Growth and Physiology

Question 1

What indicates abnormal growth?

Answer 1

Above 99.6th percentile
Below 0.4th percentile

Or if crossing centile spaces

Question 2

What staging is used to assess puberty?

Answer 2

Tanner staging

Question 3

What indicates start of puberty in girls and what is the tanners stage?

Answer 3

Breast budding (B2)

Question 4

What indicates start of puberty in doods and what is the tanners stage?

Answer 4

Testicular enlargement (G2 or T3-4ml)

Question 5

Why are kids more prone to hypothermia?

Answer 5

Reduced surface area to volume ratio

Lower metabolic rate

Question 6

When are infants most susceptible to infection?

Answer 6

4 months when maternal immunity wears off

Question 7

What is significant about the lower BP in kids

Answer 7

Will be maintained all the way until shock

Question 8

What is considered bradycardia in kids and what should you do?

Answer 8

<60

Immediately treat as a cardiac arrest

Question 9

When should smiling, sitting upright, walking and 1st words occur?

Answer 9

Smiling = 2 months
Sitting unsupported = 6 months
Walking = 1yr
1st word = 1yr

Question 10

What are developmental red flags for smiling, sitting unsupported, walking and 1st words?

Answer 10

Smiling = 6 months
Sitting unsupported = 9 months
Walking = 18mths
Talking = 2yrs