NURS 535 CARSON NEWMAN UNIVERSITY
PEDIATRICS TEST 2 2026 QUESTIONS WITH
COMPLETE SOLUTIONS GRADED A+
⩥ Etiology of GH deficiency.
Answer: Infections, trauma, brain tumors
⩥ Clinical manifestations of GH.
Answer: Short height for child's age
Increased amount of fat around waist and in face
Emotional feelings about height or weight
Younger appearance than children of same age
Decreased muscle mass
Delayed skeletal maturation Delayed onset of puberty Delayed tooth
development Hypoglycemia
⩥ GH Diagnostics.
Answer: Thyroid panel
Evaluate renal and liver function
Insulin like growth factors (will be low)
Growth Hormone Stimulant test
Bone density scan
,Brain CT or MRI
Karotyping
⩥ GH Treatment.
Answer: Most children receive subcutaneous injections
Injections can be daily or three to four times per week and have
increased growth velocity at bedtime
GH must be refrigerated
Close monitoring of growth with endocrinology visits every 3 to 6
months
Treatment stops when growth plates fuse
⩥ Precocious puberty.
Answer: The very early onset and rapid progression of puberty
Before age 8 in girls
Before age 9 in boys
⩥ Etiology of Precocious Puberty.
Answer: Hormone-secreting tumors
Brain injury caused by head trauma
Infection
,Thyroid dysfunction
Ovarian dysfunction
Idiopathic (most cases)
⩥ Clinical manifestations of precocious puberty.
Answer: Female: Breast development, axillary hair, pubic hair, body
odor, onset of menses, acne
Male: Testicular/Penile enlargement, axillary and chest hair, deepening
voice, acne
⩥ Diagnostic evaluation of precocious puberty.
Answer: Computed tomographic scan or magnetic resonance imaging
Bone density scan
Pelvic and adrenal ultrasound
Gonadotropin-releasing hormone stimulation test
Blood work: Testosterone, estrogen, LH, FSH
Treatment involves the suppression of puberty
⩥ congenital hypothyroidism.
Answer: Condition present at birth that results in lack of thyroid
hormones; results in poor physical and mental development; formerly
called cretinism
, ⩥ Clinical manifestations of hypothyroidism.
Answer: Lethargy
Weakness
Dry skin
Cold intolerance
Weight gain
Constipation
Coarse hair
⩥ Diagnostic evaluation for hypothyroidism.
Answer: State-required screening: TSH and T4
Low T4, elevated TSH, or both indicate hypothyroidism
Positive test results may be followed by scan for bone age
Blood tests before 48 hours after birth may be falsely interpreted
because of the rise in TSH immediately after birth
⩥ Hyperthyroidism.
Answer: Excessive production of thyroid hormones
⩥ Signs and symptoms of hyperthyroidism.
PEDIATRICS TEST 2 2026 QUESTIONS WITH
COMPLETE SOLUTIONS GRADED A+
⩥ Etiology of GH deficiency.
Answer: Infections, trauma, brain tumors
⩥ Clinical manifestations of GH.
Answer: Short height for child's age
Increased amount of fat around waist and in face
Emotional feelings about height or weight
Younger appearance than children of same age
Decreased muscle mass
Delayed skeletal maturation Delayed onset of puberty Delayed tooth
development Hypoglycemia
⩥ GH Diagnostics.
Answer: Thyroid panel
Evaluate renal and liver function
Insulin like growth factors (will be low)
Growth Hormone Stimulant test
Bone density scan
,Brain CT or MRI
Karotyping
⩥ GH Treatment.
Answer: Most children receive subcutaneous injections
Injections can be daily or three to four times per week and have
increased growth velocity at bedtime
GH must be refrigerated
Close monitoring of growth with endocrinology visits every 3 to 6
months
Treatment stops when growth plates fuse
⩥ Precocious puberty.
Answer: The very early onset and rapid progression of puberty
Before age 8 in girls
Before age 9 in boys
⩥ Etiology of Precocious Puberty.
Answer: Hormone-secreting tumors
Brain injury caused by head trauma
Infection
,Thyroid dysfunction
Ovarian dysfunction
Idiopathic (most cases)
⩥ Clinical manifestations of precocious puberty.
Answer: Female: Breast development, axillary hair, pubic hair, body
odor, onset of menses, acne
Male: Testicular/Penile enlargement, axillary and chest hair, deepening
voice, acne
⩥ Diagnostic evaluation of precocious puberty.
Answer: Computed tomographic scan or magnetic resonance imaging
Bone density scan
Pelvic and adrenal ultrasound
Gonadotropin-releasing hormone stimulation test
Blood work: Testosterone, estrogen, LH, FSH
Treatment involves the suppression of puberty
⩥ congenital hypothyroidism.
Answer: Condition present at birth that results in lack of thyroid
hormones; results in poor physical and mental development; formerly
called cretinism
, ⩥ Clinical manifestations of hypothyroidism.
Answer: Lethargy
Weakness
Dry skin
Cold intolerance
Weight gain
Constipation
Coarse hair
⩥ Diagnostic evaluation for hypothyroidism.
Answer: State-required screening: TSH and T4
Low T4, elevated TSH, or both indicate hypothyroidism
Positive test results may be followed by scan for bone age
Blood tests before 48 hours after birth may be falsely interpreted
because of the rise in TSH immediately after birth
⩥ Hyperthyroidism.
Answer: Excessive production of thyroid hormones
⩥ Signs and symptoms of hyperthyroidism.
