1. MCQ on Puberty

2. This is the key regulator of puberty
(a) LH (b) Kisspeptin © GnRH (d) LH

3. FSH production is inhibited by
(a) Estrogn (b) GnRH © Inhibin (d) LH

4. The order of pubertal development in girls is
(a) adrenarche-pubarche-menarche (b)thelarche-menarche-pubarche
© pubarche-thelarche-menarche
(d) thelarche-pubarche-menarche

5. Precious puberty is girls is if breast development is before the age of ____ years
(a) 9 (b) 8 © 12 (d) 10

6. This is NOT a cause of central precocious puberty
(a) craniopharyngeoma (b) hypothyroidism © cranial irradiation (d) hydrocephalus

7. In boys with precocious puberty with prepubertal LH level, this is the investigation of choice
(a) CT scan for adrenal gland (b) MRI brain © field of vision testing (d) FSH level

8. In normal phenotyic girls with amenorrhea and normal breat development the mots likely cause is
(a) gonadal dysgenesis (b) multiple pituitary hormone deficiency © LH gene delection (d) mullerian agenesis

9. This is NOT true in cases of constituional delay of puberty
(a) is familial (b) no spontaneous puberty on followup © markedly delayed bone age (d) elevated early morning testosterone level

10. in boys wth delayed puberty testosterone injections should be started at this age (in years )
(a) 10 (b) 12 © 13 (d) 14

11. Cause of precocoius puberty with growth retardation is
(a) adrenal adenona (b) exogenous estrogen exposure © neurotuberculosis (d) hypothyroidism