Growth

Question 1

How do you determine a child’s bone age?

Answer 1

XR left hand, wrist, fingers

Question 2

Causes of childhood hearing loss is generally half genetic and half acquired - true or false

Answer 2

True

acquired eg mumps, rubella

Question 3

Motor delay can’t walk by how many months old? What test should you do?

Answer 3

18mth

CK - for DMD

Question 4

Short stature definition

Answer 4

Below 2nd centile

Question 5

“more common in boys, normal size baby, small 1st 3yr, at puberty drop centiles, catch up later” describes what?

Answer 5

Constitutional delay

Question 6

Child below what height centile should be reviewed by a paediatrician? when should they be reviewed by a GP?

Answer 6

0.4 = paediatrician
2nd = gp

Question 7

What paediatric BMI centile is considered overweight and obese?

Answer 7

Overweight 91st

Obese 98th

Question 8

What are the physical activity recommendations for a child under 5 yr old?

Answer 8

Walk/ be active 3hr a day

Question 9

When and which healthy start vitamins are given given to babies? Which are given to mum while pregnant?

Answer 9

Baby: vit A/C/D 6mth - 4yr
Mum: folate, vit C, D

Question 10

Define thelarche, menarch, adrenarche

Answer 10

Thelarche breasts
Menarche menstruation
Adrenarche body hair/odour

Question 11

What is the 1st sign of puberty in girls?

Answer 11

Thelarche

Question 12

What is considered precocious puberty in girls and boys?

Answer 12

Secondary sexual characterists <9yr in boy and 8yr in girl

Question 13

What is delayed puberty in a girl?

Answer 13

No breasts age 13

No period age 16

Question 14

What is delayed puberty in a boy?

Answer 14

Small testes age 14