gyno

Question 1

premature menopause

Answer 1

ovarian failure/ menses stopping before 40 (for 12+ mo)

Question 2

menopause symptoms

Answer 2

HAVOC (hot flashes/vasomotor instability, atropy of vag, OP, coronary artery dz), insomnia, anxiety, poor [], mood swings, libido loss, dysparenia

Question 3

menopause labs

Answer 3

Increase FSH then inc LH, DEXA, lipid (inc choles, dec HDL)

Question 4

contraindications to HRT

Answer 4

vag bleeding,

Question 5

HRT

Answer 5

increased breast, endometrial ca. thromboembolism, chronic liver, hypertriglyceridemia

Question 6

hot flashes Rx

Answer 6

venlafaxine, clonidine

Question 7

primary amenorrhea

Answer 7

mullerian agenesis (2/3 vag), imperforate hymen that cannot escape along with bulging hymen, complete androgen insensitivity (breast development)

Question 8

1 amenorrh workup

Answer 8

1- get an hCG 2- XR to determine if bone age is consistent

Question 9

LH/FSH symptoms

Answer 9

dec GnRH, LH/FSH, estrogen/progesterone: at prepuberty is constitutional growth delay and after is hpothal or pituitary problem

incr GnRH and LH/FSH but dec estrogen/rpgest: hypergonadotrophic hypogonadism. Ovaries don’t produce estrogen

incr GnRH, LH/FSH, high estrogen/testosterone: PCOS, estrogen Rs problem