Metabolic / Endocrine Disorders

Question 0

33.A 7 year old patient is noted to have height less than P5, His father’s height is 5’7”. His mother’s height is 5. Bone age is equivalent to age.
a. work – up px
b. wait for another year, observe
c.
d. tell the parents that there is nothing to worry about.

Answer 0

D? constitutional growth delay??

Question 1

Mother gave Cotrimoxazole to her 2 year old son with cough. The child suddenly became pale and had “coca-cola” colored urine.
a. AGN
b. G6PD
c . Pyruvate Kinase deficiency

Answer 1

b. G6PD

Question 2

59.Diabetes Insipidus after Vasopressin is given….

Answer 2

Low urine osmolality, low urine Na
p.196 -197
lose water à renal sodium retention even if total body water content is normalà decreased urine Na w/ dilute urine à low urine osmolality

Question 3

67. Growth hormone is indicated in the ff except:
    a. Turner trait
    b. IUGR
    c. Achondroplasia

Answer 3

b. Achondroplasia
p. 1852 Growth Hormone is indicated for the ff: Turner syndrome, ESRT before renal transplant, IUGR, Prader Willi Syndrome

Question 4

Hypernatremia that is due to loss of water and not sodium retention can be seen in this condition:
​a.  SIADH
​b.  diarrhea
​c.  Diabetes insipidus
​d. vomiting

Answer 4

​c. Diabetes insipidus