Adolescence (case studies)
Peak height velocity (males) on average between - correct answer ✔13 ½
and 14 years (SMR or Tanner 4), but can vary from 13-17 ½ yrs
First sign of puberty in females - correct answer ✔breast enlargement
First sign of puberty in males - correct answer ✔testicular and penile
enlargement, followed by pubic hair
Females puberty precedes males by... - correct answer ✔6 months
Pubertal growth spurt is an ______ in female puberty and a _______ in male
puberty. - correct answer ✔early event; late event
Boys pubertal growth spurt usually lasts... - correct answer ✔2-4 years
Normal variations in short stature - correct answer ✔short stature is
considered to be 2 SD below mean
Male below 5'4"
Females below 4'11"
Growth rate during puberty is... - correct answer ✔9.5 cm/yr (4 inches)
Normal growth rate during adolescence is... - correct answer ✔6 - 8 cm/yr (2-
3 inches)
, Familial short stature - correct answer ✔Curve may be at or below 5%
Bone age consistent w/ chronological age
Growth curve follows the child's normal pattern.
Does NOT reach average adult height.
Constitutional short stature - correct answer ✔Average weight at birth but
slows down during infancy and childhood
Bone age lags behind chronological age
Delayed adolescent growth spurt but reaches normal adult height
One or both parents had same growth pattern.
Accelerated growth - correct answer ✔2 SD above mean but normal growth
velocity
Rule out Klinefelters with accelerated growth - correct answer ✔small penis
& testes, normal pubic hair
Rule out Marfans with accelerated growth - correct answer ✔long fingers and
toes, hypermobility of joints
Early maturers - correct answer ✔growth also stops earlier and usually do
not reach same height as normal maturers
Pelvic exam recommended at - correct answer ✔age 21
Reasons for pelvic exam earlier - correct answer ✔menstrual disorders
vaginal discharge
pelvic pain
Peak height velocity (males) on average between - correct answer ✔13 ½
and 14 years (SMR or Tanner 4), but can vary from 13-17 ½ yrs
First sign of puberty in females - correct answer ✔breast enlargement
First sign of puberty in males - correct answer ✔testicular and penile
enlargement, followed by pubic hair
Females puberty precedes males by... - correct answer ✔6 months
Pubertal growth spurt is an ______ in female puberty and a _______ in male
puberty. - correct answer ✔early event; late event
Boys pubertal growth spurt usually lasts... - correct answer ✔2-4 years
Normal variations in short stature - correct answer ✔short stature is
considered to be 2 SD below mean
Male below 5'4"
Females below 4'11"
Growth rate during puberty is... - correct answer ✔9.5 cm/yr (4 inches)
Normal growth rate during adolescence is... - correct answer ✔6 - 8 cm/yr (2-
3 inches)
, Familial short stature - correct answer ✔Curve may be at or below 5%
Bone age consistent w/ chronological age
Growth curve follows the child's normal pattern.
Does NOT reach average adult height.
Constitutional short stature - correct answer ✔Average weight at birth but
slows down during infancy and childhood
Bone age lags behind chronological age
Delayed adolescent growth spurt but reaches normal adult height
One or both parents had same growth pattern.
Accelerated growth - correct answer ✔2 SD above mean but normal growth
velocity
Rule out Klinefelters with accelerated growth - correct answer ✔small penis
& testes, normal pubic hair
Rule out Marfans with accelerated growth - correct answer ✔long fingers and
toes, hypermobility of joints
Early maturers - correct answer ✔growth also stops earlier and usually do
not reach same height as normal maturers
Pelvic exam recommended at - correct answer ✔age 21
Reasons for pelvic exam earlier - correct answer ✔menstrual disorders
vaginal discharge
pelvic pain
