A man who has an extra "X" chromosome manifests some gender-identity confusion, is sterile, and has an undersized penis would MOST likely:

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Klinefelter's syndrome is characterized by the presence of an extra X chromosome in males (XXY), leading to symptoms such as sterility, smaller testes, and sometimes gender-identity issues. Turner's syndrome affects females (XO), transgender refers to a gender identity that does not match one's assigned sex at birth, and androgen insensitivity syndrome is a condition where the body cannot properly respond to male sex hormones, leading to feminization of the body despite having a male genetic makeup.

A Man Who Has an Extra "X" Chromosome Manifests Some