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OBGYN Test 1

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mkofos's version from 2015-12-01 10:45

Section

Question Answer
Complete Precocious Puberty
(Dependent or Independent?)
Too Early (dependent)
↑ LH (pubertal) basal level
↑ LH response to GnRH
Brain MRI to rule out CNS problems
Pseudo-precocious Puberty
(Dependent or Independent?)
Too much (independent)
↓ LH (prepubertal)
NO response to GnRH
Abdomen/pelvic US
HypogonadismToo little
HypERgonadotropic hypogonadism (1°)
↑ FSH and LH
Turner’s and Klinefelter
Delayed PubertyToo Late
(no breasts by 13, no period by 15 or within 5 y of puberty)
Constitutional delay = Most common...normal LH/FSH (prepubertal)
Turner’sHypERgonadotropic hypogonadism (1°)↑ FSH and LH
KlinefelterHypERgonadotropic hypogonadism (1°)↑ FSH and LH
Kallmann SyndromeHypOgonadotropic hypogonadism (2°)
↓ FSH and LH No GnRH = ↓FSH/LH = ↓ estrogen/progesterone;
X-linked
Anosmia (can’t smell)
Most common type of Delayed PubertyConstitutional Delay
HypERgonadotropic hypogonadism(1°)
↑ FSH and LH
Turner’s and Klinefelter
HypOgonadotropic hypogonadism(2°)
↓ FSH and LH
Kallmann Syndrome
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