reproductive path q

Discussion in 'Step I' started by MudPhud20XX, Aug 24, 2015.

  1. MudPhud20XX

    2+ Year Member

    Joined:
    Nov 25, 2013
    Messages:
    1,316
    Likes Received:
    180
    Status:
    Medical Student
    A 29 yr old man who is a construction worker is brought to the emergency dept b/c of severe, penetrating wounds to the abdomen. An emergency exploratory laparotomy is performed and the wounds are sutured. Before the abdominal cavity is closed, a small but well-formed uterus is found.

    Diff diagnosis? (pls with explanation)
     
  2. MudPhud20XX

    2+ Year Member

    Joined:
    Nov 25, 2013
    Messages:
    1,316
    Likes Received:
    180
    Status:
    Medical Student
    A 23 yr old woman is evaluated for irregular menstruation. She had menarche at age 12 and has a 28 day cycle with 5 days of menses. Over the last 3 months, her menses have lasted btw 2 and 7 days. She is a competitive swimmer and trains 6 days a week She has no abdominal cramping. Pelvic examination is normal. Urine pregnancy test is negative. What tests would be appropriate to confirm the diagnosis?
     
  3. Macaroon_Berry

    Joined:
    Aug 2, 2014
    Messages:
    151
    Likes Received:
    54
    Sorry didn't read the question properly. What are the answer choices??
     
    #3 Macaroon_Berry, Aug 24, 2015
    Last edited: Aug 24, 2015
  4. Patau

    2+ Year Member

    Joined:
    Feb 8, 2015
    Messages:
    18
    Likes Received:
    20
    Status:
    Medical Student
    The answer is literally written in the question (3months), please stop and think before you make posts, it is the best way to learn and save us all a headache of trying to read your mind with answer choices. If the kaplan explanation does not help you, all you have to do is google the definition of anovulation and progestrin challenge. With that being said, think about anovulation (definition: the ovary does not release an ova in a certain amount of time, 3 months generally, which is written in the question *big hint*) in a fairly young woman athlete because she has dysfunctional uterine bleeding. Measure serum estradiol (another name for ovary estrogen) level. The old way was a progestrin challenge (google) but no one does that no more. The idea is to find out from the estradiol levels what is her cause of amenorrhea. Is under production of serum estradiol the cause? hypothalamic-pituitary axus dysfunction? maybe the endometrium does not work? or obstruction in the cervix/uterine wall? These are all questions the test measures. This is how you approach questions you do not know the answer to. You self-learn then review, review, review until it becomes in your blood. If you want to post here, I suggest you do so when you need clarification on a topic. Not just post a random kaplan question and expect people to pull answers out of thin air.
     
    Stop hovering to collapse... Click to collapse... Hover to expand... Click to expand...
    #4 Patau, Aug 24, 2015
    Last edited: Aug 24, 2015
    MudPhud20XX likes this.

Share This Page