Week 2

Question 1

What does a standard deviation of 1 and 2 with regards the amount of the population?

Answer 1

sd1= 68%
sd2= 95%

Question 2

What is a z-score?

Answer 2

The extent to which a person deviates from the mean

Question 3

What is a stadiometer used to measure?

Answer 3

Height

Question 4

What is the average age of girls having puberty? What about boys?

Answer 4

11 years

11 years and 6 months

Question 5

What is TCPP?

Answer 5

True Central Precocious Puberty- where normal pubertal development occurs abnormally early <8 girls and <9 boys.

Question 6

Define pubertal delay?

Answer 6

Absence of secondary sexual development in a girl aged >13 or a boy aged >14

Question 7

Which is more common in boys/girls= TCPP and Pubertal delay?

Answer 7

TCPP- >girls

Pubertal delay >boys

Question 8

What is Thelarche, adrenarche and menarche?

Answer 8

Thelarche- breast budding
Adrenarche- pubic hair growth and odour
Menarche- menstruation begins (usually 2 years following puberty onset)

Question 9

What are the three reasons that men are generally taller than women?

Answer 9

Boys have a greater Pubertal Height Velocity (PHV)
Boys have a delayed PHV
Boys are taller pre-puberty

Question 10

If a child presents with a growth problem, what investigations might you carry out?

Answer 10

Bloods- growth hormone, gonadotrophins, thyroid, testosterone, oestradiol
Bone age
MRI brain, USS uterus
Dynamic function tests

Question 11

What adolescent development assessment tool STEP stand for?

Answer 11

Sexual maturation and growth
Thinking
Education/employment
Peers/parents

Question 12

What does the HEEADSSS framework for dialogue stand for?

Answer 12

Home?
Education/employment?
Eating?
Activities?
Drugs?
Sex?
Suicidality?
Safety?

Question 13

From which part of the embryo is the skin, hair and neural tissue derived?

Answer 13

Ectoderm

Question 14

What is spina bifida?

Answer 14

A developmental defect where a baby has its spinal cord and its coverings exposed through a gap in the backbone

Question 15

Why is attachment theory important?

Answer 15

A child’s early relationship with their primary care giver is the most important predictor of a child’s personality development.

Question 16

What are the four stages of attachment proposed by Schaffer and Emerson?

Answer 16

Asocial stage- 0-6 weeks, crying and smiling not directed to specific people
Indiscriminate attachment- 6weeks to 7 months, attention sought from different individuals
Specific attachment- 7-11months, strong attachment to one individual, separation and stranger anxiety begins
Multiple attachment

Question 17

What are the three main attachment styles?

Answer 17

Secure- 70%
Ambivalent attachment- 15%
Avoidant attachment- 15%
(disorganised- where exhibits a variety of styles)

Question 18

Identify five categories which embrace the signs of attachment disorder

Answer 18

Behavioural signs
emotional functioning
cognitive functioning
physical signs
social functioning

Question 19

What are the two different types of Reactive attachment disorder?

Answer 19

Inhibited- Inability to display appropriate selective attachments
disinhibited- fail to initiate and respond to social interactions appropriately