Review Question - QID 109346

A 5-year-old girl presents to the pediatrician for a routine office visit. The patient is in kindergarten and is doing well in school. She is learning to read and is able to write her first name. Her teacher has no concerns. The patient’s mother is concerned that the patient is a picky eater and often returns home from school with most of her packed lunch uneaten. The patient’s medical history is significant for moderate persistent asthma, which has required 3 separate week-long courses of prednisone over the last year. She was also recently diagnosed with myopia. The patient’s mother is 5’7” and the patient’s father is 5’10”. The patient’s weight and height are in the 55th and 5th percentile, respectively, which is consistent with her growth curve. Her temperature is 98.7°F (37.1°C), blood pressure is 109/64 mmHg, pulse is 98/min, and respirations are 22/min. On physical exam, the patient has a low hairline and a broad chest. Her lungs are clear with a mild expiratory wheeze. The patient’s abdomen is soft, non-tender, and non-distended. She has Tanner stage 1 breast development and absent pubic hair. This patient is most likely to have which of the following additional findings?