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Category: Obstetrics & Gynecology--->Infertility, Endocrinology, and Menstrual Dysfunction
Page: 1

Question 1# Print Question

A mother brings her 14-year-old daughter to the office for consultation. The mother is concerned that her daughter is shorter than her friends, and should have started her period by now. On physical examination, the girl is 4 ft 10 in tall. She shows evidence of breast development at Tanner stage 2. She has no axillary or pubic hair. You reassure the mother that her daughter seems to be developing normally.

Educating the mother and daughter, your best advice is to tell them which of the following?

A. The daughter will start her period when her breasts reach Tanner stage 5
B. The daughter will start her period, then have her growth spurt
C. The daughter’s period should start within 1 to 2 years since she has just started developing breast buds
D. The daughter will have her growth spurt, then pubic hair will develop, heralding the onset of menstruation
E. The daughter’s period should start by the age of 18 years, but if she has not had her period by then, she should come back for further evaluation


Question 2# Print Question

A mother brings her 12-year-old daughter to your office for consultation. She is concerned because most of the other girls in her daughter’s class have already started their period. She thinks her daughter hasn’t shown any evidence of going into puberty yet.

Knowing the usual first sign of the onset of puberty, you should ask the mother which of the following questions?

A. Has your daughter had any acne?
B. Has your daughter started to develop breasts?
C. Does your daughter have any axillary or pubic hair?
D. Has your daughter started her growth spurt?
E. Has your daughter had any vaginal spotting?


Question 3# Print Question

A 9-year-old girl presents for evaluation of regular vaginal bleeding. History reveals thelarche at the age of 7 and adrenarche at the age of 8.

Which of the following is the most common cause of this condition in girls?

A. Idiopathic
B. Gonadal tumors
C. McCune-Albright syndrome
D. Hypothyroidism
E. Tumors of the central nervous system (CNS)


Question 4# Print Question

A 68-year-old Caucasian woman comes to your office for advice regarding her risk factors for developing osteoporosis. She is 5 ft 1 in tall and weighs 105 lb. She stopped having periods at the age of 42 years. She is healthy and walks on a treadmill daily. She does not take any medications. She has never taken hormone replacement therapy (HRT). Her mother died at the age of 71 after she suffered a spontaneous hip fracture.  

Which of the following will have the least effect on this patient’s risk for developing osteoporosis?

A. Her family history
B. Her race
C. Her level of physical activity
D. Her early menopause status
E. Her weight


Question 5# Print Question

A 68-year-old Caucasian woman comes to your office for advice regarding her risk factors for developing osteoporosis. She is 5 ft 1 in tall and weighs 105 lb. She stopped having periods at the age of 42 years. She is healthy and walks on a treadmill daily. She does not take any medications. She has never taken hormone replacement therapy (HRT). Her mother died at the age of 71 after she suffered a spontaneous hip fracture. 

The patient asks how and if she should be tested for osteoporosis.

What is the best method to screen her for osteoporosis?

A. Peripheral measurement of her heel with photon absorptiometry
B. Standard x-ray of her spine
C. Dual-energy x-ray absorptiometry (DEXA)
D. Measure biochemical markers of bone remodeling
E. CT scan to measure the bone density




Category: Obstetrics & Gynecology--->Infertility, Endocrinology, and Menstrual Dysfunction
Page: 1 of 13