Which Tanner stage for female breast development first denotes a secondary mound (mound-on-mound appearance)?

• A Tanner stage II
• B Tanner stage IV ✓
• C Tanner stage III
• D Tanner stage V

Explanation

Tanner staging of female breast development: Stage I — prepubertal; Stage II — breast bud (thelarche), elevation of breast and papilla; Stage III — further enlargement, no secondary mound; Stage IV — areola and papilla project above the breast plane, forming a secondary mound; Stage V — adult contour with only papilla projecting. The secondary mound (areola elevated above breast) is specifically Tanner stage IV.

Reference: Ghai Essential Pediatrics, 10th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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