4: Management of CPP Flashcards Preview

Simmons NURP 501 Exam 1 > 4: Management of CPP > Flashcards

Flashcards in 4: Management of CPP Deck (13)
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1
Q

Pharmacological choices for CPP.

A

Start with an oral analgesic, such as tylenol or NSAIDs. Then move to both nonselective and COX-2 inhibitors. Then move to mild opioids, such as codeine and hydrocodone. Then move to stronger opioids, such as morphine and fentanyl. Hormonal treatment is another option.

2
Q

Which treatment is useful for localized or regional chronic pelvic pain?

A

TENS therapy

3
Q

Nutritional supplementation with what 2 products might help pain associated with dysmenorrhea.

A

Vitamin B1 or magnesium

4
Q

This can restore and maintain tissue and joint flexibility, improve posture and body mechanics, restore strength and coordination, reduce nervous system irritability, and restore function.

A

Physical therapy activities

5
Q

T/F Exercise and physical therapy have been shown to be helpful in mitigating CPP but require a specialized physiotherapist for initial evaluation to determine an appropriate plan.

A

True

6
Q

What type of physical therapy is an effective treatment for myofascial pelvic pain?

A

Pelvic floor PT

7
Q

Which treatment is useful in pelvic pain from endometriosis and pelvic congestion syndrome?

A

Progestin therapy

8
Q

Which surgical treatment is useful in CPP associated with dysmenorrhea after other methods have failed?

A

Presacral neurectomy

9
Q

Which treatment is useful for pain that is neuropathic in origin?

A
Tricyclic antidepressants (TCAs)
Amitriptyline (Elavil) and nortriptyline (Pamelor)
10
Q

Which treatment is useful in reducing pelvic pain from endometriosis and dyspareunia?

A

GnRH agonist goserelin

11
Q

Which treatment is useful for primary dysmenorrhea and endometriosis?

A

COCs

12
Q

T/F Aerobic exercises is more likely to show positive results than nonaerobic exercises.

A

False. Both aerobic exercises and nonaerobic exercises, such as weight lifting, have shown positive results.

13
Q

Studies indicate that these two alternative treatments have promise in relieving chronic pelvic pain.

A

Acupuncture and acupressure

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