Kamsi
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12. A 52-year-old woman comes to the physician because of decreased libido; this symptom began 8 months ago, after she underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy for leiomyomata uteri and menorrhagia. She has been taking hormone replacement therapy with conjugated estrogen since the operation. Examination shows a moist, rugated vagina. Which of the following is the most likely cause of these findings?
A
) Decreased androgens
B
) Decreased estrogen
C
) Decreased follicle-stimulating hormone (FSH)
D
) Decreased luteinizing hormone (LH)
E
) Decreased progesterone
F
) Decreased prolactin
G
) Increased androgens
H
) Increased estrogen
I
) Increased FSH
J
) Increased LH
K
) Increased progesterone
L
) Increased prolactin
17. A 38-year-old woman, gravida 2, para 1, at 38 weeks' gestation has had no fetal movement for 36 hours. Her prenatal course, prenatal tests, and fetal growth have been normal. Fetal heart tones are heard by Doppler. Which of the following is the most appropriate next step in management?
A
) Routine prenatal visit in 1 week
B
) Maternal hydration
C
) Nonstress test
D
) Immediate induction of labor
E
) Amniocentesis
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| titly
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C
C
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we spend our days waiting for the ideal path to appear in front of us, but, what we forget is paths are made by walking, not by waiting. keep walking................................
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| Justice
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E
C
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Don't live in a town where there are no doctors
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| kpmle2
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H) Increased estrogen
C) Nonstress test
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| drdg
Forum Senior
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2. H
The question ask what is most likely cause of these findings: moist, rugated vagina.
This is due to hormone replacement therapy with conjugated estrogen. Therefore, increase estrogen is the answer.
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| seconds
Forum Newbie
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A - b/c testosterone is responsible for libido
C
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| SDdawg
Forum Newbie
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H. Increased Estrogen from the HRT she is taking. The question asks which answer can explain the findings, including the decrease in LIBIDO, her reason for coming in; Not the ruguful vagina. If the vagina was dry and atrophic, then the answer would have been a decrease in estrogen from the lack of ovaries.
After menopause, the ovaries and NOT the adrenals become the most important source for Androgens which are converted to E3. This female had a TAHBSO therefore loss of both androgens and estrogens. But the replacement of Estrogen gave a positive effect on her vagina but it also increases SHBG, which in turn decreases the amount of FREE and available testosterone, which is assumed to be responsible for libido and sex drive.
A decrease in androgens by itself cannot explain the findings with the vagina.
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| MAGY17
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E
C
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| neuroblastoma
Forum Guru
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H . increased estrogen causing dec libido ....t/t is first to decrease estrogen dose and next can give testosterone.for improving libido.
C NST
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| hanialkhadher
Forum Elite
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seconds wrote:
A - b/c testosterone is responsible for libido
C
I agree with you
The Q stem asks about decreased libido,
Libido=Androgens
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| kelpatel
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the question asks about cause of findings not of symptoms
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| MAGY17
Forum Elite
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1 LIBIDO=symptom (sugestive) you can`t see
this qs asking about finding, moist and rugated vagina
ans is H INCREASE ESTROGEN
2=C
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