abnl puberty female

Question 1

the presence of breasts and pubic heair development prior to age __- warrents elavuation with H+{ and bone age as minimumal evaluation

Answer 1

eight

Question 2

pubic and axiallary hair growth in response to (direct)

Answer 2

DHT

Question 2

typical etiology of gonadotropin diependent precocious uberty

Answer 2

tumor in ovary or adrenal gland or abnl enzymatic processes in enzyme producing organs

Question 3

vagina and uterus develop in absence of

Answer 3

MIS

Question 4

gonadotro[pin dependent precocious puberrty characterized by

Answer 4

premature activation of hypothalamic pituitary ovarian or adrenal axis

Question 6

McCune albirhgt syndrome

Answer 6

cafe ou lait spots

polyocystotic fibrous dysplasia of bones

estrogen production of ovaries

hyperthyroidism - abberant activation of GDP > increased enzymatic activity

(cause of gonadotropin indepedent precoccious puberty)

Question 7

in precocious puberty

if breast development > test ___

if pubic/axiallary > test ____

menstruation > test____

Answer 7

if breast development > test ___ estrogen, FSH

if pubic/axiallary > test ____testosterone, LH

menstruation > test____FSH, LH

Question 8

absence of 2ndry sexual characteristic by age __ warrants evaluation

Answer 8

14

Question 9

upper 2/3 of vagina origin

lower third

Answer 9

upper 2/3 mullerian

lower 1/3 urogenital

Question 10

ovarian androgen production primarily driven by ___

adrneal androgen

Answer 10

ovarian - primarily LH

adrenal rimarily ACTH