q16 - guest1

[ArchivalUser]

A 16-year-old boy presents without pubertal development or development of secondary sexual characteristics. He cannot smell (anosmia). The baseline testosterone and the LH response to LHRH most likely are which of the following
A.
Low testosterone and normal LHRH response
B.
Normal testosterone and normal LHRH response
C.
High testosterone and normal LHRH response
D.
Low testosterone and no LHRH response
E.
Low testosterone and exaggerated LHRH response

[ArchivalUser]

dd

[ArchivalUser]

?????

[ArchivalUser]

is this kallmann syndrome?

[ArchivalUser]

The answer is: A

This patient most typically has Kallmann's syndrome. This is a deficiency in the secretion of LHRH from the hypothalamus. Typically, these patients will respond to LHRH, although they may need LHRH priming. Testosterone will be low from the lack of LHRH stimulation of LH secretion

[ArchivalUser]

D. Kallmann sd?

[ArchivalUser]

nice Q guest thanks...

[ArchivalUser]

your welcome.. good review.