Amenorrhea Quiz

Amenorrhea Quiz

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Question 1

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
Primary amenorrhea
B
Oligomenorrhea
C
Secondary amenorrhea
D
Poilymenorrhea
E
Gonadal dysgenesis
Question 2

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
Hypermenorrhea
B
Menorrhagia
C
Metrorrhagia
D
Polymenorrhea
Question 3

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?

A
Progesterone challenge test
B
Check FSH levels
C
Check HCG levels
D
Estrogen and progesterone challenge test
E
Check estradiol levels
Question 3 Explanation: 
Always do a pregnancy test first when a person is experiencing amenorrhea.
Question 4

What is oligomenorrhea?

A
Prolonged or excessive uterine bleeding that occurs at regular intervals.
B
Irregular menstrual bleeding.
C
Regular bleeding that occurs more frequently than every 21 days.
D
Menstrual cycle lengths greater than 35 days.
Question 5

Which of the following is the most sensitive and reliable method of screening for early pregnancy?

A
Abdominal ultrasound
B
Transvaginal ultrasound
C
Serum HCG
D
Urine pregnancy test
Question 6

True or False:

FSH and LH levels can help you determine the difference between hypothalamic amenorrhea and pituitary amenorrhea.

A
True
B
False
Question 6 Explanation: 
False is the correct answer. FSH and LH levels will be low in both hypothalamic and pituitary amenorrhea.
Question 7

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
Pituitary adenoma
B
Primary amenorrhea
C
Prolactinemia
D
Galactorrhea
E
Hypothayroidism
Question 8

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?

A
Asherman syndrome
B
Sheehan syndrome
C
Turner's syndrome
D
Kallaman's syndrome
E
Polycystic ovarian syndrome
Question 9

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?

A
Asherman syndrome
B
Kallman's syndrome
C
Sheehan syndrome
D
Turner's syndrome
Question 10

Your patient is experiencing amenorrhea. Her FSH and LH levels are elevated. What structure, or location, is most likely responsible for her amenorrhea?

A
Thyroid
B
Ovaries
C
Pituitary
D
Hypothalmus
E
Her problems are psychological
Question 11

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?

A
Sheehan syndrome
B
Testicular feminization
C
Oligomenorrhea
D
Poly cystic ovarian syndrome
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There are 11 questions to complete.