This page is dedicated to organizing various examples of standardized exam questions whose answer is Mullerian agenesis. While this may seem a odd practice, it is useful to see multiple examples of how Mullerian agenesis will be characterized on standardized exams (namely the boards and the shelf exams). This page is not meant to be used as a tradition question bank (as all of the answers will be the same), however seeing the classic “test” characterization for a disease is quite valuable.
KEY CHARACTERISTICS OF THIS CONDITION (ON EXAMS)
When it comes to standardized exams, each topic has its own “code” marked by key buzzwords, lab findings, clues, etc. If you are well versed in this code you will be able to more quickly identify the condition that is being discussed, and get the right answer on the exam you are taking. Below is the “code” for Mullerian agenesis.
- Normal development of secondary sexual characteristics: breast development, pubic hair
- Short vagina (no upper vagina): can be seen on a physical exam.
- Variable uterine development: can be absent or underdeveloped (can be seen on ultrasound)
- Normal ovaries: will be seen on ultrasound.
Question # 1
A 17 year old female is brought to the clinic because she has never had a menstrual cycle. She has expected breast and pubic hair development. Physical examination reveals a small vaginal opening with a blind pouch. A pelvic ultrasound is ordered and shows normal ovaries, but the absence of either a uterus or cervix. What diagnosis might explain the presentation in this patient?
Explanation # 1
Question # 2
Explanation # 2
TESTABLE FACTS ABOUT THIS TOPIC (BEYOND ITS IDENTIFICATION)
Many questions on standardized exams go beyond simply recognizing the underlying topic. Often there are specific testable facts regarding some aspect of the topic’s pathophysiology/management/clinical implications that are commonly asked. Some of these are listed below:
Page Updated: 11.02.2016