A 14-year-old male is being evaluated for delayed puberty. Which finding indicates delayed puberty in this child?
a. Androgen deficiency
b. Growth hormone deficiency
c. Height of 2.5 standard deviations below the mean
d. Lack of epiphyseal closure
ANS: A
Low androgen levels indicate delayed puberty. Patients who are short and who have not developed secondary sexual characteristics may have growth hormone deficiency, normal variations in development, or delayed puberty. Growth hormone deficiency may cause short stature.
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