1. Puberty is described as the following, EXCEPT: a.

Process of biologic change and physical development which sexual reproduction begins b. Time of accelerated linear skeletal growth and development of secondary sexual characteristics c. Menarche occurs before the appearance of axillary and pubic hair d. Normal puberty occurs over wide range of ages 2. Precocious puberty is described as the following, EXCEPT: a. A relatively common disorder b. Appearance of any changes signs of secondary sexual maturation at an early age c. Diminished ultimate height caused by premature closure of epiphyseal growth process d. Majority develop a GnRH-dependent process 3. The exact cause of the majority of causes of GnRH dependent (true or complete) precocious puberty is: a. CNS disease b. Hypothyroidism c. Injury to the brain or spinal cord d. Unknown 4. The most common cause of GnRH-independent precocious puberty a. Functioning ovarian tumor b. McCune Albright syndrome c. Exposure to external sources of testosterone or estrogen, such as creams or ointments d. Tumors in the adrenal or pituitary gland that secrete estrogen or testosterone 5.