A 15-year-old girl c/o failure to attain menarche. Her height is 4 feet. She has not yet developed secondary sexual characteristics. If USG shows uterus and vagina. FSH and LH levels are high. What is the best step in confirming the diagnosis?
Correct Answer: Perform a Karyotype
Description: Ans. is b, i.e. Perform a karyotype1st step in primary amenorrhea is to identify the site of lesion by doing Hormonal profileIn question : LH and FSH are highUSG: shows uterus and vagina are presentPt has short height (4 feet)No secondary sexual characteristicsNow since LH and FSH are high and estrogen is low (as secondary sexual characteristics are absent)[?] It is a case of hypergonadotropic hypogonadism --so most probably it is Turners syndrome. This can be confirmed by doing karyotyping.Always remember in Primary amenorrhea1st Test: Hormonal ProfileBest Test: Karyotyping
Category:
Gynaecology & Obstetrics
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now