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Self-Assessment Questions

Pediatric Medicine

Answer 5
  1. Pregnancy test. The onset of menses is not considered delayed until age 16 years; however, the evaluation of secondary amenorrhea (and sometimes primary amenorrhea) at any age begins with a pregnancy test. Although follicle-stimulating hormone and luteinizing hormone measurement, progesterone challenge, reassurance, and vaginal smear may be appropriate for this patient, none should be considered until pregnancy has been ruled out.

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