Herzing University – Pediatrics Exam 2 (2026) |
Detailed Questions, Answers & Rationales
Tanner stage of development male genitalia –
Answer✅️☑️Stage 1 – Prepubertal
Stage 2 – Males (Pubic hair at base of penis and initial
enlargement of testes)
Stage 3 – Males (Curly pubic hair and lengthening of penis)
Stage 4 – Males (Penis grows in width; hair full in limited area)
Stage 5 – Adult/Development completed
Tanner stage of development female genitalia –
Answer✅️☑️Stage 1 – Prepubertal
Stage 2 – Females (Breast buds and initial pubic hair growth)
Stage 3 – Females (breast and areolar growth; pubic hair more
coarse)
Stage 4 – Females (Nipples/areola form separate mound; adult
hair but limited area)
Stage 5 – Adult/Development completed
,Bone age determined by x-rays of the ___________ hand/wrist
– Answer✅️☑️left
For females if dx of central is made based on labs and findings –
what is required? – Answer✅️☑️MRI of the brain
For females, if dx is peripheral than __________________ of
the ovaries and adrenal gland is required –
Answer✅️☑️ultrasound
By age 18 nearly _________ of girls and __________ of boys
have had sexual intercourse. – Answer✅️☑️1/2 ; 2/3
In terms of fibrocystic breasts, what frequently improves
symptoms? – Answer✅️☑️OCPs
In terms of fibrocystic breasts, what is beneficial to some
patients? – Answer✅️☑️reducing caffeine intake
,What is common cause of mastitis? – Answer✅️☑️breast
feeding
What is the most common pathogen associated w/ breast
abscess? – Answer✅️☑️staph aureus
Abscess presents as a rapidly developing, ________, inflamed
breast __________ - Answer✅️☑️tender ; mass
Various etiologies associated w/ breast abscess –
Answer✅️☑️shaving/plucking periareolar hair, nipple piercing,
or trauma
In terms of galactorrhea, initial testing should include what? –
Answer✅️☑️urine preg testing
_____________ prolactin and normal ________ associated with
amenorrhea suggests a hypothalamic or pituitary tumor. – MRI
is indicated in this case. – Answer✅️☑️Elevated prolactin ; nml
TSH
, Gynecomasta presents as a _______________, ___________
subareolar mass – Answer✅️☑️tender, firm
A common concern of adolescent boys - ____________ develop
transient gynecomastia. – Answer✅️☑️65%
Polycystic ovarian syndrome consist of what various
symptoms/disorders? – Answer✅️☑️obesity, insulin
resistance, hirsutism, acne, oligomenorrhea, and infertility
PCOS is a lack of what hormone? – Answer✅️☑️FSH prevents
the conversion of androstenedione to estradiol by the ovary
resulting in anovulation and production of excess androgen
(testosterone).
Tx for PCOS:
1)Prescription for ____________ (low androgenic progestin)
2)___________ helps improve menstrual irregularities and
insulin resistance – Answer✅️☑️-OCPs containing low
androgenic progestin such as Desogen or Ortho Tri-Cyclen can
be prescribed
Detailed Questions, Answers & Rationales
Tanner stage of development male genitalia –
Answer✅️☑️Stage 1 – Prepubertal
Stage 2 – Males (Pubic hair at base of penis and initial
enlargement of testes)
Stage 3 – Males (Curly pubic hair and lengthening of penis)
Stage 4 – Males (Penis grows in width; hair full in limited area)
Stage 5 – Adult/Development completed
Tanner stage of development female genitalia –
Answer✅️☑️Stage 1 – Prepubertal
Stage 2 – Females (Breast buds and initial pubic hair growth)
Stage 3 – Females (breast and areolar growth; pubic hair more
coarse)
Stage 4 – Females (Nipples/areola form separate mound; adult
hair but limited area)
Stage 5 – Adult/Development completed
,Bone age determined by x-rays of the ___________ hand/wrist
– Answer✅️☑️left
For females if dx of central is made based on labs and findings –
what is required? – Answer✅️☑️MRI of the brain
For females, if dx is peripheral than __________________ of
the ovaries and adrenal gland is required –
Answer✅️☑️ultrasound
By age 18 nearly _________ of girls and __________ of boys
have had sexual intercourse. – Answer✅️☑️1/2 ; 2/3
In terms of fibrocystic breasts, what frequently improves
symptoms? – Answer✅️☑️OCPs
In terms of fibrocystic breasts, what is beneficial to some
patients? – Answer✅️☑️reducing caffeine intake
,What is common cause of mastitis? – Answer✅️☑️breast
feeding
What is the most common pathogen associated w/ breast
abscess? – Answer✅️☑️staph aureus
Abscess presents as a rapidly developing, ________, inflamed
breast __________ - Answer✅️☑️tender ; mass
Various etiologies associated w/ breast abscess –
Answer✅️☑️shaving/plucking periareolar hair, nipple piercing,
or trauma
In terms of galactorrhea, initial testing should include what? –
Answer✅️☑️urine preg testing
_____________ prolactin and normal ________ associated with
amenorrhea suggests a hypothalamic or pituitary tumor. – MRI
is indicated in this case. – Answer✅️☑️Elevated prolactin ; nml
TSH
, Gynecomasta presents as a _______________, ___________
subareolar mass – Answer✅️☑️tender, firm
A common concern of adolescent boys - ____________ develop
transient gynecomastia. – Answer✅️☑️65%
Polycystic ovarian syndrome consist of what various
symptoms/disorders? – Answer✅️☑️obesity, insulin
resistance, hirsutism, acne, oligomenorrhea, and infertility
PCOS is a lack of what hormone? – Answer✅️☑️FSH prevents
the conversion of androstenedione to estradiol by the ovary
resulting in anovulation and production of excess androgen
(testosterone).
Tx for PCOS:
1)Prescription for ____________ (low androgenic progestin)
2)___________ helps improve menstrual irregularities and
insulin resistance – Answer✅️☑️-OCPs containing low
androgenic progestin such as Desogen or Ortho Tri-Cyclen can
be prescribed
