nb--Bl 3--40--Puberty - usmle20 - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 2 CK (https://www.usmleforum.com/forumdisplay.php?fid=3) +--- Thread: nb--Bl 3--40--Puberty - usmle20 (/showthread.php?tid=117863) Pages:
1
2
|
nb--Bl 3--40--Puberty - usmle20 - ArchivalUser - 09-15-2006 40. A 13-year-old girl is brought for a well-child examination. Menses have occurred every other month since menarche 10 months ago. Her last menstrual period was 1 week ago. She is not sexually active. Sexual development is Tanner stage 3. Examination shows no abnormalities. Which of the following is the most appropriate next step in management? A ) Discussion of pregnancy prevention B ) Measurement of serum luteinizing and follicle-stimulating hormone levels C ) Urine β-hCG test D ) Pelvic examination E ) Estrogen therapy F ) Diagnostic laparoscopy 0 - ArchivalUser - 09-15-2006 Estrogen therapy 0 - ArchivalUser - 09-15-2006 E 0 - ArchivalUser - 09-15-2006 y Estrogen therapy ?..........y not A 0 - ArchivalUser - 09-15-2006 Menses have occured every other month ( inconsistent menses) , probably due to anovulatory cycles. Estrogen therapy. LMP is only last week , 13 year old, not involved in sexual activity yet . More important than discussion of pregnancy prevention is to regularise her menstrual cycles first. 0 - ArchivalUser - 09-15-2006 its normal not to have regular menses in first months so ,i think A is correct. 0 - ArchivalUser - 09-15-2006 A for sure 0 - ArchivalUser - 09-15-2006 PS. It's normal to have irreg menses first year, even she is not sex active today but hey... she can be active tomorow. 0 - ArchivalUser - 09-15-2006 i go for A too.irreg periods due to immaturity of HPO axis is common in 1st yr n no trt is needed for tht 0 - ArchivalUser - 09-15-2006 n @ age 13, can estrogen make ne effect on growth pattern ? ? ? |