ABP Adolescent Practice Questions - ABP Adolescent Medicine Subspecialty Certification Exam

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A 7-year-old girl is brought in for early breast development. On exam, she has Tanner B2 breast development without pubic hair or growth acceleration. Which is the BEST next step?

Reassurance — this is within normal limits Evaluate for precocious puberty including bone age, LH/FSH, estradiol, and pelvic ultrasound Start GnRH agonist immediately Order brain MRI without further workup

Correct Answer:

Evaluate for precocious puberty including bone age, LH/FSH, estradiol, and pelvic ultrasound

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