delayed puberty

Practice targeted AMC-style multiple-choice questions on delayed puberty.

A 15yo boy has no puberty signs. Initial tests show low LH/FSH. What is the most likely next step in investigation?

A. Bone age X-ray

B. MRI pituitary

C. GnRH stimulation test

D. Karyotype

E. Reassurance and review in 6 months

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