CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+ 2026
_____ is characterized by the usual progression of normal
puberty, just earlier affecting girls 10-20x more than boys.
1) Etiology?
2) Peripheral causes?
Central Precocious Puberty
1) CNS tumors, CNS lesions, hx of radiation, severe
hypothyroid, CAH
2) ovarian cyst/tumor, Leydig cell tumor, HcG secreting germ
cell tumor, premature leydig cell maturation, adrenal tumor,
______ causes precocious puberty due to over secretion of
estrogens by ovaries or androgens in males.
Signs/symptoms include Cafe au lait macules & fibrous bone
dysplasia
McCune-Albright Syndrome
______ is an autosomal dominant disorder that is resistant
to growth hormone. Causes mild facies (eye slant, low-set
,ears) and can cause cardiac disease (pulmonary stenosis&
hypertrophic cardiomyopathy)
Noonan Syndrome
______ is characterized by hypotonia, small hands/feet,
obesity with increased appetite, developmental delay, &
hypogonadism
Prader Willi
______ is characterized by retinitis pigmentosa,
hypogonadism, & developmental delay
Laurence-Moon-Bardet-Biedl syndrome
_______ is characterized by IUGR, poor infantile growth,
triangular face, downturned corners of the mouth,
hemihypertrophy, & possible developmental delay
Russell Silver
1) _______ is the term used for a small or absent choana
that causes cyanosis with feeding.
2) What is it called when a patient has the following:
- Coloboma of eye (iris defect)
- Heart abnormality
- Atresia of choanae
- Retarded growth/development
- Genital hypoplasia
- Ear anomalies/deafness
,1) Choanal Atresia / Stenosis
2) CHARGE syndrome
______ is characterized by a thin layer of tissue across the
lumen throughout the trachea & can cause SOB/stridor.
1) If this occurs at the level of the vocal cords, how can the
symptom presentation change?
2) What is the gold-standard for diagnosis & possible
treatment?
Webs
1) Dysphonia
2) Rigid bronchoscopy
_____ is caused by the collapse of the epiglottis with
inspiration causing a "honking goose" noise, but usually
resolves by 18-24 months. When is surgical correction
indicated?
Laryngomalacia ("honking goose"); if it causes frequent
illness or fails to resolve
______ can be congenital or caused by prolonged intubation
leading to biphasic stridor. Treatment?
Subglottic stenosis; surgical repair
_______ causes partial or circumferential compression of
the trachea which can present as expiratory stridor,
recurrent cough, Recurrent bronchopulmonary infections, &
, dysphagia
1) When will this become more noticeable?
2) Diagnosis?
3) Treatment?
Vascular Ring (double aortic arch wraps around trachea)
Pulmonary Sling (anomalous left pulmonary artery goes
behind the trachea & lifts it up)
1) At age 4-6 months when solid food intake begins
2) Bronchoscopy, CT, MRI
3) Surgical repair to re-route the structure
_______ is an abnormal connection of the esophagus to the
trachea. It can present as a cough +/- cyanosis with feeding
& can cause recurrent pneumonia.
1) What is the most common presentation?
2) Diagnosis?
Tracheoesophageal Fistula
1) esophageal atresia with distal fistula
2) Barium swallow or bronchoscopy