Notes in Disorders of ovulation

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Published	03/15/2025	Where does oogenesis occur?
Published	03/15/2025	Which hormones stimulate the ovary?
Published	03/15/2025	What are the main hormones secreted by the ovary?
Published	03/15/2025	What is the role of LH in ovulation?
Published	03/15/2025	What happens to the corpus luteum if fertilization does not occur?
Published	03/15/2025	What is the definition of primary amenorrhea?
Published	03/15/2025	How long must menses be absent to be classified as secondary amenorrhea?
Published	03/15/2025	Name two physiological causes of primary amenorrhea.
Published	03/15/2025	What are two complications of amenorrhea?
Published	03/15/2025	What are two key historical factors to assess in primary amenorrhea?
Published	03/15/2025	Which initial imaging modality is useful for assessing primary amenorrhea?
Published	03/15/2025	If FSH and LH levels are high in a patient with primary amenorrhea, what is a possible cause?
Published	03/15/2025	What is the most important step in the management of both primary and secondary amenorrhea?
Published	03/15/2025	How is oligomenorrhoea defined?
Published	03/15/2025	What is the most common cause of hirsutism?
Published	03/15/2025	What is the gold standard scoring system for assessing hirsutism?
Published	03/15/2025	Name two types of inflammatory acne lesions.
Published	03/15/2025	What enzyme does topical eflornithine block to reduce hirsutism?
Published	03/15/2025	What is the definition of PCOS?
Published	03/15/2025	Name one metabolic complication of PCOS.
Published	03/15/2025	What is the main hormonal imbalance seen in PCOS?
Published	03/15/2025	What is the first-line management for insulin resistance in PCOS?
Published	03/15/2025	What is the most common enzyme deficiency in CAH?
Published	03/15/2025	What hormone is used to diagnose CAH when elevated?
Published	03/15/2025	What are the two main deficient hormones in CAH?
Published	03/15/2025	Name one clinical feature of androgen excess in CAH.
Published	03/15/2025	What is the first-line treatment for a salt-wasting crisis in CAH?
Published	03/15/2025	What triggers ovulation?
Published	03/15/2025	What happens to the secondary oocyte during ovulation?
Published	03/15/2025	Which of the following is NOT a cause of primary amenorrhea?
Published	03/15/2025	A 17-year-old girl presents with primary amenorrhea. Which of the following would be most suggestive of Müllerian agenesis?
Published	03/15/2025	A 16-year-old girl presents with primary amenorrhea and normal secondary sexual characteristics. Pelvic ultrasound reveals an absent uterus. What is t…
Published	03/15/2025	A patient presents with secondary amenorrhea and galactorrhea. Her prolactin level is very high. What is the most appropriate next step?
Published	03/15/2025	Which of the following is not a cause of oligomenorrhoea?
Published	03/15/2025	A patient presents with hirsutism and irregular periods. Her Ferriman-Gallwey score is 10. What is the most likely cause?
Published	03/15/2025	A 14-year-old boy presents with widespread inflammatory acne on his face and back. What is the first-line topical treatment?
Published	03/15/2025	Which of the following is not a component of the Rotterdam criteria for diagnosing PCOS?
Published	03/15/2025	A 25-year-old patient presents with hirsutism, irregular periods, and obesity. PCOS is suspected. Which of the following is not an appropriate first-l…
Published	03/15/2025	Which of the following is not a clinical feature of CAH?
Published	03/15/2025	A newborn presents with hyponatraemia, hyperkalaemia, and hypoglycaemia. There is ambiguous genitalia. What is the most likely diagnosis?
Published	03/15/2025	Arrange the following stages of follicular development in order:
Published	03/15/2025	Arrange the following in order from most to least common causes of secondary amenorrhea:
Published	03/15/2025	Arrange the steps for assessing primary amenorrhea in order:
Published	03/15/2025	Arrange the following steps in assessing a patient with hirsutism in the correct order:
Published	03/15/2025	Arrange the following in the correct order for assessing PCOS:
Published	03/15/2025	Arrange the steps in the initial management of a salt-wasting crisis in CAH:
Published	03/15/2025	True or false: disorders of ovulation 1
Published	03/15/2025	True or false: disorders of ovulation 2
Published	03/15/2025	Match the condition with its amenorrhea classification:
Published	03/15/2025	LH Surge \| Corpus Luteum \| Theca Cells \| Meiosis II Completion
Published	03/15/2025	High prolactin \| High FSH/LH \| Absent uterus on USS \| High testosterone
Published	03/15/2025	Acne vulgaris \| Acne fulminans \| Acne conglobata \| Neonatal acne
Published	03/15/2025	Anovulation \| Hyperandrogenism \| Polycystic ovaries on USS
Published	03/15/2025	Hypoglycaemia \| Salt-wasting crisis \| Virilisation \| Hyperpigmentation
Published	03/15/2025	Fill in the missing details in the table below on amenorrhea types with their key investigations and possible causes
Published	03/15/2025	Fill in the missing details in the table below on different conditions, key investigations and their common causes
Published	03/15/2025	Fill in the missing details in the table below on investigations and findings in PCOS
Published	03/15/2025	Fill in the missing details in the table below on investigations and findings in CAH
Published	03/15/2025	The [LH] surge completes the first meiotic stage and causes ovulation. The follicular (proliferative) phase occurs from days 0-14, with [rising] oestr…
Published	03/15/2025	[Hypergonadotropic hypogonadism] is another name for premature ovarian insufficiency (POI). A significant risk factor for [secondary] amenorrhea in ba…
Published	03/15/2025	Pelvic ultrasound (USS) is a key investigation in [primary] amenorrhea to assess for uterine presence or absence. If prolactin is very [high], a pitui…
Published	03/15/2025	PCOS is the [most] common cause of both hirsutism and oligomenorrhoea. Isotretinoin is reserved for [severe] or refractory acne due to its teratogenic…
Published	03/15/2025	The most common enzyme deficiency in CAH is [21-hydroxylase] deficiency, which leads to cortisol and [aldosterone] deficiency. [17 α-hydroxyprogestero…
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