Hypogonadism and FSH Level! - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
USMLE Articles
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam

Thread Tools Search this Thread Display Modes
Old 07-29-2013
USMLE Forums Veteran
Steps History: Not yet
Posts: 205
Threads: 58
Thanked 19 Times in 16 Posts
Reputation: 29
Question Hypogonadism and FSH Level!

Any one can help me with this USMLE World no 3595 ,
how can we have secondary hypogonadisim and impotence while the FSH is normal , what does he mean by inappropriately normal serum gonadotropin level ???
Reply With Quote Quick reply to this message

Old 07-29-2013
USMLE Forums Guru
Steps History: 1 + CS
Posts: 438
Threads: 111
Thanked 233 Times in 133 Posts
Reputation: 243

Inappropriately normal means in this case that is lower limit of normal. FSH is 4 which is the lower limit of normal value.
Is a case of secondary hypogonadism (FSH AND LH SHOULD BE LOW). If you check LH is low and FSH is low limit of normal
Reply With Quote Quick reply to this message
The above post was thanked by:
mycoplasma (07-30-2013)
Old 07-30-2013
USMLE Forums Master
Steps History: 1+CK+CS
Posts: 1,406
Threads: 118
Thanked 647 Times in 409 Posts
Reputation: 657

didn't look at the question but sounds like you just trippin out because FSH is still within normal range but should be low in secondary hypogonadism, which is true, and if you look carefully, it is low... low range of normal. a bit of a low blow by uworld i agree, but remember that normal ranges are just that, ranges. low end of the normal range should still be concerning, especially if the LH is low.

i remember a similar tactic used by uworld on a DIC question in a woman who had an abortion. you look at fibrinogen levels to see if she is at risk of DIC and the fibrinogen level was not below normal range, but rather low end of normal range and hence, still concerning.

so you got to have your guard up, read carefully, use clinical judgement and always play it safe. low end of normal is concerning and should be treated as a result lower than normal range.
"inflammable means flammable!? What a country."
Reply With Quote Quick reply to this message
The above post was thanked by:
Cairo (07-31-2013), mycoplasma (07-30-2013)


Endocrinology-, Internal-Medicine-

Quick Reply

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Please enter a password for your user account. Note that passwords are case-sensitive.
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Where you live. Leave blank if you don't want to tell.


Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Similar Threads
Thread Thread Starter Forum Replies Last Post
Hypogonadism + Anosmia Ahmed-USMLE USMLE Step 1 Classic Clues 4 03-11-2013 05:21 AM
What LDL level? usmledee USMLE Step 2 CK Forum 1 02-27-2012 03:39 AM
Level of ECG on step 1 indigo USMLE Step 1 Forum 6 11-29-2011 11:33 AM
Mechansim of prolactin induced hypogonadism HaipengWang USMLE Step 1 Forum 0 10-16-2011 04:37 PM
DKA and Potassium Level hippocampus USMLE Step 1 Forum 13 07-16-2010 08:27 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)