Attempt the USMLE Step 3 question(s) which are listed below, choose one answer from the options below and then check the answer by clicking on “get answer” button.
Question
You are supervising a third-year medical student who jumps right on to see the first patient of the day, who is a 12-year-old boy complaining of chest pain. The student presents the case to you and states that when the boy took off his shirt for examination there was evident gynecomastia. His lungs, however, were clear to auscultation. The young boy denied that he had any past disease and he reports that he takes no medications, does not smoke marijuana or do drugs, and insists that he hates girls and has never had sex. The boy’s mother could not be found in the waitin room, so the student was unable to obtain her side of the story. His blood pressure is 120/82 mm Hg, pulse is 88/min, and respirations are 18/min. the conscientious medical student also plotted the boy’s height and weight, noting that the boy is greater than 95% in height and 80% in weight. As a supervising physician, you emphasize to the student that the best next step in evaluation of this patient will be
A. Bone age
B. Genital examination
C. Serum testosterone
D. To find out from the mother whether there is a family history of gynecomastia
E. Urine screen for drugs
