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A mother is concerned for her 16 year old daughter. The daughter appears to have appropriate secondary sexual development for her age, but has never menstruated. Which diagnosis matches the daughter's symptoms most appropriately?
A 27 year old female is concerned about the frequency of her periods. When discussing her menstrual cycle she states that she has been having 19 day cycles. Which term best matches her condition?
A 37 year old female presents complaining that she has not experienced her period for the past three months. She is concerned because she typically has a very predictable cycle. What is most important first course of action?
Progesterone challenge test
Check FSH levels
Check HCG levels
Estrogen and progesterone challenge test
Check estradiol levels
What is oligomenorrhea?
Prolonged or excessive uterine bleeding that occurs at regular intervals.
Irregular menstrual bleeding.
Regular bleeding that occurs more frequently than every 21 days.
Menstrual cycle lengths greater than 35 days.
Which of the following is the most sensitive and reliable method of screening for early pregnancy?
Urine pregnancy test
True or False:
FSH and LH levels can help you determine the difference between hypothalamic amenorrhea and pituitary amenorrhea.
Your patient is visiting and expresses a concern about her vision changes and bilateral milky discharge from her nipples. During the exam you find that her vision is missing in the outer half of both her right and left visual fields. The first day of her last menstrual period was a several months ago. What is the most likely diagnosis?
A female senior in high school complains that she never developed like the rest of her friends. Her breasts never developed and she still hasn't experienced menarche. During your review of systems you discover that she lacks a sense of smell. What is your primary diagnosis?
Polycystic ovarian syndrome
A 35 year old G2P2002 female that experienced a retained placenta and underwent dilation and curettage on her last child. She is concerned because she has not resumed menstruation almost a year after her baby was born. What should you suspect?
Your patient is experiencing amenorrhea. Her FSH and LH levels are elevated. What structure, or location, is most likely responsible for her amenorrhea?
Her problems are psychological
An obese patient presents complaining that she recently began to grow hair on her chin. While reviewing her history you note that she has started to lack a menstrual cycle. What is the most likely diagnosis?
Poly cystic ovarian syndrome