Which of the following should be included in the physical examination of a young boy who has symptoms and signs of precocious puberty?
a. examination of the testes and penis
b. electrocardiogram (EKG) and cardiac enzymes
c. a computed axial tomography (CAT) scan, magnetic resonance imaging (MRI) scan, or skull film
d. an examination for gynecomastia
C
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A Incorrect. As young males exhibiting symptoms and signs of precocious puberty very often have abnormalities in the central nervous system, it is not especially critical to perform an examination of the testes and penis.
B Incorrect. As young males exhibiting symptoms and signs of precocious puberty very often have abnormalities in the central nervous system, it is not especially critical to perform an electrocardiogram (EKG) and test the cardiac enzymes.
C Correct. As young males exhibiting symptoms and signs of precocious puberty very often have abnormalities in the central nervous system, it is especially critical to perform a computed axial tomography (CAT) scan, magnetic resonance imaging (MRI) scan, or skull film to look for lesions.
D Incorrect. As young males exhibiting symptoms and signs of precocious puberty very often have abnormalities in the central nervous system, it is not especially critical to perform an examination for gynecomastia (abnormal enlargement of breasts in males).
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