Primary Amenorrhea Quiz

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| By Gkilgor

Gkilgor

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Quizzes Created: 1 | Total Attempts: 1,607

Questions: 10 | Attempts: 1,617 | Updated: Aug 23, 2023

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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.

Questions and Answers

1.

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?
- A.
  
  12
- B.
  
  13
- C.
  
  14
- D.
  
  15
- E.
  
  16
- F.
  
  17
Correct Answer
C. 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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1
0
2.

What is the latest age in patients with 2° sexual characteristics (breast development, etc) in which primary amenorrhea is normal?
- A.
  
  12
- B.
  
  13
- C.
  
  14
- D.
  
  15
- E.
  
  16
- F.
  
  17
Correct Answer
E. 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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3.

What is the first test or imaging modality used to further evaluate primary amenorrhea?
- A.
  
  X-ray
- B.
  
  Ultrasound
- C.
  
  FSH level
- D.
  
  Karyotype
- E.
  
  Cranial MRI
- F.
  
  Serum testosterone level
Correct Answer
B. Ultrasound

Explanation
Want to establish the presence of mullerian structures: uterus, fallopian tubes, upper portion of vagina etc

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1
0
4.

Which of the following hormones is required for breast development?
- A.
  
  FSH
- B.
  
  LH
- C.
  
  Progesterone
- D.
  
  Estrogen
- E.
  
  GnRH
- F.
  
  Testosterone
Correct Answer
D. 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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5.

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?
- A.
  
  X-ray
- B.
  
  Ultrasound
- C.
  
  FSH level
- D.
  
  Karyotype
- E.
  
  Cranial MRI
- F.
  
  Serum testosterone level
Correct Answer
E. Cranial MRI

Explanation
Want to look for pituitary abnormalities, tumor etc as potential causes

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6.

What are the common causes of amenorrhea?
- A.
  
  Early menopause
- B.
  
  Genetic defect
- C.
  
  Severely over or under weight
- D.
  
  All of the above
Correct Answer
D. 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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7.

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?
- A.
  
  Menorrhagia
- B.
  
  Metrorrhagia
- C.
  
  Hypermenorrhea
- D.
  
  Polymenorrhea
Correct Answer
D. 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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8.

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?
- A.
  
  Serum prolactin level
- B.
  
  Serum thyroid-stimulating hormone level
- C.
  
  Pathologic examination of her gonads
- D.
  
  Karyotype
Correct Answer
D. 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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9.

What is the main sign of amenorrhea?
- A.
  
  Facial hair
- B.
  
  Missing a period
- C.
  
  Hair loss
- D.
  
  Headache
Correct Answer
B. Missing a period

Explanation
The main sign of amenorrhea is missing a period. Amenorrhea refers to the absence of menstrual periods in women of reproductive age. It can be caused by various factors such as pregnancy, hormonal imbalances, stress, excessive exercise, or certain medical conditions. Missing a period is a significant indication of amenorrhea as it signifies a disruption in the normal menstrual cycle. Other symptoms like facial hair, hair loss, or headache may be present in some cases, but missing a period is the primary and most common sign.

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10.

What is oligomenorrhea?
- A.
  
  Irregular menstrual bleeding
- B.
  
  Menstrual cycle lengths greater than 35 days
- C.
  
  Regular bleeding occurs more frequently than every 21 days
- D.
  
  Prolonged or excessive uterine bleeding occurs at regular intervals
Correct Answer
B. 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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Current Version
Aug 23, 2023

Quiz Edited by
ProProfs Editorial Team
Feb 17, 2014

Quiz Created by
Gkilgor

Primary Amenorrhea Quiz

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?

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

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

Which of the following hormones is required for breast development?

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?

What are the common causes of amenorrhea?

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?

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?

What is the main sign of amenorrhea?

What is oligomenorrhea?