ABP Adolescent Practice Questions - ABP Adolescent Medicine Subspecialty Certification Exam

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A 14-year-old boy has not yet developed any signs of puberty. On exam, his testicular volume is 2 mL bilaterally and there is no pubic hair. The MOST appropriate next step is:

Reassurance — boys can begin puberty as late as age 16 Initiate testosterone replacement immediately Evaluate for delayed puberty (workup including LH/FSH, testosterone, bone age, prolactin) Order karyotype only

Correct Answer:

Evaluate for delayed puberty (workup including LH/FSH, testosterone, bone age, prolactin)

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