ABIM Adolescent Practice Questions - ABIM Adolescent Medicine Subspecialty Certification Exam

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A 15-year-old girl has not yet had menarche. She has Tanner 4 breasts and Tanner 4 pubic hair. What is the most appropriate next step?

Initiate primary amenorrhea workup Reassure and reassess in 1 year Order karyotype only No action needed; menarche may occur as late as age 17

Correct Answer:

Initiate primary amenorrhea workup

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