Paediatrics - Growth and development

on 1.2.08 with 0 comments



What happens in IUGR the ratio of OFC and Chest circumference?
OFC is 3 cm more than chest circumference.

b. When is the peak growth velocity in adolescent girl?
Just before commencement of menarche

c. What is the probable age of child who climbs with alternate steps but can not say his name and sex?
30 months.

d. What is the probable age of a child who hold head at 90 degree?
12 weeks.

e. A baby has unilateral moro with positive palmar grasp reflex where is the site of lesion?
C5-C6

f. A child can walk down stairs with alternate steps holding on to the rail. What is the probable age?
4 year.

g. At what age the moro reflex disappears?
Approximately 12 weeks.

h. Earliest hormonal change to occur in puberty?
Sleep augmented pulsatile secretion of pituitary gonadotrophin and growth hormone.

i. What is short stature?
Below third percentile of less than 2 SD.

j. what is the characteristic of hypothyroid short stature?
Asymmetrical dwarfism with delayed bone age.

k. What is the characteristic of genetic short stature?
Gain in height is more than 4cm/yr. Bone age and body proportions are normal.

l. What is psychosocial short stature?
Emotional deprivation. Symmetrical . Bone age normal or delayed.

m. what are the causes of short stature?
Genetic short stature; chromosomal (down syndrome/turner syndrome);
endocrinal (pituitary / hypothyroidism), nutritional (rickets/malnutrition);
Chronic disease (chronic renal failure/congenital heart disease).

n. At one year how many carpal bones are seen radiologically?
Two carpal bones


Category: Pediatrics Notes

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