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A female newborn is born with abnormal external genitalia. Evaluation for CAH should be considered in which of the following situations?
A 40-year-old woman with NCCAH presents with infertility. What is the recommended next step in management?
A 25-year-old man with NCCAH is asymptomatic and has normal bone age. What is the recommended management?
A 10-year-old girl with classic CAH is being treated with HC and fludrocortisone. Her height velocity has decreased over the past year. What is the recommended next step in management?
A 16-year-old girl with classic CAH is being treated with HC and fludrocortisone. She reports increasing acne and hirsutism. Which of the following additional medications may be helpful for controlling her symptoms?
A 5-year-old child with classic CAH is being treated with hydrocortisone (HC) and fludrocortisone. During a routine check-up, the patient is found to have high blood pressure. What should be the next step in management?
A 14-year-old girl with classic CAH is experiencing hyperandrogenic symptoms. What Treatment may be needed in addition to glucocorticoid (GC) and mineralocorticoid (MC) therapies?
What is the suggested dose of fludrocortisone in fully-grown patients with classic CAH?
A 5-year-old child is diagnosed with classic 21OHD. What is the recommended maintenance therapy with hydrocortisone (HC)?
A 10-year-old male with classic CAH is being treated with hydrocortisone. Which of the following should be monitored to optimize the adrenal steroid treatment profile?
A 25-year-old female presents with symptoms of classic CAH. What is the recommended timing for hormone measurement?
A 2-month-old female infant is referred to a pediatric endocrinologist after a positive newborn screen for CAH. Which diagnostic test should be performed?
A 6-year-old female has borderline 17OHP levels. What is the recommended next step?
A 20-year-old female presents with hirsutism and irregular menstrual cycles. What is the recommended screening test for CAH?
A 3-day-old male infant is found to have elevated 17OHP on newborn screening. What is the recommended next step?
A 28-year-old pregnant woman with a previous child with CAH presents for prenatal counseling. She is considering prenatal Treatment with Dex for the current pregnancy. What should be recommended to her regarding the balance of benefits and harms of prenatal Treatment with Dex?
A 32-year-old pregnant woman presents for prenatal counseling. She is concerned about the potential long-term effects of fetal exposure to Dex. What should be advised to her?
A 26-year-old pregnant woman with a previous child with CAH presents for prenatal counseling. She is considering prenatal Treatment with Dex for the current pregnancy. What should be recommended to her?
A pregnant woman at risk for carrying a fetus affected with CAH is considering prenatal Treatment. Which of the following statements regarding prenatal therapy is true?
A newborn female is found to have abnormal development of the external genitalia with virilization. Which of the following conditions is the most likely diagnosis?
What is the dose of dexamethasone typically used for prenatal Treatment of CAH?
A patient with 46,XX CAH and complete virilization (Prader 5/normally formed “penis” with the urethral meatus within the glans) is undergoing gender assignment. What should be discussed with the patient and their family?
A newborn female patient with CAH is diagnosed with clitoromegaly. What are the advantages of early complete reconstruction for this patient?
A 16-year-old patient with CAH and high confluence (Fig. 3) is considering surgical repair. What is the recommended approach?
A 6-year-old female patient with CAH presents with severe virilization and has not undergone surgery. What should be the ongoing observation in this patient?
A 3-year-old female patient with CAH is diagnosed with a low urogenital confluence of the vagina and urethra. What is the recommended approach for surgical repair?
A pregnant woman with CAH presents to the clinic. She has been on stable doses of hydrocortisone and fludrocortisone prior to her pregnancy. What is the recommended management for this patient during pregnancy?
A 10-year-old girl with CAH presents to the clinic. Her parents are interested in surgical options to restore functional anatomy. What is the recommended advice?
A 25-year-old female with classic CAH presents for a routine check-up. She has been on stable doses of hydrocortisone and fludrocortisone for the past year. Which of the following should be recommended for this patient?
A 28-year-old male with classic CAH presents for a routine check-up. What is the recommended surveillance for this patient?
A 32-year-old woman with classic CAH becomes pregnant. What is the recommended management during pregnancy?
A 26-year-old female with NCCAH presents with infertility. What is the recommended Treatment?
A 35-year-old woman with classic CAH has impaired fertility. What should be the next step?
A 25-year-old male with NCCAH is interested in having children. What is the recommended step prior to pregnancy planning?
A 16-year-old girl with classic CAH is transitioning to adult care. What should be included in her gynecological evaluation?
Which of the following is a recommendation for prenatal Treatment of CAH?
What is the aim of prenatal Treatment with Dexamethasone for CAH?
A woman has previously delivered a child with CAH and is pregnant again via the same partner. What is the chance that the fetus will be female and have CAH?
Which of the following is the main advantage of newborn screening for CAH?
A newborn is found to have nonpalpable gonads. Which of the following conditions should be considered in the differential diagnosis?
A newborn is diagnosed with salt-losing CAH. Which of the following complications is most commonly associated with missed diagnosis of this condition?
A newborn male is noted to have rapid postnatal growth and virilization. Which of the following conditions should be considered in the differential diagnosis?
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