7th March 2024

A 16-year-old girl comes to the endocrinology clinic as a referral from her GP due to delayed puberty.

A 16-year-old girl comes to the endocrinology clinic as a referral from her GP due to delayed puberty. On examination, she is found to have short stature, a webbed neck, a short fourth metacarpal and a high arched palate.  Auscultation of her chest reveals an ejection systolic murmur with a click best heard at the apex. What would be the most likely cause of this finding?

Select the SINGLE most appropriate option from the list below. Select ONE option only.