Deck 137: Amenorrhea

Question 1

A 16-year-old female is diagnosed with primary amenorrhea. A pregnancy test is negative. Further testing reveals a normal TSH and an elevated prolactin level. Which test will the provider order next?

A) Clomiphene challenge test
B) Magnetic resonance imaging (MRI)
C) Progesterone challenge test
D) Serum dehydroepiandrosterone (DHEA)

Answer 1

B

Question 2

A 15-year-old female who participates in high school track and gymnastics is experiencing amenorrhea after having eight normal periods. A pregnancy test is negative. What may be included in management of this patient's amenorrhea to restore normal periods? (Select all that apply.)

A) Calcium and vitamin D supplementation
B) Clomiphene administration
C) Combination oral contraceptives
D) Dietician consultation
E) Estriol therapy

Answer 2

A, D

Question 3

An adolescent female presents with amenorrhea. The provider notes short stature, neck webbing, and a pigeon chest deformity. Based on these symptoms, what is the underlying disorder most likely causing this patient's amenorrhea?

A) Androgen insensitivity
B) Hypothyroidism
C) Polycystic ovarian disease
D) Turner's syndrome

Answer 3

D