3. Suppose Cathy says that in spite of her “wildness” in college, she just wants

Question

3. Suppose Cathy says that in spite of her “wildness” in college, she just wants to “get it all out of my system, and then settle down and have kids after I graduate.” As her physician, what would you tell her about the relevance of her present behavior to her family plans?

5. Why do Cathy’s signs and symptoms rule out cervical, endometrial, and ovarian cancer?

6. Erica, a 17-year-old female, is a member of her high school swim team. She visits her physician because she has missed her last two menstrual periods. Laboratory tests are negative for HCG. Based on this limited information, speculate about the cause of Erica’s amenorrhea. What treatment, if any, would you recommend?

7. Twenty-eight-year-old Brenda visits her gynecologist complaining of irregular menstruation, back pain, and pain during intercourse. Which of the following signs would suggest that Brenda is suffering from polycystic ovary disease? a. elevated serum LH concentrations b. elevated serum HCG concentration c. mucopurulent discharge d. rebound tenderness e. dyschezia

8. Andrea, a 32-year-old female, visits her nurse practitioner complaining of constipation, pelvic pain, and dysmenorrhea. Within the last 6 months, Andrea’s sister has been diagnosed with endometriosis. Laparoscopy reveals two regions of ectopic endometrial tissue on Andrea’s ovaries. Since Andrea does not intend to have any children, she decides to take a GnRH agonist in an attempt to treat the disorder without resorting to surgery. Explain how this medication would help alleviate the signs and symptoms of this disorder.

Explanation / Answer

3. As her physician, I would you tell her that with all her wildness” in college she should practice efficient contraception methods to materialize her family plans.

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