Worksheetspuberty and related disorders
Total questions: 10
Worksheet time: 5mins
Which of the following is the first sign of puberty in girls?
Menarche
Breast development (thelarche)
Axillary hair growth
Pubic hair growth (pubarche)
. Precocious puberty is defined as the onset of secondary sexual characteristics before the age of:
10 years in girls and 11 years in boys
8 years in girls and 9 years in boys
9 years in girls and 10 years in boys
7 years in girls and 8 years in boys
A 16-year-old girl presents with primary amenorrhea, normal breast development, and absent pubic hair. The most likely diagnosis is:
Turner syndrome
Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome
Androgen insensitivity syndrome (AIS)
Hypothalamic amenorrhea
The most common cause of delayed puberty in girls is:
Turner syndrome
Hypothalamic amenorrhea
Constitutional delay
Kallmann syndrome
Tanner stage II in females is characterized by:
Adult-type pubic hair with limited distribution
Breast bud with elevation of breast and papilla
Projection of areola and papilla to form a secondary mound
No breast or pubic hair
Which hormone is primarily responsible for initiating puberty
LH
FSH
GnRH
Estrogen
Which of the following is NOT a feature of Turner syndrome?
Short stature
Webbed neck
Streak ovaries
Tall stature
13-year-old girl presents with irregular vaginal bleeding. She had her menarche at 11.5 years. Bleeding occurs every 2–3 months and lasts 10–14 days.
What is the most likely cause?
PCOS
Anovulatory cycles due to immature HPO axis
Coagulopathy
Hypothyroidism
In a patient with delayed puberty, elevated FSH and LH levels suggest:
Constitutional delay
Hypogonadotropic hypogonadism
Hypergonadotropic hypogonadism
Functional hypothalamic amenorrhea
Delayed puberty in girls is defined as:
No breast development by age 10
No menarche by age 12
No secondary sexual characteristics by age 13
no breast development by 13 years or no menarche by 15 years.
