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Previous Topic | Next Topic  Peds As.Exam 47. -GOOD Q-Turners 




 
Kaplan Qbank USMLE



Author3 Posts
  #1

47. A 16-year-old girl comes to the clinic for evaluation of
delayed puberty. She is concerned about her development,
as she feels her body has not changed a bit since
she was 9 years old. Although she reports that she has
always been shorter than her classmates, she has generally
been healthy. She has had no major illness and
knows of none that run in her family. Physical examination
reveals a short, stocky appearing young woman.
She has Tanner stage 1 breasts and sparse pubic and
axillary hair. Her ears appear lower than usual and she
has a low hairline and a small mouth and mandible.
Additionally, her neck is short and she has a wide, broad
chest with nipples that are farther apart than normal.
She is markedly hypertensive.Which of the following is
the most likely cause of this patient’s hypertension?
(A) Aortic coarctation
(B) Essential hypertension
(C) Ovarian failure
(D) Renal artery stenosis
(E) Renal failure


___________________
Our greatest glory is not in never falling, but in rising every time we fall.

  #2

A


  #3

nod Right.


___________________
Our greatest glory is not in never falling, but in rising every time we fall.







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