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MMLU-Pro / 6759 / A 17-year-old girl has never had a menstrual period. Physical examination shows…

Problem

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question

A 17-year-old girl has never had a menstrual period. Physical examination shows a normal female body habitus, normal breast development, and normal appearing external genitalia. She has no axillary or pubic hair. The patient refuses to have a pelvic or rectal examination. Which of the following is the most likely explanation for the clinical presentation?

category

health

options

  1. Delayed puberty
  2. Premature ovarian failure
  3. Congenital adrenal hyperplasia
  4. A psychiatric disorder
  5. Kallmann syndrome
  6. Polycystic ovary syndrome
  7. Hypothalamic amenorrhea
  8. Ectodermal dysplasia
  9. Androgen insensitivity

src

ori_mmlu-professional_medicine

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