Growth

Question 1

what does the middle line in a graph show?

Answer 1

mean/median/50th centile

Question 2

what does the standard deviation measure?

Answer 2

measure of variability

Question 3

what is a z-score?

Answer 3

number of standard deviation from the mean

Question 4

how far apart are centile lines spaced from one another? (in SD)

Answer 4

2/3rd of a SD

Question 5

what are babies allowed to wear when being weighed?

Answer 5

nothing

ben porter would love being in this room ;)

Question 6

children older than _ can be weighted in vest and _____ but NO _____ or _______ in hand

Answer 6

children older than 2 can be weighted in vest and PANTS but NO SHOES or TEDDIES in hand

Question 7

only class ___ clinical electronic scales in ______ setting should be. used

Answer 7

only class III clinical electronic scales in METRIC setting should be. used

Question 8

what should be used to measure head circumference?

Answer 8

narrow plastic or disposable paper tissue

Question 9

when plotting a growth chart…

record the measurement and date in ___

plot in ______

use a ___ and do not ____ up

Answer 9

when plotting a growth chart…

record the measurement and date in INK

plot in PENCIL

use a DOT and do not JOIN up

Question 10

what is the average age for a girl to enter puberty?

Answer 10

girls - 11 years

boys - 6 months later

Question 11

what are the gonadotrophins?

Answer 11

FSH and LH

Question 12

what is precocious puberty?

Answer 12

normal pubertal development occurring abnormally early:

<8 years for girls
<9 years for boys

girls>boys

Question 13

when is puberty delayed?

Answer 13

pubertal delay is the absence of secondary sexual development in a girl aged 13 or a boy aged 14 years

boys>girls

Question 14

what is the average height difference between adult male and females in the UK?

Answer 14

12.5-14cm

Question 15

name the staging tool for testicular volume and breast size

Answer 15

Tanner stage/scale

Question 16

in a boy, what stage of testicular volume indicates the start of puberty?

Answer 16

IV

Question 17

name the investigations carried out to decipher whether there is a growth problem or not

Answer 17

bloods - gonadotrophins, growth factors, testosterone/oestradiol, thyroid, karyotypes etc

bone age

dynamic function age

MRI brain, USS uterus

Question 18

a healthy, well child who has inherited short stature from parents. No underlying endocrine abnormality and normal bone age describes what?

Answer 18

genetic short stature

Question 19

a late maturation causing short stature. Cause usually unknown. May be genetic short stature component. Tends to present around puberty with delayed onset. Children have delayed maturation and delayed bone age. Can be very stressful. describes what?

Answer 19

constitutional growth delay

Question 20

dysmorphic syndromes, endocrine disorders, chronic diseases and psychosocial deprivation can all cause _____ _______

Answer 20

dysmorphic syndromes, endocrine disorders, chronic diseases and psychosocial deprivation can all cause SHORT STATURE