06-09-2007, 06:52 AM
40. A 13-year-old girl is brought for a well-child examination. Menses have occurred every other month since menarche 10 months ago. Her last menstrual period was 1 week ago. She is not sexually active. Sexual development is Tanner stage 3. Examination shows no abnormalities. Which of the following is the most appropriate next step in management?
A
) Discussion of pregnancy prevention
B
) Measurement of serum luteinizing and follicle-stimulating hormone levels
C
) Urine β-hCG test
D
) Pelvic examination
E
) Estrogen therapy
F
) Diagnostic laparoscopy
A
) Discussion of pregnancy prevention
B
) Measurement of serum luteinizing and follicle-stimulating hormone levels
C
) Urine β-hCG test
D
) Pelvic examination
E
) Estrogen therapy
F
) Diagnostic laparoscopy