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NBME 13 Answers

nbme13/Block 3/Question#7 (6.5 difficulty score)
A 32-year-old woman comes to the physician ...
Clomiphene🔍
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 +6 
submitted by drjungly(10),
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 +0 
submitted by trazobone(5),

Normal hormonal, male sperm study and normal semen: still can’t conceive then give TYR (???) with clomiphene, that is antagonist at GnRH receptor at hypothalamus, block estrogen mediated inhibition of GnRH hence increase release of LH surge Bromocriptine - would be helpful if the pt has infertility due to INCREASE LPEDS CTIRAON (??? I am assuming its PROLACTIN) - is stopped in US due to clear cell carcinoma in young female born to term. Ethinyl estradiol - bind estrogen & GnRH; LH surge: no use. (Inc risk of endometrial carcinoma) Medroxyprogesterone - is progesterin bind progesterone eonis(oeeccn.rprpmot..t. (???) of morning after pill)

trazobone  Clomiphene: a SERM, antagonist at estrogen receptors in hypothalamus (FA18 637) +