Which of the following symptoms described by a woman is characteristic of premenstrual syndrome (PMS)?
1. "I feel irritable and moody a week before my period is supposed to start.".
2. "I have lower abdominal pain beginning the third day of my menstrual period.".
3. "I have nausea and headaches after my period starts, and they last 2 to 3 days.".
4. "I experience abdominal bloating and breast pain after a couple days of my pe-riod.".
1
1. Correct. PMS is a cluster of physical, psychologic, and behavioral symptoms beginning in the luteal phase of the menstrual cycle and resolving within a couple of days of the onset of menses.
2, 3, 4. Incorrect. All of these are complaints associated with PMS. However, the timing reflect-ed in these statements is inaccurate. PMS begins in the luteal phase and resolves as menses occurs. It does not start after menses has begun.
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