Master Menstrual Disorders: Quizzes for Medical Students

Question 1

Which of the following is the most common symptom of dysmenorrhea?

Accepted Answer

Pelvic pain

Answer

Nausea

Answer

Vomiting

Answer

Diarrhea

Question 2

A 28-year-old woman with a history of irregular menstrual cycles presents with a positive pregnancy test. Which of the following is the most appropriate next step in management?

Accepted Answer

Pelvic ultrasound to confirm gestational age

Answer

Serial beta-hCG levels to monitor pregnancy progression

Answer

Cervical mucus examination to assess for ovulation

Answer

Laparoscopic surgery to evaluate for pelvic pathology

Question 3

Which of these options is generally the most frequent cause of primary amenorrhea?

Accepted Answer

Uterine agenesis

Answer

Gonadal dysgenesis

Answer

Asherman syndrome

Answer

Premature ovarian failure

Question 4

Dysmenorrhea is characterized by what type of pain in most cases?

Accepted Answer

Crampy pain in the lower abdomen

Answer

Sharp, stabbing pain in the lower abdomen

Answer

Constant, dull pain in the back

Answer

Severe pain that radiates to the legs

Question 5

Which hormone is primarily responsible for initiating menstruation?

Accepted Answer

Luteinizing hormone (LH)

Answer

Estrogen

Answer

Progesterone

Answer

Follicle-stimulating hormone (FSH)

Question 6

What term is used to describe excessive menstrual bleeding that occurs at regular intervals?

Accepted Answer

Menorrhagia

Answer

Oligomenorrhea

Answer

Menometrorrhagia

Answer

Metrorrhagia

Question 7

Menorrhagia may potentially lead to which complication?

Accepted Answer

Anemia

Answer

Dyspareunia

Answer

Ovarian cysts

Answer

Premature labor

Question 8

Which is the first-line treatment for primary dysmenorrhea?

Accepted Answer

Non-steroidal anti-inflammatory drugs (NSAIDs)

Answer

Combined hormonal contraceptives

Answer

Antidepressants

Answer

Pelvic floor exercises

Question 9

Which symptom is not commonly associated with premenstrual syndrome (PMS)?

Accepted Answer

Acne

Answer

Mood swings

Answer

Breast tenderness

Answer

Abdominal bloating

Question 10

Which of the following is a hallmark symptom of primary amenorrhea? Select the most appropriate option.

Accepted Answer

Absence of menstrual periods

Answer

Painful menstrual cramps

Answer

Heavy menstrual bleeding

Answer

Irregular menstrual cycles

Question 11

To evaluate a suspected uterine abnormality as a cause of menorrhagia, which diagnostic test is most appropriate? Choose the best option.

Accepted Answer

Transvaginal ultrasound

Answer

Endometrial biopsy

Answer

Pap smear

Answer

Cervical culture

Question 12

What is the first-line hormonal intervention for alleviating severe dysmenorrhea? Select the most suitable option.

Accepted Answer

Birth control pills

Answer

Ibuprofen

Answer

Acetaminophen

Answer

Tranexamic acid

Question 13

Which of the following is a known risk factor for developing polycystic ovary syndrome (PCOS)? Choose the most relevant option.

Accepted Answer

Obesity

Answer

Early menarche

Answer

Smoking

Answer

Excessive alcohol consumption

Question 14

After pregnancy, what is the most common cause of secondary amenorrhea? Select the most appropriate option.

Accepted Answer

Asherman's syndrome

Answer

Hypothyroidism

Answer

Premature ovarian failure

Answer

Stress

Question 15

For women with a history of deep vein thrombosis who experience menorrhagia, which medication is contraindicated? Choose the most appropriate option.

Accepted Answer

Combined oral contraceptives

Answer

Progestin-only contraceptives

Answer

Tranexamic acid

Answer

Levonorgestrel-releasing intrauterine system (LNG-IUS)

Question 16

Excessive menstrual bleeding, or menorrhagia, can lead to various potential complications. Which is a known consequence of menorrhagia? Select the most relevant option.

Accepted Answer

Iron deficiency anemia

Answer

Endometrial hyperplasia

Answer

Pelvic inflammatory disease

Answer

Uterine prolapse

Question 17

For a 45-year-old woman with severe, persistent menorrhagia that hasn't responded to other treatments, which surgical procedure is typically considered the final option?

