Endocrinology: precocious puberty: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Endocrinology: precocious puberty

Sample item

A girl develops breast development and pubic hair at age 6. What is the appropriate principle?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Evaluate for precocious puberty and its cause

Pubertal signs before age 8 in girls warrant assessment for central or peripheral precocious puberty. Growth pattern, bone age, neurologic symptoms, and hormone testing inform evaluation.

Option by option

  • A. Ignore growth velocity

    Growth velocity is an important clue to pubertal activation.

  • B. Start combined hormonal contraception

    Contraception does not evaluate the cause.

  • C. Reassure that all puberty before 8 is normal

    Not all early puberty is benign.

  • D. Evaluate for precocious puberty and its cause (correct)

    Correct. Puberty before the usual age threshold needs clinical assessment.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is D, Evaluate for precocious puberty and its cause. Pubertal signs before age 8 in girls warrant assessment for central or peripheral precocious puberty.

Why is "Ignore growth velocity" not the answer?

Growth velocity is an important clue to pubertal activation.

Why is "Start combined hormonal contraception" not the answer?

Contraception does not evaluate the cause.

Why is "Reassure that all puberty before 8 is normal" not the answer?

Not all early puberty is benign.

What concept does this question test?

It tests Endocrinology: precocious puberty in Pediatrics. Growth pattern, bone age, neurologic symptoms, and hormone testing inform evaluation.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Endocrinology: precocious puberty?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.