SJH Nursing Officer - 2019
Obstetrics & Gynaecology
Easy
Fleeting abdominal pain due to follicular bleeding causing peritoneal irritation is called as?
Appeared in: SJH Nursing Officer - 2019
Explanation
- Mittelschmerz is the medical term for ovulation pain, which occurs mid-cycle.
- The pain is caused by the rupture of the ovarian follicle and the subsequent release of follicular fluid and a small amount of blood.
- This fluid and blood can cause localized peritoneal irritation, resulting in fleeting, one-sided lower abdominal pain.
- The term itself is German for 'middle pain,' referring to its occurrence in the middle of the menstrual cycle.
Why Other Options Were Wrong
- Option A: Corpus hemorrhagicum is a structure, not a symptom. It is the blood-filled remnant of the ovarian follicle immediately after ovulation.
- Option C: Corpus luteum is a hormonal gland, not a type of pain. It forms from the corpus hemorrhagicum and secretes progesterone.
- Option D: Corpus albicans is inactive scar tissue. It is the final stage of the corpus luteum's degeneration when pregnancy does not occur.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Physiology of the menstrual cycle and associated symptoms as background academic context rather than a clinical decision trigger.
- Nurses can educate and reassure patients that Mittelschmerz is a normal, benign phenomenon, reducing anxiety about the pain.
- A key nursing responsibility is to differentiate Mittelschmerz from more serious conditions like appendicitis, ectopic pregnancy, or ovarian torsion, which require immediate medical attention. This involves careful assessment of pain characteristics, timing, and associated symptoms.
- Management involves advising symptomatic relief, such as over-the-counter analgesics (e.g., NSAIDs) and applying a warm compress to the abdomen.
How to Approach the Question
- First, analyze the keywords in the question: 'fleeting abdominal pain,' 'follicular bleeding,' and 'peritoneal irritation.' These point to a temporary pain event linked to the ovaries.
- Consider the timing implied by 'follicular bleeding,' which is associated with ovulation, occurring mid-cycle.
- Evaluate the options. Recognize that 'Corpus hemorrhagicum,' 'Corpus luteum,' and 'Corpus albicans' are anatomical structures that are part of the ovarian cycle.
- Recall or deduce that 'Mittelschmerz' is the specific term for pain associated with ovulation.
- Connect the description of pain from peritoneal irritation due to follicular rupture directly to the definition of Mittelschmerz.
- Confirm the answer by eliminating the other options, as they describe structures, not the sensation of pain.
Concept Tested & Keywords
- Concept Tested: Physiology of the menstrual cycle and associated symptoms.
- Stem keywords: fleeting abdominal pain, follicular bleeding, peritoneal irritation
- Lead-in keywords: called as
- Clinical cues: Mid-cycle timing of pain is a key diagnostic clue.
- Negative lead-in flag: false
Question ID
QEpiofsmktYFJQ2QgHOaH2
Reference Book
E6 Medicine Harrison 22e Part 2 p. 1041-1043
E6 Physiology Essentials Sembulingam 10e Part 2 p. 126-128
E6 Pharmacology Nursing Lilley 11e Part 2 p. 230-232
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Attempt every question from this paper in a timed mock, then review the full solution for each one.
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