Development/Mental Health

Question 1

HEEADDSSS?

Answer 1

Home, Education, Employment, Activities, Drugs/alcohol, Diet, Sex, Safety, Suicide attempts

Question 2

Stages of puberty in boys

Answer 2

Testicular enlargement to >4ml volume using orchidometer: first sign of puberty
Pubic hair growth: follows testicular enlargement, usually between 10-14
Height spurt: when testicular volume is 12-15ml, after a delay of around 18 months

Question 3

Vitamin C deficiency

Answer 3

Scurvy, gum bleeding

Question 4

Vitamin K deficiency

Answer 4

Hemorrhagic disease of the newborn: multiple bruises, blood oozing out of umbilicus

Question 5

Vitamin D deficiency clinical features

Answer 5

Rickets
Swelling of the wrists due to enlarged epiphyses
Pigeon chest deformity
Broad forehead, enlarged head circum
Craniotabes > ping pong ball sign
Seizures (hypocalcemia)
Rickety rosary sign: costochondral junctions

Question 6

X-ray of tickets

Answer 6

Fraying and cupping of distal ends

Question 7

Inheritance for DMD

Answer 7

autosomal recessive

Question 8

Inheritance for hereditary spherocytosis

Answer 8

Autosomal dominant

Question 9

Inheritance for G6PD

Answer 9

X linked recessive

Question 10

Inheritance for cystic fibrosis

Answer 10

Autosomal dominant