MudPhud20XX

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Nov 26, 2013
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A 34 yr old female is being evaluated for periodic low volume vaginal bleeding. A cytological finding on cervical smear microscopy will most likely show:

A. Endometrial cell
B. Clue cell
C. Parabasal cell
D. Glandular cell
E. Koilocyte
 
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MudPhud20XX

MudPhud20XX

5+ Year Member
Nov 26, 2013
1,322
183
Status
Medical Student
Here is another q I would like to hear your thoughts.

A 15 yr old girl is brought in for evaluation of amenorrhea. She has never menstruated, but her mother had menarche at age 14. The pt has no other medical problems or allergies. She takes no medications and does not use tobacco, alcohol, or drugs. The pt plays the violin for her high school orchestra and is the captain of her junior varsity tennis team. She is not sexually active. Her height is 175 cn, weight is 64 kg, and BMI 21.1 kg/m2. Examination shows fully developed secondary sexual characteristics. Pelvic ultrasound shows a shortened vaginal canal with a rudimentary uterus. Which of the following is the most likely diagnosis in this pt?

A. 21-hydroxylase deficiency
B. 47, XXX karyotype
C. Androgen insensitivity syndrome
D. Kallmann syndrome
E. Klinefelter syndrome
F. Turner syndrome
G. Vaginal agenesis
 
Aug 9, 2014
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A 34 yr old female is being evaluated for periodic low volume vaginal bleeding. A cytological finding on cervical smear microscopy will most likely show:

A. Endometrial cell
B. Clue cell
C. Parabasal cell
D. Glandular cell
E. Koilocyte
Not enough information to answer this question.

Here is another q I would like to hear your thoughts.

A 15 yr old girl is brought in for evaluation of amenorrhea. She has never menstruated, but her mother had menarche at age 14. The pt has no other medical problems or allergies. She takes no medications and does not use tobacco, alcohol, or drugs. The pt plays the violin for her high school orchestra and is the captain of her junior varsity tennis team. She is not sexually active. Her height is 175 cn, weight is 64 kg, and BMI 21.1 kg/m2. Examination shows fully developed secondary sexual characteristics. Pelvic ultrasound shows a shortened vaginal canal with a rudimentary uterus. Which of the following is the most likely diagnosis in this pt?

A. 21-hydroxylase deficiency
B. 47, XXX karyotype
C. Androgen insensitivity syndrome
D. Kallmann syndrome
E. Klinefelter syndrome
F. Turner syndrome
G. Vaginal agenesis
Sounds like vaginal agenesis to me.

A - doesn't have structural effects
B - as above
C - my second choice, but would probably look for mention of testes in the stem (mass in labia)
D - no
E - nope
F - nope
 
Last edited:
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MudPhud20XX

MudPhud20XX

5+ Year Member
Nov 26, 2013
1,322
183
Status
Medical Student
The answer is "vaginal agenesis," but from the question stem, I don't see why that is a better answer choice over "androgen insensitivity syndrome."