3.1.2 Growth Hormone-Prolactin Clinical Cases

Question 1

What are symptoms of increased prolactin?

Answer 1

Amenorrhea

Galactorrhea

Loss of axillary hair

Hypogonadism

Question 2

What is growth velocity?

Answer 2

Question 3

What are some causes of elevated prolactin?

Answer 3

Question 4

What is the important test to measure GH levels?

Answer 4

Question 5

What are some conditions that could affect height and weight?

Answer 5

Question 6

What are the characteristics of insulin-like growth factors?

Answer 6

Question 7

What is the treatment for GH deficiency?

Answer 7

Question 8

How would you find Mid-Parental height?

Answer 8

Question 9

What is bone age?

Answer 9

This is an x-ray of the left hand that shows the maturity of the skeleton. Formation of growth plates and such

Question 10

What is normal growth velocity at different stages of life?

Answer 10

Question 11

Which is the oldest and youngest in this image?

Answer 11

Left 1 y/o

Right 10 y/o

Question 12

Mom is concerned about growth of child. Patient is below the 5th percentile of height but normal weight. What is your next move?

Answer 12

Take a more in depth history

Question 13

What is treatment for a prolactinoma?

Answer 13

Dopamine agonist

Question 14

Amenorrhea, what is it?

Answer 14

Absence of a period

Question 15

What are causes for concern in regards to a patient’s growth?

Answer 15

Question 16

What is occuring in this image?

Answer 16

Familial short stature

Question 17

What is going on in this image?

Answer 17

Constitutional delay

Question 18

What is height age?

Answer 18

The age that corresponds to the child’s height when plotted at the 50th percentile on a growth chart

Question 19

Which hand has more growing to do?

Answer 19

The left hand of the left image