GN 6 1AMNR Flashcards
First sign of puberty in females
breast budding
Latest sign of puberty in females
menarche
Arrange the ff in order:
a. Breast budding
b. Menarche
c. Pubic hair
d. Growth Spurt
A-C-D-B
absence of menstrual bleeding is defined as
Amenorrhea
Condition caused by anatomic disorders interfering with the outflow o menses, such as an imperforate hymen or trasverse vaginal septum, although these women are menstruating.
Cryptomenorrhea
The following need Gynecologic evaluation EXCEPT
a. a 13 year old girl with no breast development/breast budding
b. a 15 year old girl who have not menstruated
c. a 14 year old girl with breast budding but no menses
d. NOTA, all should be evaluated
C;
This is defined as the absence of menses for an arbitrary period, usually longer than 6-12 months in a woman who previously had menstruation.
Secondary amenorrhea
low estrogen, low FSH, low PRL, no CNS lesion
a. WHO type I
b. WHO type II
c. WHO type III
d. WHO type IV
A
normal estrogen, normal FSH, normal PRL,
a. WHO type I
b. WHO type II
c. WHO type III
d. WHO type IV
B
low estrogen, high FSH
a. WHO type I
b. WHO type II
c. WHO type III
d. WHO type IV
C
Mean age of american girl in tanner stage B2
10-11 y.o
Mean age of american girl in tanner stage P2
11 y.o.
Mean age of american girl at onset of Menarche
12-13 y.o.
The following is least likely to have late menarche
a. 10 year old girl with anorexia bulimia
b. 10 year old world-competing gymnast
c. 10 year old overweight girl
d. 10 year old underweight girl
C
Girls engaged in premenarchial athletic training will be have delayed menarche by ____ for each year of training
0.4 year
