Growth/puberty Flashcards

1
Q

Why is monitoring child growth important?

A

Important measure of health and wellbeing

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2
Q

What 4 factors affect growth?

A

Genes
Environment
Hormones
Nutrition

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3
Q

Which year of life is growth most rapid?

A

1st year of life

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4
Q

Is crossing centiles normal or abnormal in the first year of life?

A

Normal

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5
Q

What is head circumference in child development important?

A

Acceleration and slowing of head growth can be a sign of underlying disorders
Mainly driven by growth of brain

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6
Q

What are the 2 main determinants of fetal growth?

A

Fetal genotype

In utero environment

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7
Q

Which hormones have an effect on fetal growth?

A

IGF1
IGF2
insulin

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8
Q

Which hormone does NOT have an effect on fetal growth?

A

Growth hormone

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9
Q

Which genetic factors affect childhood growth?

A
Parental heights (mid parental height affects adult height of child)
Y chromosome
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10
Q

Which hormones are involved in childhood growth?

A
Human growth hormone
Insulin and IGFs
Thyroid/parathyroid hormones
Sex hormones
Adrenal hormones
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11
Q

What age does height become measured instead of length?

A

2 years

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12
Q

Name two normal variations of childhood growth that could explain a child with a short stature?

A
  1. Familial short stature (short parents)

2. Constitutional growth delay

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13
Q

What are the end results of puberty?

A

Fertility

Final height

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14
Q

What is the average age of onset of puberty in girls?

A

Age 11

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15
Q

What is the average age of onset of puberty in boys?

A

Age 12

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16
Q

How many Tanner stages of sexual development are there?

A

5

17
Q

What % of adult height is accounted for by pubertal growth?

A

20%

18
Q

How much height is gained during puberty on average?

A

About 25cm

19
Q

How long does the average growth spurt last for?

A

24-36 months

20
Q

What does a low growth centile suggest?

A

The child may have an underlying pathology