PEDS END OF ROTATION EXAM QUESTIONS WITH CORRECT ANSWERS

Tanner Stage 3 CORRECT ANSWER (age 13 Males) = coarse dark and curly pubic hair, (age 12 Females) = increased pubic hair dark and course w/ lateral extension, Breast = elevation of areola contour and enlargement Gestational reflexes CORRECT ANSWER 1) Root - when corner of baby’s mouth is stroked turn head and try to find bottle or nipple 2) Suckling - sucks in response to a nipple in the mouth, observed by 14wks 3) Moro - (startle) develops by 28 weeks’ gestation and disappears by 3 months 4) Grasp - stroking palm elicits baby to grasp lasting until 5-6months 5) Babinski - stroking of sole of foot elicits dorsiflexion and splaying of toes, last until about 2y/o 6) Step - when held above a surface, when feet touch baby appears to dance or step Familial short stature & constitutional growth delay CORRECT ANSWER 1) Familial short stature - typically normal birth weight & length, grow parallel to growth curve, skeletal maturation & timing of puberty consistent w/ chronologic age, final height is short but appropriate for family 2) Constitutional growth delay - do not necessarily have short parents but have a growth pattern similar to those w/ familial short statures w/ a decline of growth velocity btwn 2-3y/o, delay in skeletal maturation & puberty, growth continues past normal time frame & final height is appropriate for target height 3) Test bone age, mid-parental target height Growth hormone deficiency CORRECT ANSWER 1) decreased growth velocity and delayed skeletal maturation in absence of other explanations 2) excess truncal adiposity 3) Infantile GHD = normal birth weight, slightly reduced length, hypoglycemia (if accompanied by adrenal insufficiency), micropenis (if accompanied by gonadotropin deficiency), & conjugated hyperbilirubinemia (if other pituitary hormone deficiencies present) 4) if treated early children reach normal or near normal adult height