Normal/Abnormal Puberty

Question 1

The presence of breast or pubic hair prior to what age warrants thorough evaluation?

Answer 1

Prior to age six

Prior to age eight – history and physical with minimum evaluation of bone age

Question 2

First stage of puberty in girls

Answer 2

Initiation of growth spurt – combo of estrogen and GH

Question 3

Absence of secondary sex characteristics by what age warrants evaluation?

Answer 3

Age 14

Question 4

Absence of menstruation in young women with the presence of secondary sex characteristics at what age warrants evaluation?

Answer 4

Age 16

Question 5

Primary hormone responsible fro breast development

Answer 5

Estrogen

Question 6

Primary hormone responsible for pubic hair

Answer 6

Testosterone

Question 7

Vagina origin

Answer 7

Upper 2/3 = Mullerian origin
Lower 1/3 = urogenital sinus

*both must fuse and the membranes must undergo apoptosis

Question 8

What are the essentials for normal menstruation?

Answer 8

Functioning ovaries
Functioning hypothalamic pituitary axis

Lack of ovarian steroid production may be the result of absence or dysgenesis, abnormal receptors, abnormal steroidal production