True/False MCQ · Differences of Sex Development
Regarding androgen insensitivity syndrome, which of the following statements are TRUE?
- ABreast development is absent
- BThere is primary amenorrhoea with a short blind-ending vagina
- CAffected individuals are typically of short stature
- DMullerian-derived structures (uterus) are absent
- 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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