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True/False MCQ · Differences of Sex Development

Regarding androgen insensitivity syndrome, which of the following statements are TRUE?

Decide whether each statement is true or false.

  1. ABreast development is absent
  2. BThere is primary amenorrhoea with a short blind-ending vagina
  3. CAffected individuals are typically of short stature
  4. DMullerian-derived structures (uterus) are absent
  5. EPubic and axillary hair are abundant
Show answers and explanation
  • A. False: Breast development is normal in AIS, not absent.
  • B. True
  • C. False: Height is normal, not short, in AIS.
  • D. True
  • E. False: Pubic and axillary hair are scanty or absent, not abundant.

Androgen insensitivity syndrome (AIS) features

  • 46,XY with absent/inactive androgen receptors -> develops along female lines.
  • Normal breast development (testosterone aromatised to oestrogen).
  • Primary amenorrhoea with a short blind-ending vagina, no cervix, absent uterus (testes secrete MIS, so Mullerian structures regress).
  • Scanty/absent pubic and axillary hair (androgen-dependent).
  • Normal height; intra-abdominal/inguinal testes (gonadectomy for cancer risk).
Why A is false

Breast development is normal, not absent.

Why B is true

Primary amenorrhoea with a short blind vagina occurs.

Why C is false

Height is normal, not short.

Why D is true

Mullerian structures (uterus) are absent.

Why E is false

Pubic and axillary hair are scanty/absent, not abundant.

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