Growth disorders

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11.2
Averil Tam
Flashcards by Averil Tam, updated more than 1 year ago
Averil Tam
Created by Averil Tam almost 6 years ago
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Question Answer
1. A 7.5 year old girl presents to you with short stature. Her mother is measured to be 160cm and her father is reported to be 183cm. What is her mid-parental height? A. 160cm B. 165cm C. 170cm D. 171.5cm B
2. Which of the following statements are true? A. A 10 year old pre-pubertal girl with no dysmorphic features who is below 3rd centile for height should have her chromosomes checked for Turner’s Syndrome B. Neonatal hypoglycaemia and jaundice may be signs of growth hormone deficiency C. Pituitary tumours can present with growth failure D. All of the above D. All girls with short stature, regardless of the presence of dysmorphic features whould have chromosomes checked for Turner’s Syndrome. Neonatal hypoglycaemia and jaundice may be signs of growth hormone deficiency. On examination, look for midline defects such as cleft palate and micropenis. Pituitary tumours can present with acquired growth failure or with accelerated growth.
3. Which of the following statements are true? A. Pubertal delay can result in short stature and these children have a normal bone age. B. The only treatment for pubertal delay is reassurance and time. C. A growth spurt occurs in the early stages of puberty in girls. D. None of the above. C. Stage of puberty correlates better with bone age than chronological age. Children with delayed puberty have a delayed bone age. Pubertal delay can be managed with hormonal treatment or can be managed conservatively. Girls have a growth spurt in early pubertal stages, while boys have a growth spurt in mid-late puberty.
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