WBR1036
| Author | [[PageAuthor::Ahmed Zaghw, M.D. [1]]] |
|---|---|
| Exam Type | ExamType:: |
| Main Category | |
| Sub Category | |
| Prompt | [[Prompt::A 16 year old girl comes to the clinic, complaining of irregular vaginal spotting for the last 2 months. She has never had any bleeding between periods in the past. She has been taking oral contraceptive pills for the last two months and occasional pain killers for her ankle strain. She is a professional tennis player and trains daily for more than 4 hours. She reports that she has been stressed for the last month trying to catch up with her schedule for the next national championship. The pelvic examination is unremarkable. Her lab tests does not reveal any abnormality. Her pregnancy test is negative. What is the best next step?]] |
| Answer A | AnswerA::Abdominal US |
| Answer A Explanation | [[AnswerAExp::Incorrect-[[]]]] |
| Answer B | AnswerB::Endometrial biopsy |
| Answer B Explanation | [[AnswerBExp::Incorrect-[[]].]] |
| Answer C | AnswerC::TSH |
| Answer C Explanation | [[AnswerCExp::Incorrect-[[]]]] |
| Answer D | AnswerD::LH |
| Answer D Explanation | [[AnswerDExp::Incorrect-[[]].]] |
| Answer E | AnswerE::Reassurance |
| Answer E Explanation | [[AnswerEExp::Correct-[[]]]] |
| Right Answer | RightAnswer::C |
| Explanation | [[Explanation::Educational Objective:
Secondary amenorrhea could be caused due stress that alter hypophthalmic pituitary axis. |
| Approved | Approved::No |
| Keyword | WBRKeyword::Secondary Amenorrhea, WBRKeyword::stress induced amenorrhea, WBRKeyword::Hypothalamic pituitary axis |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |