8 Months Of Pubic in Pediatrics — 5yo Child | Pediatric Endocrinology | SMLE Q#11380

SMLE Question #11380

Pediatrics Pediatric Endocrinology

Objective: OBJ-173

Last updated: February 2026
A 5-year-old girl is brought to clinic for 8 months of pubic hair and adult-type body odour. There is no breast development, vaginal bleeding, headaches, or visual changes. Parents report no rapid height gain, and her behavior and school performance are unchanged. She is at the 75th percentile for height and 95th percentile for weight. Examination shows Tanner stage II pubic hair, normal external genitalia without clitoromegaly, and no acne or hirsutism. What is the most important initial screening study to evaluate this presentation?

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