Menstrual Disorders Practice Questions

Question 1

Which of the following is NOT a cause of unilateral dysmenorrhea?

Accepted Answer

Large fundal fibroid

Answer

Rudimentary uterine horn

Answer

Right ovarian vein syndrome

Answer

Unicornuate uterus

Question 2

A 16-year-old female presents with cryptomenorrhea and normal secondary sexual characters. What is the investigation of choice?

Accepted Answer

Genital examination for outflow obstruction

Answer

MRI brain

Answer

Prolactin estimation

Answer

None of the above

Question 3

Which of the following is NOT true about the use of NSAIDs in abnormal uterine bleeding?

Accepted Answer

NSAIDs should be commenced just prior to the start of menses and continued up to day 14 of the cycle.

Answer

Prostaglandins play a role in the pathogenesis of endometrial dysfunction.

Answer

NSAIDs are used just prior to the onset of menses as women lose 90% of menstrual blood volume in the first 3 days.

Answer

NSAIDs can reduce menstrual blood loss by approximately 25%.

Question 4

A 15-year-old girl presents with primary amenorrhea despite the orderly appearance of secondary sexual characteristics (breast and pubic hair). What is the next best step in her management?

Accepted Answer

Ultrasound (USG)

Answer

Reassurance

Answer

Hysterosalpingography (HSG)

Answer

Hormonal studies

Question 5

Which of the following defines primary amenorrhea?

Accepted Answer

Absence of menarche by 16 years with secondary sexual characters

Answer

Absence of menarche by 14 years without secondary sexual characters

Answer

Absence of secondary sexual characters by 13 years

Answer

Endometriosis

Menstrual Disorders — MCQs

Menstrual Disorders — MCQs

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