Puberty (general)

Question 1

____ is the physiological transition from childhood to reproductive maturity and is Associated w/ growth spurt & appearance of both 1° and 2° sexual characteristics in children

Answer 1

Puberty

Question 2

____ is Abnormally early puberty

Onset of menses prior to age __ in girls or puberty age __ in boys

Answer 2

Precocious puberty
8
9

Question 3

How can you control precocious puberty?

Answer 3

by stopping pulsation of GnRH

Question 4

____ is Delayed or not occurring puberty

Answer 4

Eunuchoidism

Question 5

Puberty is related to changes in ___, “Pre-puberty” & adrenarche = changes in _______

Answer 5

GnRH

adrenal androgens.

Question 6

Onset of puberty is signalled by the secretion of pulses of ___

Answer 6

Gonadotrophin Releasing Hormone (GnRH)

Question 7

What suppresses the GnRH release to “disallow” the onset of puberty.

Answer 7

CNS

Question 8

When does the Hypothalamic-pituitary-gonadal axis starts fxning

Answer 8

in fetal stage of development.

Question 9

T/F: Just after birth, sex hormones and gonadotropins (FSH, LH) are present at very low levels. Those levels↓ in the months after birth.

Answer 9

False :they are present at adult levels just after birth, then the levels↓ in the months after birth.

Question 10

Pulsatile GnRH is the signal that causes the activation of the ____

Answer 10

Hypothalamic-pituitary-gonadal axis

Question 11

What Influences of the activation of the Hypothalamic-pituitary-gonadal axis (3)

Answer 11

Genetics: 50-80% of variation in pubertal timing

Environmental factors (nutritional status)

Leptin → regulates appetite and metabolism through the hypothalamus. It has a permissive role in regulating the timing of puberty.

Question 12

there are 5 stages from childhood to full maturity these stages combined make up the

Answer 12

Tanner Staging

Question 13

Secondary sexual characteristics are gained at:
Mean age ___ yrs in girls
Mean age __-___yrs in boys

Answer 13

10. 5 in girls

11. 5 – 12yrs in boys

Question 14

Tanner staging exists both for ____and ___.

Answer 14

adrenarche (hair growth)

thelarche (breast growth)

Question 15

What puberty events occur in Females age 9-10 ?

Answer 15

widening of pelvis
rounding of hips
adrenarche

Question 16

What puberty events occur in Females age 11

Answer 16

thelarche

pubarche

Question 17

What puberty events occur in males age 11

Answer 17

adrenarche

Question 18

What puberty events occur in Females age 12

Answer 18

gonadarche

peak of growth spurt

Question 19

What puberty events occur in Females age 13

Answer 19

menarche

axillary hair

Question 20

What puberty events occur in Males age 13

Answer 20

gonadarche

enlargement of testes

Question 21

What puberty events occur in males age 14

Answer 21

Peak of growth spurt

gynecomastia of puberty

Question 22

What puberty events occur in Females age 15

Answer 22

regular menstration with ovulation

Question 23

What puberty events occur in males age 15

Answer 23

voice change
axillary hair
beard growth

Question 24

What puberty events occur in Females age 16-17

Answer 24

cessation of long-bone growth

Question 25

What puberty events occur in males age 16-17

Answer 25

male pubic hair

more bodily hair

Question 26

What puberty events occur in males age 18-19

Answer 26

cessation of long-bone growth