Understanding Puberty and Puberty Blockers
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Questions and Answers

What is the age range by which no evidence of pubertal development is seen in males or females requires further evaluation?

  • 13-15 years for males, 11-13 years for females
  • 10-12 years for males, 11-13 years for females
  • 14-16 years for males, 13-15 years for females (correct)
  • 12-14 years for males, 10-12 years for females

    • What does the early development of sexual hair without signs of sexual maturation indicate?

  • Premature adrenarche (correct)
  • Precocious puberty
  • Delayed puberty
  • Normal pubescence

    • Which hormones are suppressed by GnRH analogs to delay puberty-related changes?

  • Estrogen and FSH
  • Testosterone and estrogen
  • Testosterone and LH
  • LH and FSH (correct)

    • What type of changes do puberty blockers like GnRH analogs delay?

    <p>Changes in primary and secondary sex characteristics</p> Signup and view all the answers

    Which of the following effects do GnRH analogs have in individuals identified as male at birth?

    <p>Halt facial and body hair growth</p> Signup and view all the answers

    What changes in individuals identified as female at birth do GnRH analogs prevent?

    <p>Breast development and menstruation</p> Signup and view all the answers

    Which Tanner stage is characterized by an increase in breast size without contour separation?

    <p>Tanner 3</p> Signup and view all the answers

    What is the defining feature of Tanner stage 4 in breast development?

    <p>Secondary mound formation above the breast</p> Signup and view all the answers

    In what Tanner stage does the areola become part of the general breast contour?

    <p>Tanner 5</p> Signup and view all the answers

    What is a potential consequence of delayed onset of puberty?

    <p>Lag in stature growth</p> Signup and view all the answers

    What could be a reason for a deliberate delay in pubertal development?

    <p>Use of puberty blockers</p> Signup and view all the answers

    What might be observed in individuals with delayed puberty onset?

    <p>Normal pubertal changes sequence</p> Signup and view all the answers

    Which Tanner stage features a buddy-shaped elevation of the areola?

    <p>Tanner 2</p> Signup and view all the answers

    What is a common feature of individuals who have a delayed onset of puberty?

    <p>'First to mature, last to grow' pattern in family members</p> Signup and view all the answers

    What is the primary purpose of using GnRH analogs in adolescents?

    <p>To pause puberty</p> Signup and view all the answers

    If an adolescent stops taking GnRH analogs, what will happen?

    <p>Puberty will resume</p> Signup and view all the answers

    Which Tanner stage is characterized by lateral spreading of adult pubic hair to the medial surface of the thighs?

    <p>Tanner 5</p> Signup and view all the answers

    What is the primary reason for monitoring weight gain during pregnancy?

    <p>To improve reproductive outcomes</p> Signup and view all the answers

    What is the recommended weight gain range during pregnancy for patients with a prepregnancy BMI of 19.8 to 26.0?

    <p>11.5 to 16 kg</p> Signup and view all the answers

    Which stage of pubic hair development is characterized by hair being coarse, curly, abundant but less than adult?

    <p>Tanner 4</p> Signup and view all the answers

    What happens to pubic hair in Tanner stage 6, according to the text?

    <p>Lateral spreading and further extension upwards or dispersed occur</p> Signup and view all the answers

    How does the use of GnRH analogs affect pubertal development?

    <p>Pauses pubertal development temporarily</p> Signup and view all the answers

    What is the recommended weight gain range for underweight patients with a BMI of 29 during pregnancy?

    <p>5 to 9.1 kg</p> Signup and view all the answers

    What complications are obese patients at increased risk of during pregnancy?

    <p>Preeclampsia, gestational diabetes, cesarean delivery</p> Signup and view all the answers

    What may pregnant adolescents younger than 16 years require during pregnancy due to their growth spurt?

    <p>Higher weight gains</p> Signup and view all the answers

    What is the recommended weekly weight gain in the second and third trimesters of pregnancy?

    <p>0.5 to 1 lb per week</p> Signup and view all the answers

    What risk is associated with gaining too little weight during pregnancy?

    <p>Low-birth-weight infant</p> Signup and view all the answers

    How should measurement procedures for older adults be conducted to calculate BMI?

    <p>They are the same as those used for other adults</p> Signup and view all the answers

    What is a potential problem associated with underweight in older adults?

    <p>Increased risk of food insecurity</p> Signup and view all the answers

    Why might patients who gain too much weight during pregnancy face a difficult delivery?

    <p>'It can lead to a high-birth-weight infant'</p> Signup and view all the answers

    Which Tanner stage is characterized by enlargement of the penis and further enlargement of testes, along with descent of the scrotum?

    <p>Tanner 3</p> Signup and view all the answers

    What is a rare disease of excessive growth and distorted proportions caused by hypersecretion of growth hormone and insulin-like growth factor after epiphyseal closure called?

    <p>Acromegaly</p> Signup and view all the answers

    Which Tanner stage is described as 'not quite adult' with continued enlargement of the penis and increased pigmentation of the scrotum?

    <p>Tanner 4</p> Signup and view all the answers

    What is the most common cause of acromegaly?

    <p>Pituitary adenoma</p> Signup and view all the answers

    Which of the following is NOT a sign of Tanner stage 2 in males?

    <p>Enlargement of the penis</p> Signup and view all the answers

    What is the effect of growth hormone excess in acromegaly?

    <p>Slow skeletal growth and soft tissue enlargement</p> Signup and view all the answers

    'Growth and Nutrition G1—Tanner 1' refers to which aspect of puberty?

    <p>Enlargement of testes and scrotum</p> Signup and view all the answers

    'Growth hormone excess leads to slow skeletal growth and soft tissue enlargement.' Which disease does this statement primarily refer to?

    <p>Acromegaly</p> Signup and view all the answers

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