EOR: Women's Health: Gyne Exam Questions with 100% Correct Answers

Primary amenorrhea definition Correct Answer Absence of menses by age 15-16 with normal secondary sexual development OR Absence of menses by age 13-14 with absence of secondary sexual characteristics Pri amenorrhea WITH breast and uterus Correct Answer outflow obstruction Pri amenorrhea WITHOUT uterus WITH breast Correct Answer mullerian agenesis or androgen insensitivity Pri amenorrhea WITH uterus WITHOUT breast Correct Answer get FSH/LH If high: ovarian cause If low/normal: hypothal-pit axis cause Primary amenorrhea diagnosis Correct Answer quantitative beta HCG, fsh, prl, tsh, estrogen, progesterone Secondary anemorrhea definition Correct Answer absence of menses for 3 months in woman with previously normal menses OR 6 months in a woman with irregular menses Secondary amenorrhea causes (8) Correct Answer 1) *pregnancy 2) hypothyroidism 3) prolactinoma - low FSH&LH, high PRL 4) meds - * 5) hypothalamus dysfunction - norm/low FSH&LH, low estradiol - weight changes, stress, dieting, anorexia 6) endometrial atrophy (asherman's sdm) - * - scarring d/t abortion - progesterone challenge - w/d bleeding 7) pituitary dysfunction (sheehan sdm) - * - hemorrhage into pituitary 8) ovarian disorders - high FSH&LH, low estradiol - protesterone challenge + w/d bleeding - PCOS, premature ovarian failure Diagnosis secondary amenorhea Correct Answer beta HCG, TSH, PRL, FSH, LH