Abnormal Growth

Question 1

What do you think is the cause with proportionate

1. Increased wt:height
2. Decreased or normal wt:height

Answer 1

1. Endocrinopathies

2. Inadequate calories, chronic disease

Question 2

How to calculate the mid parental height

Answer 2

BOYS: [fathers height + mothers height + 13] /2
GIRLS: [fathers height + mothers height - 13] /2

Question 3

Potential causes if a child is

1. Short and obese
2. Short and thin
3. Tall and obese

Answer 3

1. Hormone deficiency (not cortisol or ADH), syndrome
2. Malnutrition, malabsorption, systemic disease, constitutional delay, cortisol or ADH deficiency
3. Exogenous obesity

Question 4

What order do you lose growth parameters in if you’re starving?

Answer 4

Weight, height, head circumference

Question 5

Bone age

Answer 5

Can determine the growth potential by evaluating the progression of ossification in the epiphysis of the wrist and hand

Question 6

Physical features of Turner’s syndrome

Answer 6

Short stature
Low posterior hairline
Cubitus valgus
Widely spread nipples
Nevi
Heart murmur