USMLE step 2 Mcq 149:A 40 year old female notices that her menstrual cycle has stopped

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Question:
A 40 year old female notices that her menstrual cycle has stopped. She also notices the production of milk (galactorrhea). She notices worsening of her skin, specifically acne. Finally, she goes to her doctor. She weighs 102 pounds, her blood pressure is 108/70, and her pulse is 75 beats per minute. She is afebrile. Her doctor does several laboratory tests. Her hCG test is negative. One of the tests show that her serum prolactin level is elevated. Which of the following is most likely?

a) hypothalamic amenorrhea
b) polycystic ovary syndrome
c) pregnancy
d) Conn's syndrome
e) pituitary tumor


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