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A 15-Year-Old Girl Is Brought to the Office for Evaluation

question 335

Multiple Choice

A 15-year-old girl is brought to the office for evaluation of primary amenorrhea.  The patient's mother and older sisters underwent menarche around age 13.  The patient has had no changes in weight or nipple discharge but has difficulty identifying various odors.  She has no known medical conditions and has had no surgery.  The patient takes no daily medications and does not use tobacco, alcohol, or illicit drugs.  She is not sexually active.  Height is at the 3rd percentile for age, with 4.8 cm (1.9 in) of growth noted in the last year.  Visual fields are intact.  No breast tissue is present, and there is no axillary or pubic hair.  Ultrasound confirms the presence of a uterus and 2 normal-appearing ovaries.  Serum FSH level is 2 mU/mL (normal: 4-30 mU/mL) and LH is 3 mU/mL (normal: 5-25 mU/mL) .  Karyotype analysis of this patient is most likely to show which of the following?


Definitions:

Accounts Receivable

Funds that customers owe to a business for goods or services that have been provided but remain unpaid.

Inventory

The raw materials, work-in-process products, and finished goods that a company holds for the purpose of sale in the near future.

Marketable Securities

Financial instruments that can be easily converted into cash, such as stocks, bonds, or treasury bills.

Operating Activities

Activities that relate directly to the primary business operations of a company, such as selling products or providing services.

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