Menstruation Flashcards

Question 1

Q

Androgen insens vs. Mullerian primary amenorrhea on physical exam?
Test?

Answer

A

Androgen insens = No pubic hair
Mullerian = Normal pubic hair

Karyotype differentiates

Question 2

Q

Androgen insens vs. Mullerian primary amenorrhea on physical exam?
Test?

Answer

A

Androgen insens = No pubic hair
Mullerian = Normal pubic hair

Karyotype differentiates

Question 3

Q

Swyer syndrome?

Answer

A

XY with testes
- No MIF
- No Ovaries
External female, no puberty

Question 4

Q

Test if premature ovarian failure before 35?

Answer

A

Karyotype to r/o XO

Question 5

Q

Hypothyroid effect on prolactin

Answer

A

Increased Prolactin (Increased TSH)

Question 6

Q

Work up of 2nd Amenorrhea?

Think about what they r/o

Answer

A

1) bHCG
2) Prolactin, TSH
3) Progestin challenge (structural vs. ovarian)
4) Progestin + Estrogen challenge
5) FSH and LH

Question 7

Q

Menorrhagia

Answer

A

> 80 ml, >7days

Question 8

Q

Metrorrhagia

Answer

A

Intermenstrual bleeding

Question 9

Q

Oligomenorrhagia

Answer

A

> 35 day cycles

Question 10

Q

secondary amennorhea

Answer

A

> 6 mo without period

Question 11

Q

Polymenorrhea?

Cause?

Question 12

Q

Age that anyone gets endometrial BX?

Question 13

Q

CAH symptoms?

dx

Answer

A

Hirsutism + Viruliztion

Elevated 17OH P

Question 14

Q