Author Question: Postmenopausal vaginal bleeding commonly indicates: A. Hormonal imbalance B. Endometrial cancer ... (Read 59 times)

jazziefee · **on:** Jun 25, 2018

Postmenopausal vaginal bleeding commonly indicates:

A. Hormonal imbalance
B. Endometrial cancer
C. Endometriosis
D. Atrophic vaginitis

Question 2

Your 26-year-old female patient reports a history of herpes simplex type II infection. On physical examination, you note red blisters over the vulva region.

When questioned about sexual activity, she explains that her partner uses a condom whenever her infectious blisters are present. The clinician should recognize:
A. The herpes virus can be transmitted during the patient's asymptomatic periods
B. If the lesions are herpes simplex type I, then the virus is not contagious
C. Only herpes simplex type II infects the genital region, and it is always contagious
D. When the blisters rupture, viral particles are transmitted to a sexual partner

scottmt · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
Abnormal uterine bleeding is much more common in the younger population, especially during the teen years when menstrual patterns are becoming established. Also, during the early reproductive years, malignancies are much less likely to be the cause. Most cases of dysfunctional uterine bleeding are due to organic causes and to dysfunction of the hypothalamic-pituitary-ovarian axis. Bleeding after menopause has been established is cause for concern, and referral for endometrial biopsy is a must.

Answer to Question 2

ANS: A
Herpes I or II can infect the pelvic region and they cause the same syndrome. Approximately 10 to 15 of persons who carry the herpes virus are asymptomatic, but they can still shed the virusthus, referred to as asymptomatic shedders. This, among other things, contributes to the spread of the herpes virus.