A 15-year-old female has missed three consecutive periods 18 months after menarche, with a normal body mass index and negative urine pregnancy test. Her luteinizing hormone and follicle-stimulating hormone are both low. What is the likely cause?
A 16-year-old female presents for contraception counseling and desires long-term, user-independent contraception. Which method is classified as Tier 1 and reversible, with a typical-use failure rate under 1%?
A 13-year-old female with severe long and heavy periods has a history of easy bruising. What is the most likely hematologic cause?
A 14-year-old female with no menarche has breast development, normal body mass index, and no pelvic pain. Physical exam reveals normal external female genitalia and a blind-ending vagina. What is the likely diagnosis?
A 17-year-old female presents after a sexual assault 48 hours ago. She is not sure of her hepatitis B vaccination status. What postexposure intervention should be offered?
A 16-year-old female presents with multiple shallow, painful ulcers around the vulva. What laboratory method is most sensitive for diagnosis?
A sexually active 17-year-old female presents with a painless vulvar ulcer and bilateral, minimally tender inguinal lymphadenopathy. Laboratory evaluation reveals positive rapid plasma reagin and Treponema pallidum particle agglutination assay. What is the most appropriate therapy?
A 17-year-old female reports new vaginal discharge with odor. Microscopy finds clue cells and vaginal pH is 5.2. What is the diagnosis?
A 13-year-old female presents for a well-child visit. Her physical exam is notable for breast buds and sparse, lightly pigmented, straight pubic hair along the medial border of the labia. What Sexual Maturity Rating corresponds to this presentation?
A 17-year-old female presents with missed periods, breast tenderness, and fatigue, and suspects pregnancy. What is a classic symptom of early pregnancy?