Accepted Answer

Hysterectomy

Answer

Endometrial ablation

Answer

Myomectomy

Answer

Uterine artery embolization

Question 18

Which of the following is a characteristic symptom of amenorrhea?

Accepted Answer

Absence of menstrual periods

Answer

Vaginal bleeding

Answer

Pelvic pain

Answer

Heavy menstrual bleeding

Question 19

What is the preferred initial treatment for primary dysmenorrhea?

Accepted Answer

Non-steroidal anti-inflammatory drugs (NSAIDs)

Answer

Hormonal contraceptives

Answer

Surgery

Answer

Lifestyle modifications

Question 20

Which diagnostic test is most appropriate for investigating menorrhagia?

Accepted Answer

Pelvic ultrasound

Answer

Pap smear

Answer

Endometrial biopsy

Answer

Complete blood count

Question 21

Which symptom is characteristic of a luteal phase defect?

Accepted Answer

Short menstrual cycles

Answer

Delayed or absent ovulation

Answer

Heavy menstrual bleeding

Answer

Pelvic pain

Question 22

What is the primary goal of treating menorrhagia?

Accepted Answer

To reduce menstrual blood loss

Answer

To regulate menstrual cycles

Answer

To prevent fertility

Answer

To alleviate pain

Question 23

Which condition is most likely suspected in a woman with irregular menstrual cycles, heavy bleeding, and pelvic pain?

Accepted Answer

Endometriosis

Answer

Adenomyosis

Answer

Uterine fibroids

Answer

Pelvic inflammatory disease (PID)

Question 24

Which of the following is a potential long-term complication of amenorrhea, specifically related to bone health?

Accepted Answer

Osteoporosis

Answer

Infertility

Answer

Endometrial cancer

Answer

Polycystic ovary syndrome (PCOS)

Question 25

Which of the following is **not** a common cause of primary amenorrhea?

Accepted Answer

Pregnancy

Answer

Uterine agenesis

Answer

Mayer-Rokitansky-Küster-Hauser syndrome

Answer

Congenital adrenal hyperplasia

Question 26

Which of the following is a symptom of polycystic ovary syndrome (PCOS)?

Accepted Answer

Oligomenorrhea

Answer

Dysmenorrhea

Answer

Pelvic pain

Answer

Menorrhagia

Question 27

What is the most common type of menstrual irregularity in adolescents?

Accepted Answer

Oligomenorrhea

Answer

Dysmenorrhea

Answer

Menorrhagia

Answer

Amenorrhea

Question 28

Which of the following is a potential complication of menorrhagia?

Accepted Answer

Anemia

Answer

Ovarian cysts

Answer

Endometriosis

Question 29

What is the first-line imaging modality for evaluating menorrhagia?

Accepted Answer

Transvaginal ultrasound

Answer

Computed tomography (CT) scan

Answer

Magnetic resonance imaging (MRI)

Answer

Hysterosalpingogram

Question 30

Which of the following is typically NOT a sign of amenorrhea?

Accepted Answer

Lengthened menstrual cycle

Answer

Absence of menstruation for at least three consecutive cycles

Answer

Weight loss

Answer

Pregnancy

Question 31

What is the most common cause of acquired (secondary) dysmenorrhea?

Accepted Answer

Endometriosis

Answer

Pelvic inflammatory disease

Answer

Adenomyosis

Answer

Cervical stenosis

Question 32

What is the initial step in the evaluation of a patient presenting with irregular vaginal bleeding?

Accepted Answer

Comprehensive history and physical examination

Answer

Biopsy

Answer

Blood tests (e.g., hormone assays)

Answer

Ultrasound

Question 33

Which of the following is generally the most effective first-line treatment for symptoms of primary dysmenorrhea?

Accepted Answer

Nonsteroidal anti-inflammatory drugs (NSAIDs)

Answer

Hormonal contraceptives

Answer

Regular exercise

Answer

Heat therapy

Question 34

Which of the following is a potential complication of untreated menorrhagia?

Accepted Answer

Iron-deficiency anemia

Answer

Infertility

Answer

Ectopic pregnancy

Answer

Ovarian cancer

Question 35

What is the primary reason for obtaining a thyroid function test in the evaluation of menstrual disorders?

Accepted Answer

To rule out thyroid dysfunction as a potential underlying cause

Answer

To guide immediate treatment decisions

Answer

To determine the severity of the disorder

Question 36

What is the primary purpose of an endometrial biopsy in the evaluation of menstrual disorders?

