#january2020mccqe1
A neonate is found to have strong, bounding pulses in both upper extremities and carotids, but her femoral pulses are very weak. She is diagnosed with coarctation of the aorta and is taken to surgery to correct the defect. Subsequent follow-up examinations show no further heart abnormalities. Sixteen years later, the patient is noted to have poorly developed secondary sexual characteristics, including persistent, nonprogressive Tanner stage 2 breast and pubic hair development. She has not experienced menarche. Which of the following would most likely be found in this patient?
(A) Decreased estrogen levels
(B) Normal ovaries
(C) Patent ductus arteriosus
(D) Simian crease
(E) 46,XY karyotype
A neonate is found to have strong, bounding pulses in both upper extremities and carotids, but her femoral pulses are very weak. She is diagnosed with coarctation of the aorta and is taken to surgery to correct the defect. Subsequent follow-up examinations show no further heart abnormalities. Sixteen years later, the patient is noted to have poorly developed secondary sexual characteristics, including persistent, nonprogressive Tanner stage 2 breast and pubic hair development. She has not experienced menarche. Which of the following would most likely be found in this patient?
(A) Decreased estrogen levels
(B) Normal ovaries
(C) Patent ductus arteriosus
(D) Simian crease
(E) 46,XY karyotype
