Question 2

(Multiple Choice)

A 17-year-old girl has not had her first menstrual period (menarche)and has no signs of puberty-associated growth spurt,breast development,or pubic hair growth.Her pediatrician suspects hypogonadism/delayed puberty of some form.One form of hypogonadism is associated with loss of gonadotropin-releasing hormone (GnRH)neurons in the hypothalamus (Kallmann's syndrome).This form of tertiary hypogonadism results in which of the following?


A)Increased levels of prolactin
B)Decreased levels of thyroid-stimulating hormone (TSH)
C)Increased levels of adrenocorticotropic hormone (ACTH)
D)Increased levels of luteinizing hormone (LH)
E)Decreased levels of follicle-stimulating hormone (FSH)

Answer

E