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36 Cards in this Set
- Front
- Back
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What is the average growth rate in the first year of life?
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20cm/yr
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Is crossing percentiles normal in the 1st yer of life?
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yes (not after 2nd year)
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At what growth rate is a child considered failing growth?
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< 5 cm/yr
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When does slowest growth occur?
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prior to puberty
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What is the first sing of puberty in males and female?
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growth in testicular volume; breast development
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When does peak weight velocity occur in girls?
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6-9 months after peak height velocity (same time in boys)
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What hormone is responsible for the fusion of growth plastes in men and women?
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estrogen
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T/F thyrocine and growth hormone do not have significant effects on prenatal growth?
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TRUE;
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A baby with both congenital hypothyroidism and growth hormone deficiency will be born with what weight and length?
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Normal
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What are all newborns screened for that affects growth and brain development?
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congenital hypothyroidism
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Despite screening for congenital hypothyroidism, what do all children from birth - 2yrs warrant studies for if they are not growing?
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thyroid studies
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What are the differentials for growth failur between birth and 2 yrs?
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inadequate thyroid; growth hormone deficiency; nutrition; chronic disease
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What are some differentials with children growth between 2 yrs and puberty?
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GH, thyroid, nutrition
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How will growth failure due to nutrition typically present?
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decreased weight before height
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How will growth be affected in children with GH or thyroid deficiency?
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frankly abnormal growth (< 5cm/yr); slightly chubby and short
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What should be ruled out in all children who appear to have a GH deficiency?
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CNS tumor
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What medication history is important for childhood growth diorders?
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steroids; amphetamines (ritalin , treat ADHD); oncology medication (damage to pituitary/hypothalamus)
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What is excessive intake of juice in the 1st year of life associated with?
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increased risk of obesity
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What diagnosis are you looking for by asking about the parents/siblings puberty age and timing?
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constitutional delay in puberty
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What are three ways to asses a persons growth?
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height percentile; height age; bone age (left hand)
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What kind of growth abnormality is seen in Cushings?
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linear growth failure in presence of increased weight
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What should be plotted based on the height of parents?
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Mid-parental height prediction
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How I sgenetic short stature defined in adult males?
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height less than 66 inches in males; height less than 61 inches in females
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What happens to the final height of children with constitutional delay of growth and puberty?
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They end up taller than predicted from their childhood growth percentiles
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Menarche after what age is considered dalyed?
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13
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IUGR will result in normal or abnormal adult height?
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Abnormal
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What are some syndromes associated with short stature?
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Turners, prader willi, downs
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This syndrome is assoicated with growth failure, hypotonia infancy, followed by uncontrolled, excessive eating and weight gain
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Puffy face, sallow/sullen expression, deceleration of linear growth in child?
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hypothyroidism
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How will severe growth hormone deficiency present?
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newborn with hypoglycemia and micropenis
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How will glucocorticoid excess present in childhoow?
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growth failure without cushingoid appearance; hypertension
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What are some labs done to evaluate for Growth hormone deficiency?
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IGF-1; GH stim test
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What are some causes of nutritional-induced growth failure?
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malnutrition diet; GI problems (crohns, IBS); excessive childhood exercise
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What is the most common cause of growth failure?
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malnutrition
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what is the most common fnding in girls with turners?
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short stature
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Is bone age delayed in children with constitutional delay fo growth and puberty
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yes
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