Primary Amenorrhea Quiz

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  • 1/10 Questions

    What is the main sign of amenorrhea?

    • Facial hair
    • Missing a period
    • Hair loss
    • Headache
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About This Quiz

Do you know what amenorrhea is? How can one be tested for primary amenorrhea? Here, we have a quiz to check if you know about women's health. Amenorrhea is basically the absence of a menstruation cycle. It occurs when women don't get their monthly periods. What are the common causes of amenorrhea? When should one seek medical help for this condition? You can proceed with this quiz and test yourself if you know all these answers.

Primary Amenorrhea Quiz - Quiz

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  • 2. 

    What are the common causes of amenorrhea?

    • Early menopause

    • Genetic defect

    • Severely over or under weight

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    Amenorrhea refers to the absence of menstrual periods, and it can be caused by various factors. Early menopause, which is the cessation of menstruation before the age of 40, can lead to amenorrhea. Genetic defects, such as Turner syndrome or androgen insensitivity syndrome, can also cause this condition. Additionally, being severely over or underweight can disrupt the hormonal balance in the body, leading to amenorrhea. Therefore, all of the mentioned causes - early menopause, genetic defects, and severe weight fluctuations - can contribute to the occurrence of amenorrhea.

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  • 3. 

    Which of the following hormones is required for breast development?

    • FSH

    • LH

    • Progesterone

    • Estrogen

    • GnRH

    • Testosterone

    Correct Answer
    A. Estrogen
    Explanation
    Estrogen is the hormone required for breast development. During puberty, estrogen stimulates the growth and development of breast tissue, leading to the enlargement of the breasts. It promotes the proliferation of mammary gland cells and increases the deposition of fat in the breasts, resulting in their development and enlargement. Estrogen also plays a crucial role in the regulation of the menstrual cycle and the development of secondary sexual characteristics in females.

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  • 4. 

    A 17-year-old female presents with Tanner stage IV breast development but no menses. Ultrasound confirms a blind vaginal vault and no uterus or cervix. What laboratory test would be most helpful in determining the etiology of her problem?

    • Serum prolactin level

    • Serum thyroid-stimulating hormone level

    • Pathologic examination of her gonads

    • Karyotype

    Correct Answer
    A. Karyotype
    Explanation
    A karyotype is a laboratory test that examines the number and structure of an individual's chromosomes. In this case, the absence of a uterus and cervix suggests a developmental abnormality, which may be caused by a chromosomal disorder. Therefore, performing a karyotype would be most helpful in determining the underlying cause of the patient's problem. This test can identify any chromosomal abnormalities, such as Turner syndrome (45,X), which is characterized by the absence or underdevelopment of certain reproductive structures and can lead to primary amenorrhea (lack of menstruation).

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  • 5. 

    What is oligomenorrhea?

    • Irregular menstrual bleeding

    • Menstrual cycle lengths greater than 35 days

    • Regular bleeding occurs more frequently than every 21 days

    • Prolonged or excessive uterine bleeding occurs at regular intervals

    Correct Answer
    A. Menstrual cycle lengths greater than 35 days
    Explanation
    Oligomenorrhea is a condition characterized by infrequent or irregular menstrual bleeding. This means that the menstrual cycle lengths are greater than 35 days. It is not associated with regular bleeding occurring more frequently than every 21 days or with prolonged or excessive uterine bleeding occurring at regular intervals.

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  • 6. 

    A 27-year-old female is concerned about the frequency of her periods. When discussing her menstrual cycle, she states that she has had 19-day cycles. Which term best matches her condition?

    • Menorrhagia

    • Metrorrhagia

    • Hypermenorrhea

    • Polymenorrhea

    Correct Answer
    A. Polymenorrhea
    Explanation
    Polymenorrhea is the term that best matches the condition described. Polymenorrhea refers to the condition in which a woman experiences menstrual cycles that are shorter than the average 28-day cycle, typically occurring every 21 days or less. In this case, the woman's cycles are only 19 days long, indicating a shorter interval between her periods. Menorrhagia refers to excessive or prolonged menstrual bleeding, metrorrhagia refers to irregular bleeding between periods, and hypermenorrhea refers to abnormally heavy menstrual flow.

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  • 7. 

    What is the latest age in patients with 2° sexual characteristics (breast development, etc) in which primary amenorrhea is normal?

    • 12

    • 13

    • 14

    • 15

    • 16

    • 17

    Correct Answer
    A. 16
    Explanation
    In patients with 2° sexual characteristics (breast development, etc), primary amenorrhea is considered normal until the age of 16. This means that if a patient has not started menstruating by the age of 16, it is still within the normal range. After the age of 16, primary amenorrhea would be considered abnormal and further evaluation would be required to determine the cause.

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  • 8. 

    What is the first test or imaging modality used to further evaluate primary amenorrhea?

    • X-ray

    • Ultrasound

    • FSH level

    • Karyotype

    • Cranial MRI

    • Serum testosterone level

    Correct Answer
    A. Ultrasound
    Explanation
    Want to establish the presence of mullerian structures: uterus, fallopian tubes, upper portion of vagina etc

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  • 9. 

    In cases of primary amenorrhea, what is the age in patients without 2° sexual characteristics (breast development, etc) at which a “wait and see” approach is no longer appropriate?

    • 12

    • 13

    • 14

    • 15

    • 16

    • 17

    Correct Answer
    A. 14
    Explanation
    In cases of primary amenorrhea, a "wait and see" approach is typically taken when patients do not have secondary sexual characteristics such as breast development. However, this approach is no longer appropriate when the patient reaches the age of 14. At this point, further evaluation and intervention may be necessary to determine the cause of the amenorrhea and initiate appropriate treatment.

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  • 10. 

    In a patient with primary amenorrhea, who has had an ultrasound demonstrating the presence of a uterus and has a decreased FSH level, which of the following tests would be most appropriate?

    • X-ray

    • Ultrasound

    • FSH level

    • Karyotype

    • Cranial MRI

    • Serum testosterone level

    Correct Answer
    A. Cranial MRI
    Explanation
    Want to look for pituitary abnormalities, tumor etc as potential causes

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  • Current Version
  • Aug 23, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Feb 17, 2014
    Quiz Created by
    Gkilgor
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