Growth And Puberty Flashcards

1
Q

What is the difference of body proportions between newborns and adults

A

New horns have large heads, short necks, rounded chests, prominent abdomen, short limbs

Adults have relative growth of limbs compared to there trunk

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2
Q

Where is testosterone converted to oestrogen in boys

A

In fatty tissues

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3
Q

When does growth end

A

Growth ends with fusion of the epiphyses due to the influence of oestrogen

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4
Q

What is infant growth determined by

A

Nutrition

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5
Q

What is growth determined by in childhood

A

Switches from nutritional and hormonal dependence’s

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6
Q

When is the fastest growth rate seen

A

In-utero and infancy within the first 3 years

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7
Q

What are important determinants of growth

A

Parental phenotype and genotype
Quality and duration of pregnancy
Nutrition
Specific system and organ integrity
Psycho-social environment
Growth promoting hormones and factors

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8
Q

Where do all growth disorders originate from

A

The growth plate

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9
Q

What regulates growth

A

Endocrine signals
Nutrition
Inflammatory cytokines
Extracellular fluid

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10
Q

How is growth regulated

A

Growth is regulated by the release of growth hormone releasing hormone from the hypothalamus which stimulates the anterior pituitary which stimulates the release of growth hormone which can act upon the liver or directly on the bone itself

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11
Q

What are growth hormone release hormone cell bodies regulated by

A

Food, sleep and steroids

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12
Q

Where is human growth hormone synthesised

A

In somatotropin cells in the anterior pituitary

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13
Q

What does growth hormone have a direct effect on

A

Growth plate and cortical bone

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14
Q

What is puberty

A

Puberty describes the physiological, morphological and behavioural changes as the gonads switch from infantile to adult forms

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15
Q

What are definitive signs of puberty in males and females

A

Females - first menstrual bleeding
Males - first ejaculation

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16
Q

What are secondary sexual characteristics that occur at puberty in females and males

A

Females
- ovarian oestrogen regulate the growth of breast + female genitalia
- ovarian and adrenal androgens control pubic and axillary hair

Males
- external genitalia and pubic hair growth
- enlargement of larynx and laryngeal muscles

17
Q

What is precocious puberty

A

Onset of secondary sexual characteristics before 8 yrs in girls and 9 yrs in boys

18
Q

What is delayed puberty

A

Absence of secondary sexual characteristics by the age of 14 yrs in girls and 16 yrs in boys