USMLE step 2 Mcq 140:A 14 year old is concerned about his height. He says he is too short and is teased about this at school

 

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Question:
A 14 year old is concerned about his height. He says he is too short and is teased about this at school. His parents are also short. On investigation his bone age is found to be delayed but appropriate for testicular size. His penis is normal and he has no anosmia. His testosterone response to human chorionic gonadotrophin is appropriate for his bone age. The most likely diagnosis is

a) constitutional delay
b) hypothyroidism
c) Hand-Schuller-Christian Disease
d) congenital adrenal hyperplasia
e) testicular dysgenesis


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