Created at 3:22 a.m. Dec, 03, 2025
Author: andrewmathias8
Related Note: 1549111730028 2
Rationale for change

This NBME form presents a 17-year-old patient with androgen insensitivity syndrome (5 ft 8 inches tall, breast development Tanner Stage 5, pubic hair Tanner Stage 2), and the answer is "gonadectomy".

The explanation from the NBME states, "Given the significantly increased risk of testicular cancer, gonadectomy should be pursued in patients between age 12 and 18 years at the onset of puberty or at the time of diagnosis if older than this range."

Another user has an open suggestion stating that in UWorld qid: 4217, the answer is gonadectomy in a not-post-pubertal patient.

Source: Other - NBME CCSSA Form 13

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Changed Tags
#AK_Step2_v12::#NBME::Form13::Section_2
#AK_Other::AnKing_Image::!Subjects::Reproductive::Primary_Amenorrhea #AK_Step2_v12::#Resources_by_rotation::Peds::uworld::endocrine_diabetes_metabolism::endo_dorian #AK_Step2_v12::!Shelf::#Cards_AnKing_Did::2obgyn #AK_Step2_v12::#UWorld::Step::4217 #AK_Step2_v12::#Resources_by_rotation::Peds::uworld::repro::repro_zanki #AK_Step2_v12::!Shelf::ObGyn::no_dupes::only_step2 #AK_Step2_v12::#UWorld::COMLEX::101006 #AK_Other::AnKing_Image::Ian::Primary_Amenorrhea_Flowchart #AK_Other::AnKing_Image::Mujeeb::Primary_Amenorrhea #AK_Step2_v12::!Shelf::Peds::no_dupes::only_step2 #AK_Step2_v12::#AMBOSS::k60mOS #AK_Step1_v12::#Bootcamp::Reproduction::02_Pregnancy_and_Menstruation::04_Menstrual_Cycle_Disorders #AK_Step2_v12::#AMBOSS::R60lkS #AK_Other::#AK_Original_Decks::Step_2::Cheesy_Dorian_(M3) #AK_Step2_v12::Original_decks::Dorian::obgyn::ome::gyn::primary_amenorrhea #AK_Other::Only_Step_2 #AK_Step2_v12::#OME::Clinical::05_Obstetrics_and_Gynecology::01_Gynecology::03_Reproductive_Endocrinology::02_Primary_Amenorrhea #AK_Step2_v12::#SketchyOBGYN::06_Reproductive_Endocrinology_&_Infertility::01_Reproductive_Endocrinology::02_Primary_Amenorrhea_DDx #AK_Other::Algorithm::Primary_Amenorrhea #AK_Step2_v12::#B&B::11_Obstetrics_and_Gynecology::02_Gynecology::03_Primary_Amenorrhea #AK_Step2_v12::Original_decks::Zanki_Step_2::Peds::Repro #AK_Step2_v12::#OME::05_Obstetrics_and_Gynecology::01_Gynecology::03_Reproductive_Endocrinology::02_Primary_Amenorrhea #AK_Step2_v12::#Subjects::Obstetrics_&_Gynecology::03_Pediatrics::01_Embryology::Sexual_Development_Disorders::Androgen_Insensitivity_Syndrome #AK_Step2_v12::#FirstAid::12_Pediatrics::01_Child_Development::05_Sexual_Development #AK_Step2_v12::#Resources_by_rotation::ObGyn::ome::gyn::primary_amenorrhea #AK_Step2_v12::Original_decks::Dorian::peds::uw::endo #AK_Other::AnKing_Image::!Subjects::Reproductive::Primary_Amenorrhea::Flowchart