Accepted Answer

To evaluate the endometrium for abnormalities

Answer

To rule out infection

Answer

To diagnose pregnancy

Answer

To determine hormone levels

Question 37

What is the defining characteristic of menorrhagia?

Accepted Answer

Excessive menstrual blood loss (≥80 mL per cycle)

Answer

Prolonged menstrual duration

Answer

Intermenstrual bleeding

Answer

Frequent menstrual cycles

Question 38

Which of the following is NOT a diagnostic feature of polycystic ovary syndrome (PCOS)?

Accepted Answer

Normal ovarian morphology on ultrasound

Answer

Clinical or biochemical hyperandrogenism

Answer

Polycystic ovaries on ultrasound

Answer

Oligo- or anovulation

Question 39

What is the primary objective of treating amenorrhea caused by functional hypothalamic amenorrhea (FHA)?

Accepted Answer

Restore normal menstrual cycles and fertility

Answer

Increase bone mineral density

Answer

Improve cardiovascular health

Answer

Promote weight gain

Question 40

A 16-year-old female presents with primary amenorrhea. Physical examination and laboratory findings are unremarkable except for an elevated follicle-stimulating hormone (FSH) level. Which of the following is the most likely underlying cause?

Accepted Answer

Müllerian agenesis

Answer

Hypothalamic amenorrhea

Answer

Polycystic ovary syndrome (PCOS)

Answer

Asherman syndrome

Question 41

Which of the following symptoms is most characteristic of dysmenorrhea?

Accepted Answer

Crampy, aching pain in the lower abdomen

Answer

Dull, constant pain in the back

Answer

Sharp, stabbing pain in the ovaries

Answer

Sudden, severe pain associated with rupture

Question 42

In a patient with suspected uterine fibroids, which of the following diagnostic tests is typically used as the first-line imaging modality?

Accepted Answer

Transvaginal ultrasound

Answer

Magnetic resonance imaging (MRI)

Answer

Hysterosalpingography

Answer

Pelvic exam

Question 43

Which of the following is a potential complication of untreated menorrhagia?

Accepted Answer

Iron-deficiency anemia

Answer

Ovarian torsion

Answer

Ectopic pregnancy

Answer

Uterine rupture

Question 44

Which of the following is a known risk factor for the development of polycystic ovary syndrome (PCOS)?

Accepted Answer

Obesity

Answer

Low socioeconomic status

Answer

Advanced age

Answer

Smoking

Question 45

Which of the following symptoms is commonly associated with premenstrual syndrome (PMS)?

Accepted Answer

Mood swings

Answer

Increased libido

Answer

Weight loss

Answer

Lower abdominal pain

Question 46

A 19-year-old female presents with a 6-month history of amenorrhea. She denies pregnancy, and her physical exam is unremarkable. Which of the following is the most likely cause?

Accepted Answer

Hypothalamic dysfunction

Answer

Pituitary adenoma

Answer

Asherman's syndrome

Question 47

Which of the following symptoms is characteristic of dysmenorrhea?

Accepted Answer

Pelvic cramps

Answer

Heavy bleeding

Answer

Pelvic pain that worsens with exercise

Question 48

Which of the following is a potential complication of menorrhagia?

Accepted Answer

Iron deficiency anemia

Answer

Ovarian cysts

Answer

Cervical dysplasia

Answer

Uterine prolapse

Question 49

Which of the following diagnostic tests is most useful for evaluating amenorrhea?

Accepted Answer

Hormonal blood tests

Answer

Hysteroscopy

Answer

Ultrasound

Answer

MRI

Question 50

What is the first-line treatment for primary dysmenorrhea?

Accepted Answer

Nonsteroidal anti-inflammatory drugs (NSAIDs)

Answer

Surgery

Answer

Oral contraceptives

Answer

Hormonal therapy

Question 51

Which of the following is a risk factor for developing Asherman's syndrome?

Accepted Answer

Dilation and curettage

Answer

Uterine fibroids

Answer

Endometriosis

Answer

Oral contraceptive use

Question 52

What is the primary hormonal abnormality associated with polycystic ovary syndrome (PCOS)?

Accepted Answer

Hyperandrogenism

Answer

Hyperthyroidism

Answer

Cushing's syndrome

Answer

Hypothyroidism