Author Question: Your 16-year-old patient reports that she gets her period sometimes every month and sometimes she ... (Read 33 times)

jenna1 · **on:** Jun 25, 2018

Your 16-year-old patient reports that she gets her period sometimes every month and sometimes she skips a month. If menstrual periods are irregular, the term for this condition is:

A. Menorrhagia
B. Metrorrhagia
C. Dysmenorrhea
D. Amenorrhea

Question 2

A male and female patient complain of problems with conception. The female patient is in generally good health. The male patient is a body builder who admits to anabolic steroid use.

It is important for the clinician to recognize that in male steroid users, there is often:
A. Atrophic testes
B. Excessive natural testosterone
C. Inadequate natural testosterone
D. A & C

SomethingSomething · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
The menstrual history includes any episodes of amenorrhea, menorrhagia (excessive bleeding at the time of the menstrual cycle), metrorrhagia (bleeding at irregular noncyclic intervals), dysmenorrhea, and postmenopausal bleeding. Amenorrhea has many causes, including pregnancy; anorexia nervosa; excessive exercise; low body fat; and disorders or tumors of the hypothalamus, pituitary gland, ovary, uterus, and thyroid gland. Menorrhagia is most commonly caused by uterine fibroids, but hematologic disorders should be considered. Metrorrhagia can be caused by anovulation, intrauterine devices (IUDs), and ovarian and uterine tumors.

Answer to Question 2

ANS: D
Supplementation with testosterone or with testosterone-like substances can result in decreased endogenous testosterone as well as LH, hypogonadotropic hypogonadism, and suppressed spermatogenesis. Hypogonadism induced by exogenous steroid use is usually temporary, and endogenous hormone production and spermatogenesis rebound after approximately 4 months. The patient may complain of increased or decreased libido and possible ED. There may be some noticeable testicular atrophy on examination. Semen analysis will show oligospermia or azoospermia, and total testosterone will be above the normal range (or supraphysiologic with anabolic use).