3.3

Question 1

What is precocious puberty?

Answer 1

as the onset of secondary sexual development before the age of 8 years in girls and 9 years in boys

Question 2

What is Gonadotropin- Dependent Precocious Puberty?

Answer 2

early maturation of the hypothalamic-pituitary-gonadal axis

Question 3

What is Gonadotropin-Independent Precocious Puberty?

Answer 3

excess secretion of sex hormones from endogenous/exogenous sources or from a tumor

Question 4

What is Incomplete Precocious Puberty?

Answer 4

• isolated breast development in girls (premature thelarche) or isolated male hormone-mediated sexual characteristics such as pubic/axillary, acne, and apocrine odor, in boys or girls that results from increased adrenal androgen production

Question 5

What are the Tanner Signs of Normal Pubertal Development for girls at age 11?

Answer 5

Breast development (thelarche)
		Pubic hair (pubarche)
		Menarche

Question 6

What are the Tanner Signs of Normal Pubertal Development for boys at age 11.5?

Answer 6

Testicular enlargement
Penile growth
Pubic hair growth

Question 7

What is the threshold for evaluation in precocious puberty?

Answer 7

reserved for white girls who have breast and/or pubic hair development before 7 yrs of age and black girls who have these findings before 6 yrs of age

Question 8

Who has higher instances of precocious puberty, girls or boys?

Answer 8

Girls