Amenorrhea Quiz: Ace Your Exams
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A 48-year-old woman comes to the office because of trouble sleeping at night. For the past 2 months, the patient has awakened completely soaked in sweat almost every night. She also reports dyspareunia and “little to no menses” for the past 8 months. She works as an accountant and finds it difficult to concentrate. Past medical history is significant for hypertension. Current medications include lisinopril and over-the-counter multivitamin medications. The patient does not use tobacco, alcohol or illicit drugs. Temperature is 37°C (98.6°F), pulse is 95/min, respirations are 18/min, and blood pressure is 140/85 mmHg. Physical examination is noncontributory. Pelvic examination reveals a small anteverted uterus and minimal vaginal rugations. Urine pregnancy test is negative. Serum TSH is 3.2 µU/mL. An elevation in which of the following laboratory values would most likely be seen in this patient?
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