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Normal Male Puberty — RACP Paediatrics MCQ

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EasyAdolescent MedicineNormal Male PubertyRACP Paediatrics

A 14-year-old boy presents with gynaecomastia, acne, rapid growth, and deepening voice. His mother is concerned about premature sexual development. On examination, testicular volume is 15 mL (Tanner stage 3-4). What is the assessment?

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Correct answer: C — Normal puberty (typical for age and stage)

Male puberty normally begins between 9-14 years. Testicular volume 15 mL at age 14 with Tanner stage 3-4 secondary sexual characteristics is entirely normal. Gynaecomastia during mid-puberty is physiological. Reassurance and education about normal pubertal development are appropriate.

Reference: RACP – 2024 – Paediatric Curriculum: Puberty