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Pediatrics · Endocrinology: precocious puberty
Sample itemA 6-year-old girl develops breast enlargement and pubic hair with advanced bone age. Which statement defines this condition?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Pubertal signs before 8 years in girls
Precocious puberty is onset of secondary sexual characteristics before 8 years in girls and before 9 years in boys. Most cases in girls are idiopathic central precocious puberty, treated with GnRH analogues. Boys more often have an organic cause.
Option by option
A. Pubertal signs before 8 years in girls (correct)
Correct. The cut-off is 8 years in girls.
B. Pubertal signs before 12 years in girls
Twelve years is within the normal range for girls.
C. Pubertal signs before 10 years in boys
The cut-off in boys is 9 years.
D. Pubertal signs before 14 years in girls
Fourteen years would define delayed rather than precocious puberty.
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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