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14 Cards in this Set
- Front
- Back
What lab findings distinguish true precocious puberty from pseudoprecocious puberty?
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True (Central): ↑ LH/FSH. a dose of GnRH further ↑LH/FSH
Pseudo: ↓LH/FSH, no change with GnRH. (b/c exogenous hormone is suppressing it) |
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What is the definition of precocious puberty?
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Boys: before 9
girls: before 8 |
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What are some of the causes of pseudoprecocious puberty?
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Exogenous estrogen
Congenital Adrenal Hyperplasia (CAH) McCune Albright HPA dysfxn Hormone secreting tumors (Sertoli-leydig) |
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What is the definition of premature ovarian failure?
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Menopause at age 40 or less
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Which hormone level is a/w an increase in basal body temperature? How is basal body temperature a/w ovulation?
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Progestin. The increase in basal body temperature occurs 24hrs before ovulation
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What are 4 different options for emergency contraception?
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1) take 4 to 5 birth control pills in 24hrs
2) Take an estrogen pill (Plan B) 3) Insert a copper IUD 4) Mifeprastone (RU486) |
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What are the contraindications to OCP use?
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female >35 and smoking
Hx of DVT, CVD Migrane with aura |
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What medications are known for reducing the effectiveness of OCPs?
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things that increase p450.
Smoking, Drinking, Barbiturates, Carbamazepine, Rifampin, Phenytoin (anticonvulsants in general), Griseofulvin |
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What is the definition of primary amenorrhea?
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age 13: no 2ndary sexual characteristics and no period
age 16: no period |
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What is the first step in any work-up of amenorrhea?
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B-HCG
prolactin, TSH, FSH, Testosterone & DHEAS, Progesterone withdraw test |
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What are the basic components of a workup for secondary amenorrhea?
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BHCG
Karyotype FSH/LH levels DHEA-S |
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Primary amenorrhea + absent secondary sexual characteristics + anosmia --> what is the dx?
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Kallman's syndrome
congenital absence of GnRH secretion |
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What is the initial step in the mgmt of a woman presenting with secondary amenorrhea and new galactorrhea with the BHCG is negative
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check PRL, check TSH
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Tanner Stages?
Prepubertal? Mature breast? areola and papilla form secondary growth above level of breast, coarser pubic hair that spreads over much of pubic region? breast budding and fine labial hair? |
Stage 1
Stage 5 Stage 4 Stage 2 |