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44 Cards in this Set
- Front
- Back
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What is the normal growth velocity in utereo per year?
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24-40 inches
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A child in the first year of life grows __ to __ inches?
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9 to 11
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IF a child has grown 4-6 inches in one year, what year of life are they in?
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second
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how much does a child grow in the 4th year of life?
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2 to 3 inches
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During the prepubertal nadir, a child will grow ___ to __ inches.
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2 to 2.2
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What is the typical growth spurt in inches in girls? Boys?
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Girls: 3 to 5
boys: 4 to 6 |
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What items should be emphasized when taking a maternal pregnancy history when assessing for growth problems?
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Medication use, infections, nutrition
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What should the HCP document in terms of perinatal and birth hisotry when assessing growth?
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Duration of gestation, perinatal information, growth
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Many children have catch-up or catch-down growth between __ and __months of age
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18 and 24
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T or F: most children with normal growth cross percentiles after 2 years of age?
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FALSE
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The peak height velocity occurs in tanner __ in girls and tanner __ in boys.
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3; 4
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what is the most common cause of poor growth worldwide?>
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malnutrition
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How should nutrition be recorded in the history?
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through a 24 hour food recall or a 3 day food diary
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What specific pathologies related to grwoth abnormalities can be assessed in the perinatal history?
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hypopituitarism, hypothyroidism
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true or false: most children follow their parents pubertal tempo?
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TRUE
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Why must a detailed social history be taken for a growth examination?
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psychosocial dwarfism can be caused by severe stress from a poor home or school environment
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Do children who have delayed growth show delayed dentition?
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Yes!
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At what age should the first teeth start coming in?
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6 months
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by age 2 how many teeth does a child have?
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20
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at what age if teeth have not come in should a HCP be worried?
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10 months
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At what age do children begin losing their baby teeth?
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around 6 or 7
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What are some common findings of children with growth disorders?
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clinodactyly and shortened 4th metacarpal
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What syndrome in girls is associated with short stature?
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Turners
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List the physical exam aspects that are part of a growth work-up?
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1. dysmorphic features
2. midline defects 3. skin 4. neck 5. sexual exam |
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Which body system is very important to evaluate when conducting a physical exam for growth?
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the THYROID
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what is clinodactyly?
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the pinkie finger is turned inward
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What lab tests are done to assess for GH deficiency?
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IGF-1 and IFG binding protein 3
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What are the labs for assess the thyroid function?
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Free T4 and TSH
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What is the funciton of the metabolic panel in the growth exam?
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rule out renal disease and electrolyte abnormalities that could occur with Bartter syndrome, other renal metabolic disorders and diabetes insipidus
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What are the genetic syndromes associated with short stature?
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1. Downs
2. Noonan syndrome 3. Prader-Willi syndrome 4. Russell-Silver syndrome 5. Skeletal dysplasia 6. Turner's |
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What age do growth charts for babies cover?
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0-3 years
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child and adolescent growth charts can be applied to children __ to __ years old.
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2 to 20
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How must a child be measured for height to be plotted on the 2-20 growth chart?
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standing
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When plotting height for babies, how is it plotted and what is the mechanism for getting it?
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Plotted as length, and must measure them lying down.
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When does the greatest growth occur?
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the first year of life
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At what ages is the growth in children the most stable?
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4 to 12
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in cm, what is the normal growth during the quiesence period?
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5 to 6
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At what tanner stage do boys usually begin to shave?
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Tanner 4
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If a otherwise healthy child has a quick growth abruption, what should be considered?
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Neurologic dysfunction
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What are the common causes of small size in babies?
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1. SGA
2. IUGR 3. GHD 4. CF 5. sickle cell 6. inflammatory bowel disease 7. celiac disease |
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At what age does the quiesence period of dental growth occur?
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2 to 6
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What are the basic labs to conduct when starting a growth assessment?
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CBC, sed rate, metabolic panel, UA
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What form of therapy has been found to be useful in Turner's syndrome>
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Growth hormone therapy
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True or false: it is normal to see a goiter in young children?
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FALSE! Only normal in teens
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