Your patient with amenorrhea has normal lab work and you discuss a progesterone challenge with her. What medication would you suggest and when would you expect her to have withdrawal bleeding?

Your 22 year old patient is having bilateral breast discomfort that usually begins a week before her period starts. This has happened for about the last six months. She rates the pain at 5/10, and describes it as being mostly in the upper outer portion of each breast. She denies nipple discharge of any sort. She thinks she may have some form of breast cancer, Discuss the necessary elements of your history and physical exam to provide a reasonable diagnosis for this patient. Also, list at least three differential diagnoses for her condition. as well as your most likely diagnosis.

For two points create a question on a topic you were prepared to answer. Provide four answers indicating the correct answer with rationale.

During the early menopause transition, which of the following symptoms would you expect to find in your patient? (Select all that apply)                                                    

Increased production of ____________ is associated with primary dysmenorrhea.                                                  

A 53 yo presents to discuss menopausal hormone therapy. She has been amenorrheic for more than a year and reports hot flashes multiple times daily and night which results in poor sleep quality and problems with concentration during the day. Which of the following is not a contraindication to menopausal hormone therapy?          

A client who is requesting contraception and who also wants to get pregnant in one year should avoid using:                                                  

  The levonorgestrel-releasing IUC may be a better choice than the copper-releasing IUC for a woman who:                                                   

Pap smears are not recommended for women less than 21 years old. In the US and other resource-rich countries, which of the following pap regimens are acceptable to most GYN professional organizations for women

A 30 year-old patient presents to establish care at your clinic with a CC: painful periods. History of present illness (HPI) reveals periods occur regularly with moderate amount of menstrual flow lasting approximately 5-days. She complains that about 2-months ago, she began experiencing pain of 8 on a 1-10 scale when her periods begin. Her pain is so severe that she recently had to call in sick to work. Ibuprofen is not helping the pain as it was in previous months, and heat to her abdomen and thighs is not working either. Nothing seems to relieve the pain. Which of the following do you consider as part of her differential diagnosis?