NBME 20 Ovaries (NBME Answers)

NBME 20 Answers ↦

nbme20/Block 2/Question#43 (50.1 difficulty score)
An 18-year-old woman comes to the physician ...
Ovaries🔍
tags:

+5
submitted by step420(33),

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hTis si alurimnel aegi.ness mrNlao aviorse utb ebasnt uutr.se

endochondral why not androgen insensitivity? +

shaeking I was wondering the same thing because doesn't androgen insensitivity also have normal female secondary characteristics. Was it the levels of hormones because she doesn't have abnormally high testosterone? +2

swb Androgen insensitivity has the same presentation and symptoms. What's the clue that it is mullerian agenesis instead ? +17

sugaplum Testosterone would be high if it was androgen insensitivity FA 2019 Pg 625 +13

charcot_bouchard Testo would be high in AIS. in AIS pubic hair, axillary hair doesnt devlop because of androgen insensitivity. both have normal breast dev and primary amenorrhea +1

dickass This is not androgen insensitivity because she has perfectly normal Estradiol, which means she has perfectly normal ovaries. She also has regular female levels of testosterone. +4

rockodude thank you @dickass +1

j44n Also AIS has paradoxically large boobs-> tanner stage 5 and thats not mentioned anywhere +

+4
submitted by sympathetikey(1248),

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+2
submitted by temmy(126),

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i nikth ti si ont aendgonr insvttiisieyn eaesubc teh etttsenoesro leevls rae roma.ln eyhT hosdlu be hhig in .SIA

+1
submitted by imgdoc(132),

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