Welcome. This is episode 525 of the Divine Intervention Podcasts.

Into this podcast, we're going to be continuing the series on the 2024 Step 2CK, Free 120.

This is going to be part 7. Again, I'll strongly encourage you if you have the chance, listen to all the parts in this

series.

So much learning to get from this.

So we've done the first 50 questions.

Let's go to question 51.

A 13-year-old girl is brought to the office for evaluation of short stature.

Since birth, she has been below the third

percentile for height, another third percentile for weight. She has never had a menstrual period.

There is no family history of short stature, but her maternal uncle did not begin puberty

until the age of 16 years. Her current height is consistent with that of a 9 and a half year old girl.

Pulse is 82 per minute and blood pressure is 1.10 over 70.

Sexual maturity reading is stage 1 for breast development and stage 2 for pubic hair development.

Which of the following is the most appropriate next step in diagnosis?

Option A says complete blood count and serum chemistry panel.

Option B says measurement of urine-free cortisol concentration.

Option C says X-rays of the left-hand and wrist.

Option D says x-rays of the long bones and spine.

Option E says x-ray of the skull.

So if we look at this, this girl is short.

And when we're dealing with short stature, many times people worry about two major kinds, right?

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