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    STU 25SUM1 Pediatric Competency Proctored Exam

    Delayed puberty in an adolescent female who is below the third percentile in height may be associated with:

    Explanation & Rationale

    Rationale: A. Klinefelter syndrome affects males and is characterized by tall stature, small testes, and hypogonadism, not delayed female puberty. B. Turner syndrome affects females and is associated with short stature (often below the third percentile), gonadal dysgenesis, and delayed or absent puberty. It is a common cause of primary amenorrhea in adolescent girls. C. Anorexia can cause delayed puberty due to low body weight, but the hallmark of Turner syndrome is short stature from birth. D. Obesity is more commonly associated with earlier puberty rather than delayed puberty in females.

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