Normal Child

Question 1

‘Innocent’ rash aged 0-10 years, lasts up to 6 months

Answer 1

Molluscum Contagiosum

Question 2

Newborn reflxes (4)

Answer 2

Suck,
Swallow,
Grasp,
Moro.

Question 3

Groove along subcostal margins

Answer 3

Harrison’s Sulcus

sign of asthma/obstructive disease

Question 4

Harrison’s Sulcus is a sign of

Answer 4

asthma/obstructive disease

Question 5

Why is a single sample of GH useless?

Answer 5

pulsatile secretion

increased at night.
multiple samples over a period need to be taken.

Question 6

Next step in management of child with GH deficiency

Answer 6

MRI brain.

?pituitary problem

GH deficiency implies central precocious puberty problem

Question 7

Bone age tolerance

Answer 7

+- 2 years

Question 8

Precocious puberty ages (m/f)

Answer 8

m under 9
f under 9 1st period
under 8 any other sign

Question 9

Ball beads name

Answer 9

Prader Testicle Orchidometer

Question 10

Central precocious Puberty/
Gonadotrophin Dependant Precocious Puberty
…problem with which hormones?

Answer 10

FSH/LH

Question 11

peripheral precocious puberty

…problem with which which hormones?

Answer 11

Oestrogen/testosterone

Question 12

next step in peripheral precocious puberty management

Answer 12

pelvic USS

? problem with testes/ovaries

Question 13

increased levels of 17-OH

Answer 13

Congenital Adrenal Hyperplasia

Question 14

Early period

Answer 14

Menarche

Question 15

Early pubic hair

Answer 15

Adrenarche

Question 16

Early breasts

Answer 16

Thelarche

Question 17

1st sign of male puberty

Answer 17

Testicle development

Question 18

1st sign of female puberty

Answer 18

Breast budding

Question 19

most common cause of presentations where presenting complaint is ?delayed puberty

Answer 19

Constitutional delay (95%)

Question 20

Anosmia

Answer 20

Kalmann’s - delayed puberty

Question 21

R/G colourblindness

Answer 21

Kalmann’s - delayed puberty

Question 22

Cleft palet

Answer 22

Kalmann’s - Delayed puberty

Question 23

midline defects

Answer 23

Kalmann’s - delayed puberty

Question 24

insatiable hunger, leaning difficulties, obesity

Answer 24

Prada-Wili

Question 25

female, Short stature, thick/no neck

Answer 25

Turner’s

Question 26

weaker muscles, greater height, poor coordination, less body hair, smaller genitals, breast growth,

Answer 26

Klinefelter’s

Question 27

failure to grow and gain weight at the expected rate, myopia, dislocation of the lens at the front of the eye, an increased risk of abnormal blood clotting, osteoporosis

Answer 27

homocystinuria

Question 28

What causes foramen Ovale to close?

Answer 28

pre birth - higher P in R Atrium than L (from maternal blood). Post birth, Higher P in L atrium than R from lungs - closes ‘flap’.

Question 29

function of foramen ovale

Answer 29

bypass lungs (take the R ventricle out of loop)

Question 30

If meconium not passed in 24hrs?

Answer 30

Admit and wait 24 hours

Question 31

If no meconium in 48 hrs?

Answer 31

PROBLEM! ?surgery

Question 32

Congenital Adrenal Hyperplasia

Answer 32

inherited - adrenal glands cannot secrete cortisol - sex hormones not regulated. Mascularises females.