Puberty

Question 1

Puberty is the process of _______________ and _____________________ which changes a child into an adult.

Answer 1

reproductive and sexual development and maturation

Question 2

Puberty is the sequence of events by which a child becomes a young adult, characterized by the beginning of ___________, ___________ , secretion of ____________, development of ________________ and _____________

Answer 2

gonadotrophin secretion

gametogenesis

gonadal hormones

secondary sexual characteristics and reproductive functions.

Question 3

Puberty commonly requires approximately _________ years from onset to completion.

Answer 3

five

Question 4

Puberty in Girls: Occurs between age ____-____ years, and is largely completed by age ——- years

Answer 4

8-13

16

Question 5

Sequence of events

5 events that occur at Puberty

Listtt

Answer 5

5 events that occur at Puberty
Breast development
Growth spurt
Pubic hair growth
Axillary hair growth
Menarche

Question 6

Terminology
1. Thelarche: __________

2. Pubarche: ____________
3. Adrenarche: _____________
   4. Menarche: ________________

Answer 6

the appearance of breast tissue

the appearance of pubic hair

activation of the adrenal glands
the first menstrual bleeding

Question 7

___________ : the appearance of breast tissue

Answer 7

Thelarche

Question 8

_____________ : the appearance of pubic hair

Answer 8

Pubarche

Question 9

______________ : activation of the adrenal glands

Answer 9

Adrenarche

Question 10

____________ : the first menstrual bleeding

Answer 10

Menarche

Question 11

The onset of puberty is signalled by the _____________________________.

Answer 11

secretion of pulses of gonadotrophin releasing hormone (GnRH)

Question 12

___________________ (H-P-O) axis.

Answer 12

Hypothalamo-pituitary-ovarian

Question 13

Physiology of puberty

Around the age 8 years – there is a gradual change in the production of ______ and subsequently ______ – initially _________ then ________[. Increasing frequency & Amplitude

Answer 13

GnRH; FSH

nocturnal; daytime

Question 14

FSH acts mainly on the ________ to produce _________ hormones.

Answer 14

ovaries

gonadal

Question 15

The ovaries produces ____________?

Answer 15

estrogen, progesterone and androgens

Question 16

Functions

Estrogen stimulates mainly the —————————————

Progesterone stimulate ________________ and ______________

Androgen production stimulate __________________

Increased GH secretion contribute to the ___________________

Answer 16

breast & reproductive organs

glandular development of the breast and secretory endometrium

pubic & axillary hair growth.
rapid somatic growth

Question 17

Activation of the adrenal glands leads to the production of adrenal androgens ___________________ and ________________ in a process called adrenarche -

Answer 17

dehydroepiandrosterone (DHEA) and DHEA sulfate

Question 18

Breast development: TANNER CLASSIFICATION

Stage 1 : _________________
Stage 2 Elevation of ___________ as a _________, increased _________(Breast bud stage)
Stage 3 Further ___________ without ______________
Stage 4 Secondary mound of _________________ above breast
Stage 5 __________ of ______ to ———- of breast

Answer 18

Elevation of papillae (Prepubertal)

breast and papillae ; small mound; areolar diameter

enlargement; separation of breast and areola

Secondary mound ; areola and papilla

Recession ; areola; contour

Question 19

Pubic hair growth: tanner classification

Stage 1 ___________ (Prepubertal)
Stage 2 ____,_______,__________ hair mainly along ___________
Stage 3 ______,_______,_______ sparsely spread over mons
Stage 4 _____-type, ________ hair but ____________ ________
Stage 5 ________-type spread in quantity and distribution

Answer 19

Stage 1 No pubic hair (Prepubertal)
Stage 2 Sparse, long, slightly pigmented hair mainly along Labia majora
Stage 3 Dark, coarse, curled hair sparsely spread over mons
Stage 4 Adult-type, abundant hair but limited to the mons
Stage 5 Adult-type spread in quantity and distribution

Question 20

Precocious puberty is defined as the ____________________________

Delayed puberty occurs when there is ______________________________

Answer 20

onset of puberty before the age of eight in girls.

no sign of secondary sexual characteristics by the age of 14 years.