invite friends ⋅ share via emailtwitter
support the site ⋅ become a member ⋅ unscramble the egg
free120  nbme24  nbme23  nbme22  nbme21  nbme20  nbme19  nbme18  nbme17  nbme16  nbme15  nbme13 

NBME 21 Answers

nbme21/Block 1/Question#42 (35.9 difficulty score)
A 36-year-old woman undergoes a total ...

Login to comment/vote.

 +5  upvote downvote
submitted by nor16(49),
unscramble the site ⋅ become a member ($36/month)

pdtGooahsorn are teh HHF/LS ncdirpuog aitryiutp s.lecl N o saivr,eo no ehsrn,omo on fbeacekd h.intiiboin

lovebug  THX for great explanation. When I first saw this question, I mistook the gonadotrophs for endometrial cell. so I Choose atrophy. (even that pt undergoes a total hysterectomy) critical mistake... +  

 +2  upvote downvote
submitted by beeip(116),
unscramble the site ⋅ become a member ($36/month)

v[dome to cmnmso]tube

This can be analogized to menopause. Lack of estrogen ––> no negative feedback to anterior pituitary ––> increased levels of FSH and LH

 +1  upvote downvote
submitted by halux(4),
unscramble the site ⋅ become a member ($36/month)

nac emos eon eeslap apenlix hyw is hte ryasape?plih

beeip  Loss of negative feedback from resected ovaries leads to gonadotroph hyperplasia. +2  
halux  so, the explanation is that in the absence of Estrogen negative feedback inhibition to LH and FSH, this leads to Gonadotrophs Hyperplasia at the Pituitary resulting in elevated LH and FSH secretion levels? I get busted by this one :/ Thanks in advance! +4  
nala_ula  @halux exactly, there's no negative feedback telling them there is an increase in the hormones (since there are no ovaries) so gonadotrophs work in overdrive to keep stimulating the gonads via FSH and LH. +  

 -1  upvote downvote
submitted by halux(4),
unscramble the site ⋅ become a member ($36/month)

doe[mv ot etbmu]sconm