NURS 612 Module 10-15 Quiz
Questions & answers rated A+
9-year-old Sarah presents with her normal-height parents who are concerned about her short
stature. Physical exam is unremarkable except for height and weight are in the 3rd percentile,
you note she is Tanner Stage 1, her endocrine work-up is normal except for a delayed bone age
(8 years). The treatment for Sarah's suspected diagnosis:
A. Reassurance, close observation, with anticipated growth acceleration
B. Urgent endocrine referral for growth hormone, with anticipated growth acceleration
C. Urgent endocrine referral for Turner syndrome
D. Reassurance, close observation, with anticipated short stature - correct answer ✔✔ A.
Reassurance, close observation, with anticipated growth acceleration
16-year-old Michael presents with his 60-year-old father with a concern about delayed puberty,
physical exam is remarkable for scant body hair, tall stature, mild gynecomastia and
hypogonadism. The treatment for Michael's suspected diagnosis is:
A. Reassurance, close observation, with anticipated catch up sexual maturity
B. Endocrine referral for growth hormone, with anticipated catch up sexual maturity
C. Endocrine referral for likely Klinefelter syndrome and consideration of testosterone therapy
,D. Endocrine referral for likely Klinefelter syndrome for consideration of growth hormone
therapy - correct answer ✔✔ C. Endocrine referral for likely Klinefelter syndrome and
consideration of testosterone therapy
15-year-old Dana presents with her 60-year-old mother w a concern about delayed puberty
with amenorrhea, physical exam is remarkable noting short stature, low set ears and hair line,
cubitus valgus and web necked. The treatment for Dana's suspected diagnosis is:
A. Reassurance, close observation, with anticipated catch up sexual maturity
B. Endocrine referral for likely Turner's syndrome and consideration of estrogen, progesterone
AND growth hormone therapy
C. Endocrine referral for likely Turner's syndrome and consideration of estrogen, and
progesterone hormone therapy
D. Endocrine referral for growth hormone, with anticipated catch up sexual maturity - correct
answer ✔✔ B. Endocrine referral for likely Turner's syndrome and consideration of estrogen,
progesterone AND growth hormone therapy
A 4-year-old girl presents with her mother with concerned about her breast development. Her
family history is negative for endocrine disorders. Physical exam is unremarkable except for
stage 1 breast development, no pubic with no signs of axillary or pubic hair . Her height and
weight are above the 95th percentile. Which of the following BEST describes this child's physical
findings?
A. Normal variant
B. Precocious puberty
, C. Premature thelarche
D. Premature adrenarche - correct answer ✔✔ C. Premature thelarche
Identified risk factors for nonorganic failure to thrive include all of the following EXCEPT
A. Diabetes Type I
B. Parental neglect
C. Underfeeding
D. Inadequate caloric intake - correct answer ✔✔ A. Diabetes Type I
You are seeing a 2-month-old infant girl that you suspect has Turner's syndrome. Based on your
knowledge of the physical manifestations of Turner's syndrome, what would you expect to see
at this 2-month exam?
A. Webbed neck, cubitus valgus
B. Hypertelorism, low-set ears
C. Micrognathia, hip dysplasia
D. Microcephaly, cubitus valgus - correct answer ✔✔ A. Webbed neck, cubitus valgus
Questions & answers rated A+
9-year-old Sarah presents with her normal-height parents who are concerned about her short
stature. Physical exam is unremarkable except for height and weight are in the 3rd percentile,
you note she is Tanner Stage 1, her endocrine work-up is normal except for a delayed bone age
(8 years). The treatment for Sarah's suspected diagnosis:
A. Reassurance, close observation, with anticipated growth acceleration
B. Urgent endocrine referral for growth hormone, with anticipated growth acceleration
C. Urgent endocrine referral for Turner syndrome
D. Reassurance, close observation, with anticipated short stature - correct answer ✔✔ A.
Reassurance, close observation, with anticipated growth acceleration
16-year-old Michael presents with his 60-year-old father with a concern about delayed puberty,
physical exam is remarkable for scant body hair, tall stature, mild gynecomastia and
hypogonadism. The treatment for Michael's suspected diagnosis is:
A. Reassurance, close observation, with anticipated catch up sexual maturity
B. Endocrine referral for growth hormone, with anticipated catch up sexual maturity
C. Endocrine referral for likely Klinefelter syndrome and consideration of testosterone therapy
,D. Endocrine referral for likely Klinefelter syndrome for consideration of growth hormone
therapy - correct answer ✔✔ C. Endocrine referral for likely Klinefelter syndrome and
consideration of testosterone therapy
15-year-old Dana presents with her 60-year-old mother w a concern about delayed puberty
with amenorrhea, physical exam is remarkable noting short stature, low set ears and hair line,
cubitus valgus and web necked. The treatment for Dana's suspected diagnosis is:
A. Reassurance, close observation, with anticipated catch up sexual maturity
B. Endocrine referral for likely Turner's syndrome and consideration of estrogen, progesterone
AND growth hormone therapy
C. Endocrine referral for likely Turner's syndrome and consideration of estrogen, and
progesterone hormone therapy
D. Endocrine referral for growth hormone, with anticipated catch up sexual maturity - correct
answer ✔✔ B. Endocrine referral for likely Turner's syndrome and consideration of estrogen,
progesterone AND growth hormone therapy
A 4-year-old girl presents with her mother with concerned about her breast development. Her
family history is negative for endocrine disorders. Physical exam is unremarkable except for
stage 1 breast development, no pubic with no signs of axillary or pubic hair . Her height and
weight are above the 95th percentile. Which of the following BEST describes this child's physical
findings?
A. Normal variant
B. Precocious puberty
, C. Premature thelarche
D. Premature adrenarche - correct answer ✔✔ C. Premature thelarche
Identified risk factors for nonorganic failure to thrive include all of the following EXCEPT
A. Diabetes Type I
B. Parental neglect
C. Underfeeding
D. Inadequate caloric intake - correct answer ✔✔ A. Diabetes Type I
You are seeing a 2-month-old infant girl that you suspect has Turner's syndrome. Based on your
knowledge of the physical manifestations of Turner's syndrome, what would you expect to see
at this 2-month exam?
A. Webbed neck, cubitus valgus
B. Hypertelorism, low-set ears
C. Micrognathia, hip dysplasia
D. Microcephaly, cubitus valgus - correct answer ✔✔ A. Webbed neck, cubitus valgus
