This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
Peak growth velocity in adolescent girl is indicated by – 
Select and explain. 
A. Breast enlargment, B. Axillary hair, C. Public hair, D. Just before commensement of menarche
D: Just before commensement of menarche
Answer: D: Just before commensement of menarche 
Explanation: Mensus typically appears around the peak in height velocity -Nelson
Menarche usually occurs after peak velocity has been attained and as the growth rate begins to decline.
Remember:

Growth acceleration begins in early adolescence, but peak growth velocities are not reached until middle adolescence.