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Correct option is A, symptom diary for two months.
The premenstrual syndrome has a considerably more severe variant known as premenstrual dysphoric disorder (PMDD). Women who are childbearing age may be impacted. It's a serious, long-lasting medical problem that need attention and care.
In certain cases, medications and lifestyle modifications might help control symptoms. PMDD's precise etiology is unknown. It can be a strange response to the regular hormone fluctuations brought on by the menstrual cycle. Further history gathering using a menstrual calendar identifies the cyclical pattern of PMS or PMDD symptoms and aids in determining the best course of treatment.
While dietary modifications could be beneficial, it's first crucial to make the diagnosis. There is no need for a mental evaluation or an anxiolytic medication.
Here is another question with an answer similar to this about premenstrual dysphoric disorder: brainly.com/question/14630878
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Question correction:
A 27-year-old G1P0 woman complains of mood swings and fatigue in the week prior to her menstrual period. These symptoms have worsened over the past six months. Some months the symptoms are so severe she misses several days of work. Her medical history is otherwise unremarkable and a physical examination is normal. Which of the following is the most appropriate next step in this patient's management?
A. Symptom diary for two months
B. Dietary changes
C. Anxiolytic agent
D. Psychiatric consultation
E. Pelvic ultrasound
Answer:
The correct answer is b. CRH
Explanation:
CRH (Corticotropin-releasing hormone) is released by hypothalamus gland in stress condition. After it's release it reaches to the pituitary gland and initiate the secretion of ACTH (adernocorticotropic hormone).
ACTH then stimulate the secretion of steroid hormones from adrenal cortex. Secretion of steroid hormone like cortisol are essential in fight and flight response under stress condition. This whole path is known as HPA(hypothalamic-pituitary-adrenal) axis.
So the correct answer is b. CRH
Answer:
Relaxation: Relaxation occurs when stimulation of the nerve stops. Calcium is then pumped back into the sarcoplasmic reticulum breaking the link between actin and myosin. Actin and myosin return to their unbound state causing the muscle to relax.
Explanation: