A 33 year old obese female suffers from amenorrhea and infertility. After a thorough work up PCOS is diagnosed. 1. Discuss 2 additional symptoms associated with PCOS I terms of pathophysiological principles. 2. How does Metformin contribute to treatment?

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A two year old presents for a well baby exam. It is determined the child has undescended
testes.
1. Cryptorchidism occurs in 3% of term infants. Discuss this condition.
2. Is this condition congenital? Why or why not?
3. Consider testicular cancer. What kind of connection do these conditions share? If none
discuss the pathophysiology of testicular cancer.
A 33 year old obese female suffers from amenorrhea and infertility. After a thorough work up
PCOS is diagnosed.
1. Discuss 2 additional symptoms associated with PCOS I terms of pathophysiological
principles.
2. How does Metformin contribute to treatment?
3. How does progesterone aid in treatment?
4. How is infertility a symptom of PCOS?
A 16 year old male presents with delayed pubertal signs and social immaturity. His lab values
show low testosterone. He was administered GnRH and no LH was produced. HCG was
administered which restored testosterone to normal levels.
1. Discuss male hypogonadism.
2. Explain hormone administration.
3. Is there a problem with the hypothalamus? Why or why not?
A 22 year old presents with vaginal D/C, characteristic of green, frothy, odorous upon exam.
The diagnosis is Trichimonas Vaginosis.
1. Discuss the pathogen and it’s proliferation.
2. Discuss male partner treatment. How does metronidazole target the urethral canal?
3. Co-infections are common with STIs. What is the pathogenesis of Chlamydia Infection?

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