QuestionSBA
QuestionChoice
This is the absence of both testes at birth. It results in hypergonadotropic hypogonadism. Therefore, FSH and LH levels are abnormally elevated.
10004205
e
Anorchia
QuestionChoice
This condition is also known as Kallman's syndrome. Symptoms include hypogonadism, small genitalia, scanty pubic hair and anosmia. This is due to low levels of LH, FSH and testosterone. It is treated by monthly testosterone injections.
10004201
a
Kallman's Syndrome
QuestionChoice
This is where there is a temporary delay of puberty due to the underdevelopment of the hypothalamic-pituitary-gonadal axis. This results in low levels of FSH and LH. However, anosmia is not observed in this condition and therefore this answer is unlikely.
10004204
d
Constitutional delay of puberty
QuestionChoice
This is a type of hypergonadotrophic hypogonadism. It is a result of an XXY chromosome karyotype. It presents similarly to Kallman's syndrome with hypogonadism, small genitalia, scanty pubic hair and additionally gynecomastia. In Klinefelter's syndrome, FSH and LH levels are abnormally raised. Therefore this answer is incorrect.
10004202
b
Klinefelter's Syndrome
QuestionChoice
Malnutrition can cause a temporary delay in puberty.
10004203
c
Malnutrition
Concept
Chapter
2693
4248
Hypotestosteronism
Topic
209
Pediatrics
13387
An 18-year-old male presents to his GP with concerns that he is not developing appropriately.

Examination reveals a small penis and sparse pubic hair.

He also complains that he is having trouble smelling things.

Blood tests are performed showing low FSH, LH and testosterone. Which of the following is the most likely diagnosis?
a