#january2020usmle2k
A 17-year-old girl visits the clinic with her mother who is concerned that her daughter had not menstruated yet and her breast had not been significantly developed. She also notes that her daughter is color blind. The girl denies any sexual relationship or using any recreational drugs. Examination reveals normally appearing girl with small non-developed breasts. There is lack of pubic hair and her vagina and cervix are not fully developed. She is 5f5in tall and weighs 130 Ib. Cardiac, chest and abdominal examinations are unremarkable.
What is the most likely initial diagnosis?
A-Androgen insensitivity disorder
B- Early pregnancy
C- Kallmann’s syndrome
D- Kartagener’s syndrome
E- Turner’s syndrome
A 17-year-old girl visits the clinic with her mother who is concerned that her daughter had not menstruated yet and her breast had not been significantly developed. She also notes that her daughter is color blind. The girl denies any sexual relationship or using any recreational drugs. Examination reveals normally appearing girl with small non-developed breasts. There is lack of pubic hair and her vagina and cervix are not fully developed. She is 5f5in tall and weighs 130 Ib. Cardiac, chest and abdominal examinations are unremarkable.
What is the most likely initial diagnosis?
A-Androgen insensitivity disorder
B- Early pregnancy
C- Kallmann’s syndrome
D- Kartagener’s syndrome
E- Turner’s syndrome
