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nbme-14 - usmlevictory1
#1
A 17-year-old girl is brought to the health center by her mother because the girl has had only two menstrual periods in the past 8 months. She had regular menstrual periods from menarche at age 14 years until 18 months ago. For the past 18 months she has been training as a long-distance runner.

Item 1 of 2

26. The underlying mechanism of her menstrual dysfunction is best defined by an abnormality in which of the following serum concentrations?

A

) Androstenedione

B

) Creatine kinase

C

) Luteinizing hormone

D

) Testosterone

E

) Thyroid-stimulating hormone (TSH)

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#2
A.
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#3
Item 2 of 2

27. Which of the following is the most likely cause of the menstrual irregularity?

A

) High-carbohydrate diet

B

) Increased basal body temperature

C

) Increased muscle mass

D

) Loss of body fat

E

) Repeated volume depletion
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#4
Here it's got to be D. Right ?
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#5
yes
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