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NBME 20 Answers

nbme20/Block 1/Question#8

A 10-year-old girl is brought to the physician by ...

Breast bud development

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submitted by hayayah(536),

Earliest detectable secondary sexual characteristic is breast bud development in girls, testicular enlargement in boys.

pg32  How did you know this? The Tanner stages in FA simply list pubarche and breast buds developing in the same stage without stating which comes first. Thanks! +  
lynn  @pg32 look at the paragraph above the diagram, it says that exactly. Took me a minute too lol +  

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submitted by lilyo(11),

Take a look at FA pg.623 for tanner stages of sexual development.