Normal and abnormal puberty
Obstetrics & Gynaecology · Topic 23
Source: NMC CBME Curriculum 2024 · Volume III · Obstetrics & Gynaecology · Topic 23 · combined PDF page 436
Practice questions
- According to the supplied review, which age range is stated for the usual onset of puberty in girls?
- A 7-year-old girl develops secondary sexual characteristics. Using the supplied review's definition, how should the timing be classified?
- A girl first develops secondary sexual characteristics at age 8. Which interpretation is most consistent with the supplied review?
- Which statement best describes delayed puberty in the supplied review?
- A clinician labels a girl's presentation as precocious puberty because of its early timing. Which additional conclusion is justified by that label alone?
- Which pair of etiologic categories does the supplied review identify in relation to delayed puberty?
- A patient with early pubertal development is being assessed. Which approach is most consistent with the supplied review?
- A 9-month-old boy with NR0B1-related adrenal hypoplasia congenita develops signs of precocious puberty. Which interpretation best fits the reported case?
- In the adrenal hypoplasia congenita case report, what was the reported frequency of hypogonadotropic hypogonadism among adolescent patients with NR0B1 alterations?
- In the reported infant with NR0B1-related adrenal hypoplasia congenita, which treatment was initiated at 15 months for central precocious puberty?
- Which observation in the NR0B1-related adrenal hypoplasia congenita case argues against simply attributing the infant's pubertal signs to inadequate hydrocortisone replacement?
- Which statement about thecoma is supported by the supplied adolescent case report?
- A 16-year-old has a very large abdominal mass, normal estradiol, and normal tumour markers. Which conclusion is best supported by the reported thecoma case?
- In the reported 16-year-old, which modality was highlighted as useful for distinguishing a solid mass from a fluid-filled lesion?
- What established the diagnosis of thecoma in the reported adolescent after the mass was removed?
- What were the approximate dimensions of the thecoma described in the adolescent case report?
- Which statement best reflects the evidentiary limitation of the adolescent thecoma report?
- In the clinical study of puberty-related abnormal voice, what was the predominant type of complaint across the patients?
- Among the 54 boys with puberty-related abnormal voice in the study, which pattern was more frequent?
- What was the mean reported age of onset of abnormal voice among the boys in the study?
- In the voice study, what proportion of boys showed significant improvement immediately after preliminary voice therapy?
- Among boys who returned for follow-up in the voice study, what proportion ultimately improved?
- Which pattern was described in the nine girls with puberty-related abnormal voice in the study?
- How many of the nine girls with abnormal voice had abnormal androgen or pituitary hormone measurements in the study?
- Which interpretation of the hormone findings in girls with abnormal pitch is most defensible?
- Which pair of voice measurements was higher in boys with abnormal voice than in the healthy controls, according to the study?
- Which voice measurement was decreased in boys with abnormal voice compared with healthy controls?
- Which statement best limits interpretation of the 63-patient abnormal-voice study?
- The study reports that 90.7% of boys who followed up ultimately improved. Which interpretation is most appropriate?
- Which counselling statement is most consistent with the voice study's findings for boys?