MB 2/3
BULLETS
Free CME
Join now
Please confirm topic selection

Are you sure you want to trigger topic in your Anconeus AI algorithm?

Please confirm action

You are done for today with this topic.

Would you like to start learning session with this topic items scheduled for future?

Review Question - QID 214986

Primary Amenorrhea Etiology most cases are due to genetic causes or anatomical abnormalities QID: 214986 (M2.OMB.4829)
In scope icon M 6 A
QID 214986 (Type "214986" in App Search)
A 15-year-old girl presents for evaluation of amenorrhea. The patient is concerned that she has not yet undergone menarche as her friends already have. She denies abdominal pain, weight loss, or a calorie-restrictive diet. She has no significant past medical history and takes no medications. Her temperature is 98.8°F (37.1°C), blood pressure is 112/68 mmHg, pulse is 71/min, and respirations are 15/min. Physical exam is notable for a non-tender and non-distended abdomen, Tanner stage IV breasts, and absence of pubic or axillary hair. A pelvic exam reveals a short vaginal canal and no cervix. Laboratory studies are notable for:

Serum:
Luteinizing hormone (LH): 155 mIU/mL
Estrogen: 450 pg/mL
Testosterone: 470 ng/dL (normal: 15-70 ng/dL)

A karyotype is shown in Figure A. Which of the following is the most likely diagnosis?
  • A
Type in at least one full word to see suggestions list
  • A