1. In the 95% of boys with delayed puberty, the problem is caused by which condition?
a. Disruption in the hypothalamus
b. Disruption of the pituitary
c. Deficit in estrogen or testosterone
d. Physiologic hormonal delays
2. What is the first sign of puberty in boys?
a. Thickening of the scrotal skin
b. Growth of pubic hair
c. Enlargement of the testes
d. Change in voice
3. A student reads in a chart that a child has been diagnosed with mixed precocious puberty
and asks for an explanation. What explanation by the healthcare professional is most
accurate?
a. When a child develops some secondary sex characteristics of the opposite sex
b. When a child does not develop any identifiable external sex organs
c. When early puberty occurs due to multiple, integrated causative effects
d. When early puberty has signs of physical and hormonal abnormalities
4. A healthcare professional sees a patient in the clinic who reports that his foreskin cannot be
retracted back over the glans penis. What term does the professional use to document this
condition?
a. Paraphimosis
b. Priapism