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	<owl:Ontology rdf:about="https://www.wikidoc.org/index.php/Special:ExportRDF/WBR1036">
		<swivt:creationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2026-07-31T08:08:12+00:00</swivt:creationDate>
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		<rdf:type rdf:resource="https://www.wikidoc.org/index.php/Special:URIResolver/Category-3APages_using_duplicate_arguments_in_template_calls"/>
		<rdfs:label>WBR1036</rdfs:label>
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		<swivt:wikiNamespace rdf:datatype="http://www.w3.org/2001/XMLSchema#integer">0</swivt:wikiNamespace>
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		<property:AnswerA rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Abdominal US</property:AnswerA>
		<property:AnswerAExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Incorrect'''- Abdominal ultrasound is not needed to investigate HPA disorder</property:AnswerAExp>
		<property:AnswerB rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Endometrial biopsy</property:AnswerB>
		<property:AnswerC rdf:datatype="http://www.w3.org/2001/XMLSchema#string">TSH</property:AnswerC>
		<property:AnswerCExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Incorrect'''- TSH is not needed to assess HPA disorder.</property:AnswerCExp>
		<property:AnswerD rdf:datatype="http://www.w3.org/2001/XMLSchema#string">LH</property:AnswerD>
		<property:AnswerDExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Incorrect'''- LH is not needed to assess HPA disorder</property:AnswerDExp>
		<property:AnswerE rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Reassurance</property:AnswerE>
		<property:AnswerEExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Correct'''-Reassurance and follow up is the best approach for HPA disorder.</property:AnswerEExp>
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		<property:MainCategory rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Internal medicine</property:MainCategory>
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		<property:Prompt rdf:datatype="http://www.w3.org/2001/XMLSchema#string">A 16 year old girl comes to the clinic, complaining of irregular vaginal spotting for the last 2 months. She has never had any bleeding between periods in the past. She has been taking oral contraceptive pills for the last two months and occasional pain killers for her ankle strain. She is a professional tennis player and trains daily for more than 4 hours. She reports that she has been stressed for the last month trying to catch up with her schedule for the next national championship. The pelvic examination is unremarkable. Her lab tests does not reveal any abnormality. Her pregnancy test is negative. What is the best next step?</property:Prompt>
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		<property:SubCategory rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Endocrine</property:SubCategory>
		<property:SubCategory rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Head and Neck</property:SubCategory>
		<property:SubCategory rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Obstetrics &amp; Gynecology</property:SubCategory>
		<property:WBRKeyword rdf:resource="&wiki;Secondary_Amenorrhea"/>
		<property:WBRKeyword rdf:resource="&wiki;Stress_induced_amenorrhea"/>
		<property:WBRKeyword rdf:resource="&wiki;Hypothalamic_pituitary_axis"/>
		<swivt:wikiPageModificationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2020-10-28T02:26:08Z</swivt:wikiPageModificationDate>
		<property:Modification_date-23aux rdf:datatype="http://www.w3.org/2001/XMLSchema#double">2459150.6014815</property:Modification_date-23aux>
		<swivt:wikiPageSortKey rdf:datatype="http://www.w3.org/2001/XMLSchema#string">WBR1036</swivt:wikiPageSortKey>
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