Female repro

Question 1

menopausal HRT decreases the risk of what

Answer 1

dmt2

Question 2

workup for premature ovarian insufficiency

Answer 2

fragile X
mosaic Turner’s
hashimoto’s
adrenal insufficiency

Question 3

estradiol levels in perimenopause

Answer 3

can fluctuate widely; low to > 450

Question 4

treatment of nonclassical CAH with irregular periods and who desires pregnancy

Answer 4

hydrocortisone or prednisone

Question 5

DM1 pt in 2nd or 3rd trimester who has significant DECREASE in insulin requirement

Answer 5

immediate OB referral - concern for placental insufficiency

Question 6

markedly elevated estradiol in perimenopausal woman that doesn’t suppress with GnRH

Answer 6

think ovarian or adrenal tumor

Question 7

effect of estrogen on GH replacement

Answer 7

estrogen causes GH resistance in the liver (oral > transdermal)
women on oral estrogen will need higher doses of GH replacement

Question 8

ddx for female with hirsutism, irregular periods/amenorrhea

Answer 8

Cushings
prolactinoma
NCCAH
PCOS

Question 9

secondary amenorrhea ddx

Answer 9

pregnancy
PCOS
POI (premature ovarian insufficiency)
NCCAH
prolactinoma
functional (exercise, starvation)
pituitary lesion