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  #1  
Old 06-17-2010
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Kids 6 Year Old brought by her mother

A 6 year old Caucasian girl brought by her mother because she noticed that she has breast enlargement. Her height, weight, and developmental milestones were all within normal. No family history of related illnesses. No prior medical problems or treatments. Examination confirmed Tanner stage 3 breast development and axillary odor. Several dark pigmented spots seen on the back. CNS imaging was normal but skeletal surveys showed multiple cystic lesions in the upper and lower limbs. What is the best treatment for this condition?
A- Observation
B- GnRH analogues
C- Surgical removal of the adrenal gland
D- Exemestane
E- Hormonal replacement

PS- this question I made
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Sabio (06-17-2010)



  #2  
Old 06-17-2010
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Warning!

i think it's B
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  #3  
Old 06-17-2010
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i'll go with D

Last edited by drsue; 06-17-2010 at 05:08 PM. Reason: i'm thinkin mcCune albright syndrome and it's a precocious pseudopuberty.
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Old 06-17-2010
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Correct Answer The correct answer is D!

I tricked you

The correct answer is D!

This is a case of McCune Albright syndrome (precocious puberty, cafe aut lait spots, and polyostotic fibrous dysplasia) and the treatment of choice is aromatase inhibitors such as Exemestane.

Do I qualify as a good question writer perhaps I should start my own qbank
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  #5  
Old 06-17-2010
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u know i was just editing my previous answer wen u posted the answer to the question............cos i figured out!!!!!! but u didn't do bad with the question, it was quite a tricky one!!!!!
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Endocrinology-, Internal-Medicine-, ObGyn-, Pediatrics-, Step-2-Questions

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