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A 17-Year-Old Girl Has Not Had Her First Menstrual Period

Question 2

Multiple Choice

A 17-year-old girl has not had her first menstrual period (menarche) and has no signs of puberty-associated growth spurt,breast development,or pubic hair growth.Her pediatrician suspects hypogonadism/delayed puberty of some form.One form of hypogonadism is associated with loss of gonadotropin-releasing hormone (GnRH) neurons in the hypothalamus (Kallmann's syndrome) .This form of tertiary hypogonadism results in which of the following?


A) Increased levels of prolactin
B) Decreased levels of thyroid-stimulating hormone (TSH)
C) Increased levels of adrenocorticotropic hormone (ACTH)
D) Increased levels of luteinizing hormone (LH)
E) Decreased levels of follicle-stimulating hormone (FSH)

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