Peds Endocrine

Question 1

Central Incisor in Newborn?

Answer 1

Hypothyroidism

Question 2

Normal adolescence what age

Answer 2

9

Question 3

Rotterdam Criteria

Answer 3

for PCOS 2/3 1. Oligo/Anovulation 2. Signs of Hyperadrongenism 3. Polycystic Ovaries Metabolic syndrome common in PCOS

Question 4

sugar and osmolar gap

Answer 4

Na drops 1.6 for every 100 glucose over 100

Question 5

Test for CAH

Answer 5

17-hydroxyprogesterone is elevated in 21- and 11- hydroxylase deficiency and decreased in 17-hydroxylase deficiency

Question 6

prolactin inhibits

Answer 6

GNRH

Question 7

MCC CAH deficiency

Answer 7

21B Hydroxylase def

Question 8

what is difference between 21-hydroxylase def and 11B-hydroxylase def

Answer 8

11B-deficiency has elevated 11 Deoxycortisol. 21-hydroxylase def does not 11 = salt retention (11 deoxycortisol is potent) 21 = salt wasting high K

Question 9

Commonalities in 21 and 11-hydroxylase deficiency

Answer 9

Ambiguous genitalia in girls

Question 10

failure to thrive and poor feeding

Answer 10

Hypothyroidism

Question 11

Premature Adrenarce

Answer 11

caused by early activation of adrenal androgen release

Question 12

Central vs. Peripheral Precocious Puberty algorithm

Answer 12

Question 13

MCC primary hyperparathydroid

Answer 13

Parathyroid Adenoma

Question 14

congenital hypothyroidism

Answer 14

apathy,

weakness,

hypotonia,

large tongue,

sluggish movement

abdominal bloating

umbilical hernia

(wtf, I know)