NU664D Exam2
NU 664D / NU664D Exam 2: (Latest Update
) Primary Care Adult Woman I |
Questions & Answers | 100% Correct | Grade
A. Regis
1. clinical manifestations of primary amenorrhea: absence of menarche
by age 15
2. differential diagnoses for primary amenorrhea: pregnancy, turner
syndrome, mullerian agenesis, delay of puberty, PCOS, weight loss, excessive
exercise, anorexia
3. diagnostic workup for primary amenorrhea: pelvic US, HCG, FSH,
TSH, prolactin
4. clinical manifestations of secondary amenorrhea: absence of menses
for more than 3 cycle intervals or 6 months in women who were previously
menstruating 5. what is the provera challenge?: start with progestin for 10
days and then stop. if bleeding starts again, she has estrogen but is not
, ovulating. If she does not start bleeding again, she is ovulating but has outflow
tract problem like scarring or adhesions.
bleed = not ovulating
no bleed = ovulating, scarring adhesions
6. when is the provera challenge used?: for diagnostic of secondary
amenorrhea with normal labs and history of uterine instrumentation
7. turner's syndrome clinical manifestations: 1. hypogonadism
-absent/non functioning sex chromosome (45X0) -> gonadal dysgenesis ->
rudimentary, fibrosed ovaries -> primary amenorrhea in 80% (menopause
before menarche) or early ovarian failure with secondary amenorrhea (20%),
delayed secondary sex characteristics (absence of breasts), infertility in a
majority of patients
2. physical exam
-short stature, webbed neck, prominent ears, posterior hairline, broad chest
with hypoplastic widely spaced nipples, (congenital lymphedema seen in
neonates), short 4th metacarpals, high arched palate, nail dysplasia, may have
hearing loss
NU 664D / NU664D Exam 2: (Latest Update
) Primary Care Adult Woman I |
Questions & Answers | 100% Correct | Grade
A. Regis
1. clinical manifestations of primary amenorrhea: absence of menarche
by age 15
2. differential diagnoses for primary amenorrhea: pregnancy, turner
syndrome, mullerian agenesis, delay of puberty, PCOS, weight loss, excessive
exercise, anorexia
3. diagnostic workup for primary amenorrhea: pelvic US, HCG, FSH,
TSH, prolactin
4. clinical manifestations of secondary amenorrhea: absence of menses
for more than 3 cycle intervals or 6 months in women who were previously
menstruating 5. what is the provera challenge?: start with progestin for 10
days and then stop. if bleeding starts again, she has estrogen but is not
, ovulating. If she does not start bleeding again, she is ovulating but has outflow
tract problem like scarring or adhesions.
bleed = not ovulating
no bleed = ovulating, scarring adhesions
6. when is the provera challenge used?: for diagnostic of secondary
amenorrhea with normal labs and history of uterine instrumentation
7. turner's syndrome clinical manifestations: 1. hypogonadism
-absent/non functioning sex chromosome (45X0) -> gonadal dysgenesis ->
rudimentary, fibrosed ovaries -> primary amenorrhea in 80% (menopause
before menarche) or early ovarian failure with secondary amenorrhea (20%),
delayed secondary sex characteristics (absence of breasts), infertility in a
majority of patients
2. physical exam
-short stature, webbed neck, prominent ears, posterior hairline, broad chest
with hypoplastic widely spaced nipples, (congenital lymphedema seen in
neonates), short 4th metacarpals, high arched palate, nail dysplasia, may have
hearing loss
