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 2 CK free 120 this gonna 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 30 percentile for height and at the 30 percentile for wheat.

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.

A current height is consistent with that of a 9 and a half year old girl.

Pulse is 82 per minute and blood pressure is 110 over 70. Sexual maturity reading is

stage 1 for breast development and stage 2 for pubic care 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 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 structure, many times people worry about two major kinds, right?

There is either the familial short

stature where your parents are short, it's kind of in the genes, so you're short.

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