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Old 08-29-2012
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Post tanner staging

q) a 11 yr old girl is brought to the paediatrician because she has been complaining of back pain. on examination the right thoracic scoliotic curve is seen..an x-ray film indicates that the curve is 25 degrees...girls with scoliosis are especially need to be carefully watched during peak height velocity,during which the curve can dramatically worsen..given that peak height velocty occurs during tanner stage 3,what other features would one expect to occur in the girl at the same time?

a) elevation of breast papilla only ,no pubic hair
b) small breast buds with elevation of breast and papilla and sparse,straight hair on the labial base
c) mature breast adult quantity and pattern of pubic hair extend to thighs
d) enlargement of breast and areola with single contour and darker,coarse curled pubic hair
e) projection of areola and papilla with separate contours and adult type pubic hair limited to genital area
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Old 08-29-2012
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d) enlargement of breast and areola with single contour and darker,coarse curled pubic hair

????????????
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Old 08-29-2012
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Answer is D

a)second part no pubic hair is stage 1
b) is stage 2
c) is stage 5
d) stage 3
e) stage 4
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Old 08-29-2012
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Default my answer :)

d) enlargement of breast and areola with single contour and darker,coarse curled pubic hair

I'm still a bit confused about those stages Thanks for the refreshing question
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Old 08-29-2012
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Post D

yes....the correct answer is D

tanner stage 3 is the stage when most girls experience peak height velocity......it occurs approx.1yr after breast devt. initiation...

tanner staging in females...


stage 1-----in childhood...elevation of breast papilla only ,no pubic hair

stage 2------adrenarche and thelarche...small breast buds with elevation of breast and papilla and sparse,straight hair on the labial base

stage 3-
-----pubic hair start to become curly------enlargement of breast and areola with single contour and darker,coarse curled pubic hair

stage 4------pubic hair becomes more curly---projection of areola and papilla with separate contours and adult type pubic hair limited to genital area

stage 5------areola is not raised from here on----mature breast adult quantity and pattern of pubic hair extend to thighs


tanner staging in males...

stage 1-----childhood----no growth in penis, no pubic hair

stage 2------adrenarche----penis increase in length (length>width) start..,coarse,pigmented hair at base of penis

stage 3-------penis growth in length and width seen...coarse,dark curly hair spreads all over pubis,muscle mass also increases.......gynaecomastia like changes if present are seen in this stage.

stage 4-------penis growth increase(width> length).....pubic hair increases but not extend to thighs......devt. of glans,darker scrotal skin.......axillary hair,acne ,voice changes would be appear at this stage

stage 5-------adult pubic hair,mature penis size...gynecomastia disappears
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