Clinical management scenarios for menstrual disorders, infertility workup, and reproductive tract disease tested on USMLE Step 2 CK.
39 cards · mixed cards · AI-written, checked twice. Edit anything.
- At what age is absence of menarche (with normal secondary sexual characteristics) considered primary amenorrhea?
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15 years old- What defines secondary amenorrhea?
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Absence of menses for 3 or more consecutive months in a woman with previously normal cycles- What is the most common cause of primary amenorrhea?
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Turner syndrome (gonadal dysgenesis)- What is the most common cause of secondary amenorrhea in a reproductive-age woman?
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Pregnancy- What is the first test ordered in any woman presenting with secondary amenorrhea?
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Urine or serum beta-hCG (pregnancy test)- The Rotterdam criteria for PCOS require ____ of 3 features: oligo/anovulation, hyperandrogenism, and polycystic ovaries on ultrasound.
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2- What gonadotropin ratio pattern is classically seen in PCOS?
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Elevated LH to FSH ratio- What is first-line treatment for PCOS in a woman who does not desire pregnancy?
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Combined oral contraceptive pills- What is the first-line agent for ovulation induction in a woman with PCOS who desires pregnancy?
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Letrozole- What condition is caused by intrauterine adhesions, often after aggressive dilation and curettage?
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Asherman syndrome- What is the diagnostic procedure of choice for Asherman syndrome?
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Hysteroscopy- How is menorrhagia (heavy menstrual bleeding) defined in terms of blood loss?
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Greater than 80 mL of blood loss per menstrual cycle- What is the most common cause of abnormal uterine bleeding in reproductive-age women?
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Anovulation- What does the PALM-COEIN classification system organize?
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Causes of abnormal uterine bleeding, split into structural (PALM) and nonstructural (COEIN) categories- What distinguishes primary from secondary dysmenorrhea?
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Primary has no identifiable pelvic pathology; secondary is caused by an underlying condition such as endometriosis
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