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Question 1
A 12-year-old girl presents with breast budding and sparse pubic hair. Tanner staging reveals breast Tanner 2 and pubic hair Tanner 2. What is the approximate expected time to menarche?
Correct Answer:
1-2 years (peak height velocity precedes menarche by ~6 months)
Question 2
A 6-year-old girl presents with breast development and pubic hair. She has no other findings on exam. What is the next best step in workup?
Correct Answer:
Bone age radiograph (left hand/wrist), LH/FSH, estradiol
Question 3
A 14-year-old boy has no testicular enlargement. What defines delayed puberty in boys?
Correct Answer:
No testicular enlargement (≥4 mL or ≥2.5 cm) by age 14
Question 4
A 14-year-old boy presents with bilateral tender breast tissue. Examination reveals firm, symmetric subareolar tissue approximately 2 cm bilaterally. He is Tanner 3 for genitalia and pubic hair. What is the most likely diagnosis?
Correct Answer:
Pubertal (physiologic) gynecomastia
Question 5
A 15-year-old girl has never had menses. She has normal breast development (Tanner 5) and pubic hair (Tanner 5), and is sexually mature. What defines primary amenorrhea in her case?
Correct Answer:
No menarche by age 15 with normal secondary sex characteristics, or by age 13 without
Question 1
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About this Exam

Prepare with the ABFM Adolescent Medicine Practice Questions - Adolescent Medicine Certificate of Added Qualifications (ABFM ABIM ABP) Exam practice quiz. This question bank includes 100 questions covering year-old, girl, presents, adolescents, and diagnosis. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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ABFM Adolescent Medicine Practice Questions - Adolescent Medicine Certificate of Added Qualifications (ABFM ABIM ABP) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, girl, presents, adolescents, and diagnosis. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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