Quiz 4: Vaginal bleeding

Please choose the one, most correct answer to each question or statement.

1. What is menopause?
   • The first menstruation in a young girl
   • The first 6 weeks after the birth of an infant
   • The end of menstrual periods in an older woman
   • Vaginal bleeding sometimes seen in newborn infants
2. Monthly menstrual blood loss is abnormal when it is:
   • Greater than 20 ml
   • Greater than 35 ml
   • Greater than 50 ml
   • Greater than 80 ml
3. Heavy menstrual bleeding can be managed with:
   • Folic acid tablets
   • A combined oral contraceptive pill
   • Vaginal oestrogen cream
   • Vitamin K
4. Older women with severe menstrual bleeding may need:
   • Tubal ligation
   • Endometrial ablation
   • Cervical cautery
   • Cervical suturing
5. Heavy menstrual bleeding can cause:
   • Anaemia
   • Infertility
   • Weight loss
   • Severe lower abdominal pain
6. Bleeding between periods:
   • Is not important
   • Is common in women who have children
   • Is only important if it is very heavy
   • May be caused by a serious condition
7. Bleeding after intercourse may be a sign of:
   • An ectopic pregnancy
   • HIV infection
   • Cervicitis
   • Vaginal moniliasis
8. A women with irregular bleeding on the oral contraceptive pill should be:
   • Reassured and told that this is normal
   • Treated with oral anti-inflammatory drugs
   • Asked if she is taking her pills regularly
   • Referred to the hospital for a blood transfusion
9. What condition may present with post-menopausal vaginal bleeding?
   • Cancer of the cervix
   • Urinary tract infection
   • Uterine prolapse
   • Haemorrhoids
10. What is amenorrhoea?
    • Heavy but regular periods
    • Irregular periods
    • Scanty periods
    • No periods
11. Young girls should be referred for investigation if they have not had their first period by:
    • 12 years
    • 14 years
    • 16 years
    • 18 years
12. What may cause amenorrhoea?
    • A copper-containing intra-uterine contraceptive device
    • Long term use of a contraceptive injection
    • Uterine fibroids
    • A sexually transmitted infection
13. Women with polycystic ovary syndrome often present with:
    • Pregnancy
    • Acne and obesity
    • Heavy bleeding and weight loss
    • Swollen breasts and abdominal bloating
14. Excessive exercise may result in:
    • Amenorrhoea
    • Heavy bleeding
    • Dysmenorrhoea
    • Post-menopausal bleeding
15. What is dysmenorrhea?
    • Painful periods
    • Heavy, irregular periods
    • Prolonged periods
    • Vaginal bleeding after intercourse
16. Primary dysmenorrhea usually occurs in:
    • Young girls before puberty
    • Teenagers
    • Middle-aged women
    • After menopause
17. What is a common cause of secondary dysmenorrhea?
    • Pregnancy
    • Polycystic ovary syndrome
    • Vaginitis
    • Endometriosis
18. What drug can usually be used to treat primary dysmenorrhea?
    • Diuretics
    • Morphine
    • Mefenamic acid
    • Erythromycin
19. Premenstrual syndrome presents with:
    • Hypertension and headache
    • Abdominal pain
    • Vaginal bleeding
    • Emotional and behavior changes
20. How common is premenstrual syndrome?
    • It occurs in all young women
    • Most women have premenstrual syndrome after their first child
    • In 50% of women
    • In 5% of women