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Amenorrhea

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In those without menses, which of the following clinical scenarios meets the definition of amenorrhea?

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a. A 12-year-old woman with Tanner stage I breast development

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b. A 16-year-old woman with Tanner stage II breast development

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c. A14-year-old woman with Tanner stage III breast development

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d. An 18-year-old woman with Tanner stage V breast development and cessation of menses for the last two cycles

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A rapid rise in which hormone is necessary to trigger ovulation?

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a. Estrogen

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b. Progesterone

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c. Follicle-stimulating hormone (FSH)

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d. Human chorionic gonadotropin (hCG)

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Which of the following hormones “rescues” the corpus luteum from luteolysis?

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a. Luteinizing hormone

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b. Human placental lactogen

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c. Follicle-stimulating hormone (FSH)

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d. Human chorionic gonadotropin (hCG)

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A 16-year-old woman presents for evaluation of pelvic pain. She has advanced breast and sexual hair development. Her examination is significant for the finding below. A transvaginal ultrasound shows normal female pelvic anatomy. What is this patient’s expected karyotype?

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Used with permission from Dr. Ellen Wilson.

Graphic Jump Location
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a. 45,X

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b. 46,XX

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c. 46,XY

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d. 45,X/46,XX

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Which of the following is NOT derived from the müllerian ducts?

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a. Cervix

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b. Lower vagina

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c. Upper vagina

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d. Fallopian tube

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An 18-year-old nulligravida presents with primary amenorrhea. Her examination is notable for Tanner stage IV breasts and the absence of pubic and axillary hair. Also, a blind ending vagina is identified. What is the likely diagnosis in this patient?

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a. Müllerian agenesis

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