Knowledge Consolidation Quiz

1. Which of the following are factors impacting the prevalence of heavy menstrual bleeding? Select all that apply.

a. Fewer pregnancies compared to previous generations

b. Earlier menarche

c. Lack of clarity of what is a “normal” and an “abnormal” period

d. Later menopause

e. Cultural taboos around discussing menstruation

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2. Heavy menstrual bleeding can be defined as… (select all that apply):

Changing pads during the night due to saturation

Vaginal blood loss of 50 mL or more per cycle

Changing regular pads every 8 hours

Passing large clots repeatedly

Bleeding that affects quality of life

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3. A 25-year-old patient with no past medical history visits her Family Physician to discuss “heavy periods.” After determining that she indeed has heavy menstrual bleeding, which of the following are appropriate first-line management options?

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4. A 38-year-old patient with a history of deep vein thrombosis 10 years ago visits after major surgery her Family Physician to discuss “heavy periods.” She does not take any medications. After determining that she indeed has heavy menstrual bleeding, which of the following are appropriate first-line management options?

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5. A 31-year-old patient with a copper IUD visits her doctor to discuss recent onset heavy menstrual bleeding. What is the appropriate next consideration in her management?

a. Add a combined oral contraceptive pill

b. Hysterectomy

c. Add Depo-Provera injections

d. Offer to switch the copper IUD to a progesterone IUD

e. None of the above

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6. Tranexamic acid should be avoided for fear of venous thromboembolism in all patients.

a. True

b. False

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References