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Hashemite University/Pediatrics/Previous Years Bank

Previous Years Bank

Pediatrics — all previous exam questions in one place

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Showing 25 question(s)

Q12026FinalPediatric EndocrinologyPuberty and pubertal disorders

Which age cutoff defines precocious puberty?

APubertal development before 8 years in girls or before 9 years in boys
BPubertal development before 7 years in girls or before 6 years in boys
CPubertal development before 9 years in girls or before 8 years in boys
DPubertal development only before 5 years in either sex
Q22026FinalPediatric EndocrinologyPuberty and pubertal disorders

What is the most common cause of precocious puberty in girls?

AIdiopathic central precocious puberty
BHypothalamic hamartoma
COvarian granulosa cell tumor
DCongenital adrenal hyperplasia
Q32026FinalPediatric EndocrinologyPuberty and pubertal disorders

An 8-year-old boy develops true central precocious puberty. Which statement is incorrect?

ANeurological imaging is required
BAn intracranial lesion may be responsible
CThis condition is commonly idiopathic in boys
DCentral precocious puberty is gonadotropin-dependent
Q42026FinalPediatric Endocrinologycongenital adrenal hyperplasia

A newborn girl has clitoromegaly and partial fusion of the urogenital folds. Which enzyme deficiency is the most likely cause?

A21-hydroxylase deficiency
B11-beta-hydroxylase deficiency
C17-alpha-hydroxylase deficiency
DAromatase deficiency
Q52026FinalPediatric EndocrinologyPuberty and pubertal disorders

What is usually the first sign of puberty in girls?

AAxillary hair
BPubic hair
CA firm, tender lump under the center of the areola of one or both breasts
DAcne
Q62026FinalPediatric EndocrinologyPuberty and pubertal disorders

All of the following are causes of central precocious puberty except:

AIdiopathic activation
BHypothalamic hamartoma
CKallmann syndrome
DCentral nervous system tumor
Q72026FinalPediatric EndocrinologyPuberty and pubertal disorders

Which finding supports a diagnosis of central precocious puberty?

ABilateral testicular volume greater than 4 mL
BCongenital adrenal hyperplasia
CAdrenal mass
DLow follicle-stimulating hormone and luteinizing hormone levels
Q82025FinalPediatric Endocrinologycongenital adrenal hyperplasia

Which statement about congenital adrenal hyperplasia is false?

AIt affects males more than females because it is X-linked
BIt is caused by enzyme deficiencies in adrenal steroid synthesis
CIt can cause virilization in affected females
DIt can present with a neonatal salt-wasting crisis
Q92025FinalPediatric Endocrinologycongenital adrenal hyperplasia

Which laboratory test is most useful for diagnosing classic congenital adrenal hyperplasia due to 21-hydroxylase deficiency?

ASerum aldosterone
BSerum cortisol
CPlasma adrenocorticotropic hormone
DSerum 17-hydroxyprogesterone
Q102025FinalPediatric EndocrinologyPuberty and pubertal disorders

What is the most common cause of central precocious puberty in girls?

AIdiopathic activation of the hypothalamic-pituitary-gonadal axis
BCongenital adrenal hyperplasia
CTurner syndrome
DExogenous androgen exposure
Q112025FinalPediatric EndocrinologyPuberty and pubertal disorders

Which condition is least likely to cause precocious puberty?

AKallmann syndrome
BCentral nervous system lesion
CIdiopathic central activation
DSevere longstanding hypothyroidism
Q122025FinalPediatric EndocrinologyPuberty and pubertal disorders

Which condition is not an indication for growth hormone replacement therapy?

ATurner syndrome
BChronic kidney disease
CConstitutional delay of growth and puberty
DGrowth hormone deficiency
Q132024FinalPediatric Endocrinologycongenital adrenal hyperplasia

Which laboratory finding is incorrect for classic salt-wasting congenital adrenal hyperplasia due to 21-hydroxylase deficiency?

ALow ACTH level
BHigh 17-hydroxyprogesterone level
CHyponatremia with hyperkalemia
DLow aldosterone activity
Q142024FinalPediatric EndocrinologyPuberty and pubertal disorders

Which condition is least likely to present with delayed puberty?

AConstitutional delay of growth and puberty
BKallmann syndrome
CTurner syndrome
DPrecocious puberty
Q152024FinalPediatric EndocrinologyPuberty and pubertal disorders

Precocious puberty in girls is defined as the onset of secondary sexual development before what age?

A7 years
B8 years
C9 years
D10 years
Q162024FinalPediatric EndocrinologyPuberty and pubertal disorders

A 14-year-old boy is more than 2 standard deviations below his mid-parental height, has bone age of 12 years, and has otherwise normal history and examination. What is the most likely diagnosis?

AConstitutional delay of growth and puberty
BCushing syndrome
CFamilial short stature
DHypogonadotropic hypogonadism
Q172024FinalPediatric EndocrinologyPuberty and pubertal disorders

Which of the following is not considered precocious puberty or premature pubertal development?

AAxillary hair development at 10 years
BMenarche at 8 years
CPubic hair development at 6 years
DAcne with pubertal signs at 5 years
Q182024FinalPediatric EndocrinologyPuberty and pubertal disorders

A 14-year-old boy is 2 standard deviations below his midparental-height target, has bone age of 12 years, and has otherwise normal history and examination. What is the most likely diagnosis?

AConstitutional delay of growth and puberty
BCushing syndrome
CFamilial short stature
DHypogonadotropic hypogonadism
Q192024FinalPediatric EndocrinologyPuberty and pubertal disorders

Which finding is not considered precocious puberty in a girl?

AAxillary hair development at 10 years
BMenarche at 8 years
CPubic hair development at 6 years
DAcne with androgenic signs at 5 years
Q202024FinalPediatric Endocrinologycongenital adrenal hyperplasia

Which statement about congenital adrenal hyperplasia is false?

AIt affects males more than females because it is X-linked
BIt is caused by enzyme deficiencies in adrenal steroidogenesis
CIt can cause virilization in females
DIt can present with a neonatal salt-wasting crisis
Q212024FinalPediatric Endocrinologycongenital adrenal hyperplasia

Which condition is least likely to cause delayed puberty?

AKallmann syndrome
BTurner syndrome
CKlinefelter syndrome
DCongenital adrenal hyperplasia
Q222024FinalPediatric Endocrinologycongenital adrenal hyperplasia

Which statement about classic congenital adrenal hyperplasia due to 21-hydroxylase deficiency is incorrect?

A17-hydroxyprogesterone is elevated
BSalt-wasting may occur
CIt is inherited in an autosomal recessive pattern
D17-hydroxyprogesterone is low
Q232023FinalPediatric Endocrinologycongenital adrenal hyperplasia

Which condition is least likely to cause delayed puberty?

AKallmann syndrome
BTurner syndrome
CConstitutional delay of growth and puberty
DCongenital adrenal hyperplasia
Q242023FinalPediatric Endocrinologycongenital adrenal hyperplasia

A newborn with ambiguous genitalia is suspected to have classic congenital adrenal hyperplasia due to 21-hydroxylase deficiency. Which laboratory finding is expected?

ALow 17-hydroxyprogesterone
BSuppressed plasma renin activity
CElevated 17-hydroxyprogesterone
DPersistent hyperglycemia as the defining abnormality
Q252023FinalPediatric EndocrinologyPuberty and pubertal disorders

What is the most common cause of central precocious puberty in girls?

AIdiopathic activation of the hypothalamic-pituitary-gonadal axis
BCongenital adrenal hyperplasia
CTurner syndrome
DExogenous androgen exposure