Paediatrics Endocrine

Question 1

Measuring Head Circumference is routine in?

Answer 1

Children under 2

Question 2

Technique for measuring head circumference (1)

Answer 2

Tape around forehead and occipital prominence to get maximum circumference

Question 3

What is the Stages called for Staging of Puberty?

Answer 3

Tanner Method

Question 4

Axillary Hair is graded on a 1 to what score?

Answer 4

1-3

Question 5

What is used to check Testicular Maturation?

Answer 5

Prader Orchidometer

Question 6

Normal Growth is mapped according to?

Answer 6

Infantile
Childhood
Pubertal

Question 7

Most important breast budding stage?

Answer 7

Tanner Stage B2 in Girl

Question 8

Most important testicular enlargement stage in boy?

Answer 8

Tanner Stage G2 3-4ml

Question 9

Short Stature Common causes? (3)

Answer 9

Familial
Constituional
SGA/IUGR

Question 10

Pathological causes of Short Stature? (7)

Answer 10

Steroids
Coeliac
IBD
JCA
Hypothyroid
Turner
Prader Willi

Question 11

When is early puberty in a boy?

Answer 11

Below 9

Question 12

When is delayed puberty in boys?

Answer 12

> 14

Question 13

When is early puberty in girls?

Answer 13

<8

Question 14

When is delayed puberty in girls

Answer 14

> 13

Question 15

Gonadal Dysgenesis causes of Delayed Puberty (2)

Answer 15

Turner 45x

Kleinfelter 47XXY

Question 16

Chronic disease cause of delayed puberty?

Answer 16

Crohns

Asthma

Question 17

Impaired HPG Axis causes of delayed puberty?

Answer 17

Septo-Optic Dysplasia
Cranipharyngioma
Kallman Syndrome

Question 18

Peripheral causes of delayed puberty?

Answer 18

Cryptorchidism

Testicular irradiation

Question 19

Diagnosis Tests for Central Precocious Puberty in Girls? (1)

Answer 19

Pituitary Imaging

Question 20

Treatment for Central Precocious Puberty in Girls?

Answer 20

gnRH agonist

Question 21

Features of Precocious Pseudopuberty (4)

Answer 21

Gonadotrophin Independent (Low LH and FSH)
Abnormal Sex Steroid Hormone Secretion
Secondary Sexual Characteristics

Question 22

Ambigious Genitalia Management (4)

Answer 22

Do not guess Sex
MDT
Karotype
Exclude Congenital Adrenal Hyperplasia

Question 23

When is there a risk of adrenal crisis in newborns?

Answer 23

First 2 weeks of life

Question 24

Congenital Hypothyrodism happens how often in paediatrics?

Answer 24

1 in 4000 Births

Question 25

Causes of Congenital Hypothyrodism? (2)

Answer 25

Athyreosis/Hypoplastic/Ectopic | Dyshormonogenic

Question 26

Acquired Hypothyrodism in Paediatrics most common cause

Answer 26

Autoimmune Hashimoto Thyroiditis

Question 27

Childhood issues to query Acquired Hypothyrodism? (3)

Answer 27

Lack of Height Gain Pubertal delay Poor school performance

Question 28

Definition of Overweight

Answer 28

BMI 85th Centile or SD >1.04

Question 29

Definition of Obesity

Answer 29

BMI 97.5th Centile or SD >2

Question 30

Which drugs can lead to obesity? (4)

Answer 30

Insulin Steroid Antithyroid Drugs Sodium Valproate

Question 31

Which conditions can lead to obesity? (4)

Answer 31

Prader Willi Laurence Moon Biedl Pseudohyoparathyroidism Type 1 Downs Syndrome