<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 7-year-old girl is brought to the physician by her parents for the evaluation of pubic hair development. She has a history of a fracture in each leg and one fracture in her right arm. Her performance at school is good. There is no family history of serious illness. She takes no medications. Vital signs are within normal limits. Genital examination shows coarse, dark hair along the labia. The breast glands are enlarged and the breast bud extends beyond the areolar diameter. There are several hyperpigmented macules with rough, serpiginous borders of different sizes on the lower and upper extremities. The remainder of the examination shows no abnormalities. Which of the following is the most likely diagnosis?? A: Osteogenesis imperfecta, B: McCune-Albright syndrome, C: Neurofibromatosis type I, D: Congenital adrenal hyperplasia, E: Tuberous sclerosis,  <response>: This is a clinical case scenario describing a 7-year-old girl with early pubertal changes including pubic hair development, breast enlargement, and hyperpigmented skin lesions. The key findings are precocious puberty, history of multiple fractures suggesting a disorder of bone fragility, and skin lesions. Osteogenesis imperfecta causes bone fragility and fractures, but does not cause precocious puberty or skin findings. McCune-Albright syndrome can present with precocious puberty, bone fractures, and skin pigmentation changes cafe-au-lait macules. This is very likely given the constellation of findings.Neurofibromatosis type 1 can cause cafe-au-lait macules but not precocious puberty or increased bone fractures. Congenital adrenal hyperplasia may present with precocious puberty but not with bone fragility or skin findings. Tuberous sclerosis causes skin findings like ash leaf spots but not precocious puberty or increased fractures.B: McCune-Albright syndrome 