A 32-year-old woman presents with 2ry amenorrhea for 3months. Her pregnancy test is negative. She noticed vaginal dryness and episodes of sweating by night, her FSH: 45 IU/L, her LH: 30 IU/L, her PRL: 25ng/ml. Most probable cause of amenorrhea is:
Anonymous Quiz
8%
Hyperprolactinemia.
0%
Microadenoma.
88%
POI (premature ovarian insufficiency)
4%
PCO (polycystic ovarian disease).
0%
Pregnancy
Which of the following meets the definition of amenorrhea:
Anonymous Quiz
0%
a. 12-year-old girl with no breast development.
7%
b. 14-year-old girl with well developed breast
67%
с. 16-year-old girl with well developed breast.
11%
d. 18-year-old with well developed breast and cessation of menses for 2 cycles
15%
e. Any of the above.
An 18-year-old female presents with Iry amenorrhea. She has well developed breast, sparse pubic and axillary hairs, and blind ending vagina. Most likely diagnosis:
Anonymous Quiz
31%
a. Mullerian agenesis
4%
b. POI
50%
AIS
12%
d. Congenital adrenal hyperplasia (CAH).
4%
e. PCO
A 14-year-old girl with Iry amenorrhea, had non developed pubic and axillary hair, and no breast development. Her FSH: 34 IU/L, LH: 30 IU/L. She is most likely:
Anonymous Quiz
16%
Kallman syndrome
0%
AIS
28%
MRKH Syndrome. d. Turner syndrome
8%
POI (premature ovarian insufficiency).
48%
Turner syndrome
During the reproductive life, GnRH is released in a pulsatile manner from:
Anonymous Quiz
4%
a. Corpus luteum.
4%
b. Ovarian follicle.
19%
c. Pituitary gonadotrophs.
73%
d. Arcuate nucleus of the hypothalamus.
0%
e Basal ganglia.
Women with POI are at increased risk of all the following EXCEPT:
Anonymous Quiz
0%
Atherosclerosis
8%
C. Cerebrovascular accidents
67%
b. Breast cancer.
17%
d. Osteoporosis.
8%
e Vulvovaginitis
Most common medical complaint of women during menopausal transition is:
Anonymous Quiz
0%
Depression.
0%
b. Painful intercourse.
4%
с. Urinary incontinence.
96%
d. Vasomotor flashes.
0%
Vaginal dryness
HRT is contraindicated in all the following EXCEPT:
Anonymous Quiz
70%
Vasomotor flashes.
13%
b. Active liver disease.
13%
с. Known or suspected breast cancer.
0%
d. Abnormal genital bleeding of unknown origin.
4%
e. History of DVT
An 18-year-old girl presents with Iry amenorrhea. She reports vaginal bleeding following a hormone withdrawal test. The following conditions is most likely EXCLUDED:
Anonymous Quiz
46%
Mullerian agenesis.
21%
b. Hypothalamic amenorrhea.
4%
POI
8%
d. PCO
21%
e Turner syndrome.
. The luteal phase of the menstrual cycle is associated with:
Anonymous Quiz
4%
a High luteinizing hormone level.
88%
b High progesterone levels.
4%
High prolactin level.
0%
d Excessive watery cervical secretion.
4%
Proliferative changes in the endometrium
All the following are likely diagnoses in a 16-year-old girl with Iry amenorrhea but normal 2ry sexual characters EXCEPT:
Anonymous Quiz
24%
Androgen insensitivity syndrome a.
0%
b. Uterine agenesis.
68%
c. Kallman's syndrome.
4%
d. Vaginal atresia.
4%
e. Imperforate hymen.
. The following are characteristics of Turner's syndrome EXCEPT:
Anonymous Quiz
92%
Secondary amenorrhea.
0%
Hypergonadotropic hypogonadism. b.
4%
C. Short stature.
0%
d. Streak ovaries.
4%
e. Wide carrying angle.
A 68-year-old woman presents with vaginal dryness and dyspareunia. She is on no medications nor HRT. TVS is normal. PV shows loss of rugae. Most appropriate next step:
Anonymous Quiz
0%
Outpatient hysteroscopy to assess the endometrium.
35%
Transdermal continuous combined HRT
8%
Water based vaginal lubricants.
58%
Estrogen-containing vaginal pessaries.
The effect of which hormone causes arborization on Fern test:
Anonymous Quiz
13%
Estrone.
75%
b Estradiol.
6%
Estriol
3%
d Progesterone.
3%
e Testosteron
A patient with high FSH and LH levels and low AMH probably suffers from:
Anonymous Quiz
4%
Endometriosis
11%
PCOS
7%
Hypogonadotropic hypogonadism.
0%
Sheehan Syndrome.
78%
Premature ovarian failure
Several follicles begin to grow in a menstrual cycle. Their ultimate fate is:
Anonymous Quiz
7%
Ovulation
13%
b Dominance.
3%
c. Cyst formation
63%
d. Atresia.
13%
e. Regression.
An 8-year-old sickle cell patient arrives at the emergency room in respiratory distress. the child has become progressively tired and pale. Which if the following viruses is suspected to be the cause
Anonymous Quiz
0%
Coxsacki a16
10%
Echovirus 11
10%
Herps simplex
80%
Parvovirus B19
On routine newborn screen, a two-week-old child in your clinic is noted to have a sickle cell disease. As you discuss treatment options with his family, which of the following is the most appropriate
Anonymous Quiz
0%
Education of the parents regarding abdominal palpitation and temperature taking
0%
Infusions of immunoglobulin every 6 weeks
83%
Meningococcal vaccine at 2,4, 6 months of age
17%
Monthly injections of Vitamin B12
A five-year-old child present with history of fever off and on for the past two weeks. Petechial spots all over the body with increasing pallor over the last month, and spleenimegaly of the diagnosis
Anonymous Quiz
50%
Acute leukemia
0%
Aplastic pancytopenia
17%
Hypersplenism
33%
Idiopathic thrombocytopenic purpra
During a routine screening, complete blood count of a 5-year-old child is noted to have pronounced eosinophilia . Which of the following is the most likely explanation?
Anonymous Quiz
0%
Bacterial infections
40%
Chronic allergic disease
20%
Fungal infections
40%
Helminth infection