15-year-old girl comes to the physician because of pelvic pain. She has never had a menstrual period; however, she develops crampy lower abdominal pain every 28 days that resolves in a day or two. On physical examination, the patient at the 60th percentile for height, 70th percentile for weight, and has fully developed secondary sexual characteristics. Rectal examination reveals a palpable mass anterior to the rectum. Serum β-hCG is negative. Which of the following is the most likely diagnosis in this patient? A.Endometriosis B.Ectopic pregnancy C.Hyperprolactinemia D.Imperforate hymen E.Kallmann syndrome F.Testicular feminization syndrome G.Turner syndrome

You're giving discharge instructions on postpartum day 2 to a G1P1 patient who delivered a healthy infant vaginally with no complications. Which statements below by the patient indicate a need for further teaching? Select all that apply. "I need to come back to the hospital if I soak a peripad in an hour." "I can use the lactational amenorrhea method of birth control since I'll be breastfeeding most of the time." "If I develop flu-like symptoms or a fever, I'll return to the hospital right away." "I'll see my provider next in 6 months for my regular Pap smear, and she'll make sure I healed well from having the baby at that appointment." "My husband is looking forward to resuming intercourse in the next few days, as soon as I don't feel sore any longer."

A 72-year-old man has a radical prostatectomy for localized prostate cancer. After surgery his PSA level was undetectable. He presents 5 years later having been “lost to follow up.” He complains of pain in his hip and lower back. His PSA level is now markedly elevated.   What initial investigations are warranted?   What therapies are available for this complication?

A 26-year-old female complained of severe, dull, aching pain, and cramping in the lower abdomen. There were no other physical findings. A laparoscopy revealed the presence of ectopic endometrial tissue on the uterine wall and ovaries. Danazol (a synthetic androgen and inhibitor of gonadotropins), 600 mg/day, was prescribed for up to nine months to inhibit ovulation, suppress the growth of the abnormal endometrial tissue, and achieve appreciable symptomatic relief, with a 30% possibility of conception after withdrawal of the therapy. Top of Form   Why do you think oral contraceptives could also be used as a treatment?

By postpartum day two, expected findings would include soft, nontender breasts fundal height 5 cm below the umbilicus moderate lochia rubra with egg-sized clots voids of at least 150 mL increased incidence of orthostatic hypotension Select all that apply.

How it can be explained the incidence of primary or secondary amenorrhea in ballet dancers or high school athletes.

Please draw and colored it label them as well the names

A 28-year-old woman presents with a concern about a lump she has found in her right breast. It first appeared three months ago. It changes with her menstrual cycle and is nontender to the touch. On physical exam, there are no contour changes or retractions noted. Likewise, the patient has no axillary, supraclavicular, or infraclavicular adenopathy. Which of the following descriptions correlates with the most likely diagnosis, that is considered benign in prognosis? Answers: A-D A Erythematous and edematous right breast, tender and warm to touch B Nodular, rope-like densities throughout the right breast; highly tender C Single, firm 1 x 2 cm mass, fixed with overlying thickened skin with enlarged pores; minimally tender D Round, 1 cm freely mobile, the well-delineated mass that is firm in consistency: nontender

One of the common unfortunate consequences of a vasectomy is that the proximal ends of the ductus deferens rupture and spermatozoa are exposed to the immune system. The person with the testes then produces antibodies against their own sperm. This has consequences for the effectiveness of a vasectomy reversal.   In the situation described above, why are the spermatozoa considered foreign even though they are being produced within the person’s own seminiferous tubules? This immune response is not normal, and so describe how the testes’ structure prevents this immune reaction from occurring.

Donald is a 62-year-old male who has been experiencing frequent urination and has had trouble starting to urinate for several weeks. He has a family history of benign prostatic hyperplasia. Donald’s BMI is 29; he occasionally drinks alcohol and coffee; and his diet consists mainly of red meat, starches, and dairy products. Just yesterday, he had an episode of incontinence and decided to seek care immediately. Donald was referred to a urologist who suspected that his prostate was the cause of his urinary issues. Donald is experiencing urinary symptoms, but prostate conditions can also interfere with the male reproductive system. Which of the following statements is true?   Donald should be worried about developing erectile dysfunction, as it is a common side effect of prostate enlargement.   Prostate enlargement can impair a male’s ability to produce sperm.   Some forms of prostate enlargement, such as prostate cancer, can occlude the ejaculatory duct and…