"
e. "danazol"
Correct answer: "danazol"
Question 16
Characteristic metabolic and endocrine disorders in menopausal syndrome:
Wrong
Points: 0.00 out of
1.00
Select one answer:
a. osteochondrosis
b. anorexia
c. thyrotoxicosis
d. asthenic syndrome
e. obesity
Correct answer: obesity
Question 17
The following clinical forms are not classified as premenstrual syndrome:
Right
Points: 1.00 out of
1.00
Select one answer:
a. cephalgic
b. genetic
c. crisis
d. neuropsychological
e. edematous
Correct answer: genetic
Question 18
Frequency of “hot flashes” in moderate CS
Wrong
Points: 0.00 out of
1.00
Select one answer:
a. 10-20 per day
b. up to 10 per day
c. over 20 tides
d. up to 5 per day
e. the severity of the disease does not depend on the number of hot flashes
per day.
Correct answer: 10-20 per day
Question 19
A postmenopausal woman with atrophic vaginitis is concerned about:
Right
Points: 1.00 out of
1.00
Select one answer:
a. dryness and itching in the vagina;
b. increased libido;
c. bloody issues.
d. unpleasant heavy discharge;
e. candidal colpitis;
Correct answer: dryness and itching in the vagina;
Question 20
Clinical manifestations of the typical form of menopausal syndrome are not typical
Wrong
Points: 0.00 out of
1.00
Select one answer:
a. urogenital disorders
b. dry mucous membranes
c. osteoporosis
d. pain in the heart area
e. laryngitis
Correct answer: laryngitis
Question 21
The concept of “menopausal syndrome” includes:
Right
Points: 1.00 out of
1.00
Select one answer:
a. changes that develop in the female body against the background of
progressive androgen deficiency;
b. changes that develop in the female body against the background of a
progressive excess of androgens.
c. Increased blood sugar
d. changes that develop in the female body against the background of
progressive estrogen deficiency;
e. changes that develop in the female body against the background of a
progressive excess of estrogen;
Правильный ответ: изменения, развивающиеся в женском организме на фоне
прогрессирующего дефицита эстрогенов;
Вопрос 22
Для физиологического течения климактерического периода не характерно:
Неверно
Баллов: 0,00 из
1,00
Выберите один ответ:
a. прогрессирующая инволюция половых органов
b. галакторея
c. «приливы»
d. прекращение репродуктивной функции
e. прекращение менструальной функции
Правильный ответ: «приливы»
Вопрос 23
К основным фазам климактерия относятся:
Неверно
Баллов: 0,00 из
1,00
Выберите один ответ:
a. пременопауза, менопауза, постменопауза;
b. пременопауза, постменопауза.
c. пременопауза, менопауза;
d. перименопауза;
e. пременопауза, перименопауза;
Правильный ответ: пременопауза, менопауза, постменопауза;
Вопрос 24
Неверно
Баллов: 0,00 из
1,00
При предменструальном синдроме во вторую фазу менструального цикла
наблюдается:
Выберите один ответ:
a. гиперпрогестеронемия
b. гиперандрогения
c. повышение секреции АКТГ
d. повышение уровня серотонина
e. гиперэстрогения
Правильный ответ: повышение уровня серотонина
Вопрос 25
К ранним климактерическим расстройствам относят:
Неверно
Баллов: 0,00 из
1,00
Выберите один ответ:
a. нарушение функции ЖКТ;
b. психоэмоциональные симптомы;
c. вазомоторные симптомы;
d. сексуальную дисфункцию;
e. анемию;
Правильный ответ: нарушение функции ЖКТ;
Вопрос 26
Частота «приливов» при легкой форме климактерического синдрома
Неверно
Баллов: 0,00 из
1,00
Выберите один ответ:
a. до 5 в сутки
b. тяжесть заболевания не зависит от количества «приливов» в сутки.
c. 11- 20 в сутки
d. до 10 в сутки
e. свыше 20 приливов
Правильный ответ: до 10 в сутки
Вопрос 27
Верно
Баллов: 1,00 из
1,00
Назовите наиболее характерные клинические проявления
постменопаузального остеопороза:
Выберите один ответ:
a. боли в конечностях;
b. анорексия.
c. увеличение роста, изменение осанки;
d. увеличение массы тела;
e. прогрессирующее ограничение двигательной функции позвоночника;
Правильный ответ: прогрессирующее ограничение двигательной функции
позвоночника;
Вопрос 28
Пременопауза – это период:
Верно
Баллов: 1,00 из
1,00
Выберите один ответ:
a. увеличение длительности менструального цикла;
b. изменение массы тела.
c. гиперинсулинемия;
d. уменьшение частоты ановуляторных циклов;
e. начинающегося снижения функции яичников;
Правильный ответ: начинающегося снижения функции яичников;
Вопрос 29
Для лечения атрофического кольпита применяют:
Неверно
Баллов: 0,00 из
1,00
Выберите один ответ:
a. «Овестин»;
b. циклоферон
c. «Полижинакс»;
d. «Фарматекс»;
e. «Ваготил»;
Правильный ответ: «Овестин»;
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Topic 8. Basics of hormonal contraception. Types, composition of modern hormonal contraceptives,
mechanism of action, therapeutic effects of modern hormonal contraceptives
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