2: Growth, puberty and adolescence Flashcards

1
Q

Average weight of a baby is what?

A

3.5kg

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2
Q

Babies of mothers with uncontrolled diabetes tend to be (bigger / smaller).

What is this called?

A

bigger

Macrosomia

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3
Q

How do you determine if a child’s growth if normal?

A

Growth chart

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4
Q

In a Gaussian distribution, what is the line in the middle called?

A

Mean / median / 50th centile

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5
Q

What is a standard deviation?

A

Measure of variability from the mean

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6
Q

What is a z score?

A

Number of standard deviations from the mean

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7
Q

In a Gaussian distribution, what percentage of values are

a) within 1 SD of the mean
b) within 2 SDs of the mean?

A

a) 68.3%

b) 95.4%

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8
Q

What can you say about a child’s growth if they are

a) staying on centiles
b) crossing centiles?

A

a) Growing normally
b) Not growing normally

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9
Q

What is height velocity?

A

Change in height over time

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10
Q

What two criteria need to be true for you to say a child is growing normally?

A

Measurements are normal for kids their age

Rate of growth is normal for kids their age

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11
Q

How is weight distribution changing in response to obesity?

A

Shift to right

Longer tail on the right (normal is shifted slightly to right but there are more extremes)

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12
Q

The average height of the population is (increasing / decreasing).

A

increasing

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13
Q

Height is measured on (inspiration / expiration).

A

expiration

too much variability otherise

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14
Q

The pubertal growth spurt is (greater / smaller) and (earlier / later) in girls than in boys.

Why?

A

smaller

earlier

Less testosterone

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15
Q

Which two functions on a growth chart can you use to calculate the height a child

a) should be
b) is going to be based off their current height

A

a) Mid-parental height

b) Adult height predictor

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16
Q

At what age do boys and girls tend to enter puberty?

A

11 years old

Girls earlier, boys later

17
Q

Which hormones drive puberty?

A

Gonadotrophins

FSH and LH

18
Q

What is the marker of puberty in girls?

A

Thelarche

breast bud development

cannot be said to be in puberty until then

19
Q

When does menarche occur in girls?

A

Around 2 years after thelarche

so 13 years old

20
Q

What is an indicator of pubertal stage in boys and girls?

A

Girls - breast budding

Boys - testicular volume

21
Q

What is precocious puberty?

Is it more common in girls or boys?

A

Onset of puberty before 8 / 9 (girls / boys)

More common in girls

22
Q

What is delayed puberty?

Is it more common in girls or boys?

A

No puberty by the age of 13 / 14 (girls / boys)

More common in boys