FA Davis Testlets | Focused Testlet 15

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Scenario:

On the preseason medical history questionnaire a female diver indicates an abnormal menstrual cycle pattern.

Question 1

BOOKMARK

You sit down with the athlete to gather information about her menstrual cycle. Your goal is to ask questions to detect menstrual dysfunction. Which questions should you ask?

Select all that apply.

Prompt

Response

"When was your last period?"

"I don't remember exactly."

"When was the last time you had a pelvic exam?"

"Last year, at my yearly physical."

"How many menstrual periods have you had in the last year?"

"Four."

"Has anyone in your family ever been treated for problems with their menstrual cycle?"

"I don't know."

"How frequently do you have your period?"

"I have my period every 2 to 3 months."

"Have you been prescribed medication to control pain during your period?"

"No. I just take ibuprofen when I need it."

"Are you using hormonal contraception, such as birth control pills, patches, or vaginal rings?"

"Not now, but I took the pill for a little while in the past."

Scenario:

On the preseason medical history questionnaire a female diver indicates an abnormal menstrual cycle pattern.

Question 2

BOOKMARK

After gathering information about the athlete’s menstrual cycle you are concerned that she may be amenorrheic. What constitutes a clinical diagnosis of amenorrhea?

Absence of at least three consecutive menstrual cycles and menstrual periods that occur only following hormone administration

Absence of at least six consecutive menstrual cycles and menstrual periods that occur only following hormone administration

Menstrual periods lasting less than 2 days for at least 6 consecutive months

Five or fewer menstrual cycles in 1 calendar year

Menstrual periods lasting less than 2 days for at least 6 consecutive months, increasing to at least 5 days following hormone administration

Scenario:

On the preseason medical history questionnaire a female diver indicates an abnormal menstrual cycle pattern.

Question 3

BOOKMARK

The athlete reports that she has taken an oral contraceptive in the past, but she is unsure of the name of the medication. She says that she would be able to identify it in a photo. Which section of the Physicians’ Desk Reference would assist you and the athlete in identifying the medication she is taking?

Product information

Product category index

Brand and generic name index

Product identification guide

Scenario:

On the preseason medical history questionnaire a female diver indicates an abnormal menstrual cycle pattern.

Question 4

BOOKMARK

You decide to teach the patient about the physical factors associated with amenorrhea. Which factors can be modified to minimize the physical consequences of amenorrhea?

Select all that apply.

Low body weight

Inadequate caloric intake to support activity

Decreased bone density

High stress levels

Competing in events such as distance running, gymnastics, and ballet dancing

High-level training initiated at an early age

Date of onset of first menstrual cycle

Scenario:

On the preseason medical history questionnaire a female diver indicates an abnormal menstrual cycle pattern.

Question 5

BOOKMARK

One of the consequences associated with amenorrhea is decreased bone density. Which interventions may help the athlete with amenorrhea limit bone mass loss?

Select all that apply.

Decreasing training volume and intensity

Increasing total caloric intake if current caloric intake is deemed inadequate

Supplementing diet with 1,500 mg of glucosamine each day

Increasing calcium intake to ensure an intake of 1,500 mg each day

Beginning or maintaining hormone replacement therapy

Participating in a moderate-intensity resistance training program

Applying electrical stimulation to affected bones at least three times per week

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DATE COMPLETED:

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Question Number	Your Score	Possible Score	Answer Key
1	0	5	View Answer Key
2	0	1	View Answer Key
3	0	1	View Answer Key
4	0	3	View Answer Key
5	0	5	View Answer Key
Total Points	0	15
Percentage

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