Approach to delayed puberty Quiz: Ace Your Exams
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A 15-year-old boy presents to the clinic due to concerns regarding the lack of facial hair and pubic hair. There is no history of seizures, headaches, or exposure to radiation. Family history and birth history are unremarkable. Temperature is 37°C (98.6°F), pulse is 80/min, respirations are 17/min, and blood pressure is 115/75 mm Hg. On physical examination, the patient has no facial hair, no pubic hair, and small testes. Cardiopulmonary and abdominal exams are normal. Luteinizing hormones, follicle stimulating hormones and testosterone levels are low. Genetic testing is positive for ANOS1 gene mutation. Which of the following additional findings would be expected?
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