Your Patient Is a 36-Year-Old Woman Who Complains of Milky

question 10

Multiple Choice

Your patient is a 36-year-old woman who complains of milky discharge from both her breasts,episodes of headache,and menstrual irregularity.The patient is on no medications.Upon examination,there are no significant findings,and the patient is not pregnant,breastfeeding,or in the postpartum period.It is important to:

• A) Order prolactin level
• B) Obtain an MRI of head
• C) Have the patient keep a menstrual cycle diary
• D) Refer the patient for mammogram

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Definitions:

Anxiety

State of apprehension, tension, and worry.

Insomnia

A sleep disorder characterized by difficulty falling asleep, staying asleep, or experiencing non-restorative sleep, leading to distress and impairment in daily functioning.

Alcohol Withdrawal

Symptoms that occur when a person who has been drinking heavily for a long time suddenly stops or significantly reduces alcohol intake.

Tremulousness

A physical condition characterized by involuntary, rhythmic muscle contractions leading to shaking movements in one or more parts of the body; often a symptom of medical conditions or withdrawal.