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A 27-Year-Old Man Comes to the Office for an Infertility

Question 239

Multiple Choice

A 27-year-old man comes to the office for an infertility evaluation.  He and his wife have been trying to conceive for the last 16 months.  A previous evaluation of his wife showed no abnormalities.  The patient has no prior medical conditions and takes no medications.  Height is 188 cm (6' 2") and weight is 75 kg (165.3 lb) .  BMI is 21 kg/m2.  On physical examination, heart and lung sounds are normal.  There is bilateral gynecomastia, and genital examination shows small, firm testes.  The lower extremities appear abnormally long.  Further evaluation will most likely show which of the following sets of findings in this patient?
A 27-year-old man comes to the office for an infertility evaluation.  He and his wife have been trying to conceive for the last 16 months.  A previous evaluation of his wife showed no abnormalities.  The patient has no prior medical conditions and takes no medications.  Height is 188 cm (6' 2 )  and weight is 75 kg (165.3 lb) .  BMI is 21 kg/m<sup>2</sup>.  On physical examination, heart and lung sounds are normal.  There is bilateral gynecomastia, and genital examination shows small, firm testes.  The lower extremities appear abnormally long.  Further evaluation will most likely show which of the following sets of findings in this patient?   A) A B) B C) C D) D E) E


A) A
B) B
C) C
D) D
E) E

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