USMLE step 2 Mcq 174:A 30 year old single woman with a low IQ presents at her gynaecologist because she is worried she may be pregnant

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Question:
A 30 year old single woman with a low IQ presents at her gynaecologist because she is worried she may be pregnant. She has not had a menstrual period for over 6 months. A pregnancy test is negative. Of note in her past history is that she had received chemotherapy for Hodgkin's lymphoma. Further investigations revealed low serum estrogen and high serum LH/FSH. Which of the following is the most likely diagnosis ?

a) galactorrhea amenorrhea syndrome
b) hypothalamic pituitary failure
c) adrenal dysfunction
d) ovarian failure
e) anxiety neurosis


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