In 95% of children of delayed puberty, the problem is caused by:
a.
Disruption in the hypothalamus
c.
Deficit in estrogen or testosterone
b.
Disruption of the pituitary
d.
Physiologic hormonal delays Correct Answer-D
In 95% of children with delayed puberty, the delay is physiologic; that i...
Maryville 611 patho exam 4 |300 questions| with
correct answers
In 95% of children of delayed puberty, the problem is caused by:
a.
Disruption in the hypothalamus
c.
Deficit in estrogen or testosterone
b.
Disruption of the pituitary
d.
Physiologic hormonal delays Correct Answer-D
In 95% of children with delayed puberty, the delay is physiologic; that
is, hormonal levels are normal and the hypothalamic-pituitary-gonadal
(HPG) axis is intact, but maturation is slowly happening. This option is
the only answer that accurately describes the most common cause of
delayed puberty.
What is the first sign of puberty in girls?
a.
Breast enlargement
c.
Menstruation
b.
Growth of pubic hair
,d.
Vaginal discharge Correct Answer-A
Of the options available, the first sign of puberty in girls is usually
thelarche or breast development.
Which type of precocious puberty causes the child to develop some
secondary sex characteristics of the opposite sex?
a.
Mixed
c.
Isosexual
b.
Incomplete
d.
Homosexual Correct Answer-A
Mixed precocious puberty, which is virilization of a girl or feminization
of a boy, causes the child to develop some secondary sex characteristics
of the opposite sex. This option is the only answer that accurately
identifies the type of precocious puberty described.
The release of which chemical mediator causes primary dysmenorrhea?
a.
Leukotrienes
c.
Bradykinin
,b.
Prostaglandins
d.
C-reactive protein Correct Answer-B
Primary dysmenorrhea is painful menstruation associated with the
release of prostaglandins in ovulatory cycles. This option is the only
answer that accurately identifies the chemical mediator associated with
dysmenorrhea.
Considering the pathophysiologic characteristics of primary amenorrhea,
what anatomic structure is involved in compartment II?
a.
Ovary
c.
Hypothalamus
b.
Anterior pituitary
d.
Vagina Correct Answer-A
Compartment II disorders involve only the ovary.
Considering the pathophysiologic characteristics of primary amenorrhea,
what anatomic structure is involved in compartment IV?
a.
Vagina
, c.
Ovary
b.
Hypothalamus
d.
Anterior pituitary Correct Answer-B
Of the options available, only compartment IV disorders include central
nervous system (CNS) conditions, in particular hypothalamic disorders.
Which condition is considered a clinical cause of amenorrhea?
a.
Disorder in the endometrium
c.
Lack of physical exercise
b.
Obstruction of the fallopian tubes
d.
Failure to ovulate Correct Answer-D
Depressed ovarian hormone levels, which are associated with a variety
of clinical disorders, also cause amenorrhea by preventing ovulation.
This option is the only answer that accurately identifies a clinical cause
of cycle irregularities.
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