Puberty

Question 1

When is precocious puberty for boys?

Answer 1

<9 years

Question 2

When is precocious puberty for girls?

Answer 2

<8 years

Question 3

What drives growth in infancy, childhood, and pubertal years?

Answer 3

infancy - nutrient lef
childhood - GH lead
pubertal - sex hormone led

Question 4

What does FSH do?

Answer 4

Stimulates the growth of follicles

Question 5

What affect does an initial rise in FSH have on oestrogen?

Answer 5

Oestrogen rises as follicles mature - they release it

Question 6

What causes the LH surge before ovulation?

Answer 6

When the oestrogen levels reach a certain point this stimulates the pituitary to release a surge of LH

Question 7

When is progesterone released?

Answer 7

After ovulation in the luteal phase

Question 8

What is the order of puberty in girls?

Answer 8

Thelarche (breast budding), followed by menarche, followed by adrenarche

Question 9

What is delayed puberty in boys?

Answer 9

14 years

Question 10

What is delayed puberty in girls?

Answer 10

13 years

Question 11

What investigation should be done in a child with delayed puberty?

Answer 11

Bone scan on left wrist to see if ossification has occurred (indicated the end of childhood)

Question 12

What is bone age represented by on the growth chart?

Answer 12

a triangle!