ABIM Adolescent Practice Questions - ABIM Adolescent Medicine Subspecialty Certification Exam

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A 12-year-old girl presents for her well-child visit. Her mother is concerned because the patient has not yet started menstruating but has had breast development for the past year. On exam she has Tanner stage 3 breasts and Tanner stage 2 pubic hair. What is the most appropriate response?

Reassure that this is normal pubertal progression and menarche typically occurs 2-3 years after thelarche Order LH, FSH, and pelvic ultrasound for primary amenorrhea workup Refer to pediatric endocrinology for delayed puberty Begin a progestin challenge

Correct Answer:

Reassure that this is normal pubertal progression and menarche typically occurs 2-3 years after thelarche

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