What is the most important initial screening study for a 5-year-old girl with premature pubarche (early onset of pubic hair growth) and adult body odor, with a height at the 75th percentile and weight at the 95th percentile, and no signs of acne or clitoromegaly (enlargement of the clitoris)?

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What is the most important initial screening study for a 5-year-old girl with premature pubarche (early onset of pubic hair growth) and adult body odor, with a height at the 75th percentile and weight at the 95th percentile, and no signs of acne or clitoromegaly (enlargement of the clitoris)?

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