ssrpk
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A 22 year old woman is competing in long distance running for a berth on the olympic team. She has been amennorrheic for the last 4 months. Her periods prior to her active training were regular. Her physical examination is normal. The serum prolactin and TSH levels are normal. Serum FSH is slightly decreased. The serum beta-hCG is negative. She does not have withdrawal bleeding after given progestrerone.
#1- Which of the following disorders does the patient most likely have?
a- Polycystic ovarian disease
b- Weight loss syndrome
c- Asherman syndrome
d- End-organ disease
e- Hypopituitarism
#2- One of the complications this woman could develop in a short period of time if amennorrhea persists is:
a- osteoporosis
b- breast cancer
c- endometrial cancer
d- cervical cancer
e- autoimmune disease
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| hgheith
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b and c ?
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| p53
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b and a?
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| KEROCHI
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will go w/ B & A
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| ssrpk
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yes it is B & A
reduction of body weight to below 15% OF ideal can significantly reduce the secretion of GnRH- especially in marathon runners partly due to the inhibitory effects of elevted endorphin during excercise [secondary amennorrhea]
and ofcourse low estrrogens can result in osteoporosis!
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