All right. Welcome, my name is Devine. This is episode 476 of the Devine Intervention Podcast. In today's podcast,

we're going to be continuing the rapid review series for the USME, Step 2 2 CK and Step 3 exams.

This is going to be Series 100.

That's a big milestone series 100.

Let's just get right into it.

Now what if they give you a question about a 20-year-old female. They tell you that she has never had men'sies before. They tell you that

her breasts are Turner Stage 5, but her axillary and pubic here are Tanner Stage 2.

What should you be thinking about?

What's your diagnosis?

Well I would hope you're saying that Devine, this sounds an awful lot like androgen insensitivity syndrome, AIS.

I remember our friends at the USMELES sometimes they call this a different name.

They call it testicular feminization syndrome. Just be careful of that. Remember our friends

at the USML is and this whole business with derivatives. Really, take what you know,

and just give it a bunch of different names. So just be careful, right?

Arogen sensitive syndrome is the same as testicular feminization syndrome.

So what are the key details of this disorder?

Well, the critical detail here is that these people, genotypically, right, at the genetic level, they're really

male, they're really 46 x y, but phenotypically at the I am looking at you level, they

are they look female. So what's the path of phase behind this disorder?

Well the path of phase behind this disorder is that the testosterone

receptor is not working great. If a testosterone receptor does not work great,

then you won't respond to testosterone. So on the

...