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
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
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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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
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