Growth & Development

Question 1

What is the main factor influencing factor in the infantile phase of growth?

Answer 1

Nutrition

Question 2

A weight plotted on what centile corresponds to a child being obese?

Answer 2

98th

Question 3

What are the main factors influencing the size of a baby at birth, and growth in the first month thereafter?

Answer 3

Maternal nutrition and intra-uterine environment

Question 4

An infant usually doubles its birthweight by when?

Answer 4

5-6 months

Question 5

What happens to a baby’s weight in the first week of life?

Answer 5

Loss of 5-10% of birthweight

Question 6

What is the definition of growth faltering (failure to thrive)?

Answer 6

A sustained drop down two centiles on a growth chart

Question 7

What is the first sign of puberty to occur in boys?

Answer 7

Testicular volume > 4mls (G2 Tanner stage)

Question 8

A weight plotted on what centile corresponds to a child being overweight?

Answer 8

91st

Question 9

Persistence of the tonic neck reflex is a frequent finding in infants with what condition?

Answer 9

Cerebral palsy

Question 10

What pattern on a growth chart is suggestive of normal growth?

Answer 10

Approximately following a centile line

Question 11

What hormone also plays a role in the infantile phase of growth?

Answer 11

Thyroid hormones

Question 12

Short stature is defined as a height value below what centile?

Answer 12

2.5th

Question 13

At what age range is the pubertal growth spurt most likely to occur in boys?

Answer 13

13-15 years

Question 14

Between the ages of 1 and 5 years, how much weight does a child gain in a year?

Answer 14

2kg

Question 15

What are the main influencing factors in the pubertal phase of growth?

Answer 15

Sex hormones and growth hormone

Question 16

Precocious puberty is defined as puberty before what age in boys?

Answer 16

9 years

Question 17

Tall stature is defined as a height value above what centile?

Answer 17

98th

Question 18

What are the main influencing factors in the childhood phase of growth?

Answer 18

Growth hormone and thyroid hormones

Question 19

What does dropping centiles on a growth chart suggest?

Answer 19

Static growth

Question 20

Pubertal delay is defined as the absence of breast development in a girl by what age?

Answer 20

13 years

Question 21

Pubertal delay is defined as the absence of an increase in testicular volume in a boy by what age?

Answer 21

14 years

Question 22

At roughly what age should the primitive reflexes disappear?

Answer 22

4-5 months

Question 23

What advice is given to most children who are obese, regarding their weight?

Answer 23

Not to lose weight, just to stay the same

Question 24

What is the first sign of puberty to occur in girls?

Answer 24

Development of the breast bud (B2 Tanner stage)

Question 25

For how long are developmental milestones assessed at the child’s ‘corrected gestational age’ for preterm babies?

Answer 25

2 years

Question 26

When does menarche usually occur, in comparison to the onset of puberty in girls?

Answer 26

2-3 years later

Question 27

When should a child’s length be measured instead of height?

Answer 27

Under 2 years of age

Question 28

At what age range is the pubertal growth spurt most likely to occur in girls?

Answer 28

11-13 years

Question 29

On a growth chart, gestational age should be corrected for until what age?

Answer 29

2 years

Question 30

Precocious puberty is defined as puberty before what age in girls?

Answer 30

8 years