32-year-old female presents to the office for amenorrhea which she has been experiencing for the past five months. Prior to this she has had regular periods since the age of 14. She has two kids and one spontaneous miscarriage for which she had a dilatation and curettage performed. She denies facial acne or hirsutism. The patient’s pregnancy test, thyroid function tests, prolactin level, and FSH levels are all within normal limits. She undergoes a progestin withdrawal challenge without having menstruation. Which of the following is the best next step at this time? A. Perform a hysteroscopy B. Obtain the patient’s 24-hour urine cortisol level C. Obtain the patient’s 17-OH progesterone level D. Perform a transvaginal pelvic ultrasonography E. Obtain the patient’s estradiol level Take your best guess – if you want to see the answer immediately, check here: knowmedge/blog/abim-exam-review-practice-question-of-the-week-32-y-o-female-with-amenorrhea/ . We’ll post the answer up later! #MedEd
Posted on: Mon, 12 Aug 2013 02:05:45 +0000
Trending Topics
Recently Viewed Topics
© 2015