Exam 11: Assessment of the Endocrien System

Children with growth hormone deficiency GHD will present with an increased height-to-weight ratio.

A child with hyperthyroidism usually:

Delayed puberty (failure along the hypothalamic-pituitary-gonadal axis)is characterized by absence of breast budding by age 13 in females or the lack of testicular enlargement by age 14 in males.

Precocious (premature)puberty occurs before a male reaches 9 years old or a female reaches 8 years old.

Diabetes mellitus type 2 is more common in adults; however, it is seen more often in children due to the ___________ epidemic.

Hypocalcemia due to hypoparathyroidism will present as all of the following except:

Match each item to the statement or sentence listed below. -Must be differentiated from lipoma and fatty tissue in obese patients.

Match each item to the statement or sentence listed below. -Lip pursing

Match each item to the statement or sentence listed below. -Long, thin face

Which of the follow is not a symptom of diabetes mellitus?

Match each item to the statement or sentence listed below. -Occurs under the chin, on the cheeks, between the breasts, across the chest, on the shoulders, on the back, on the linea alba, across the abdomen, on the inner thighs, and on the extremities and digits.

Congenital hypothyroidism and thyroid-stimulating hormone (TSH)deficiency at an early age are the major causes of cretinism. A child with hypothyroidism has insidious changes that could include all the following except:

Match each item to the statement or sentence listed below. -Temporary imbalance between estrogen and testosterone levels.

Hypocalcemia due to pseudoparathyroidism or a deficit of ______________ will present as moderate obesity and ovoid facies (long, thin face). Mild to moderate intellect deficit and short fourth and/or fifth metacarpals often occur.

The single most important function of antidiuretic hormone (ADH)is to conserve water by reducing the loss of water in the urine.

Common concerns are that the child is too small, too heavy, too thin, too tall, or is developing sexually in a ______________ fashion.

In the older child, GHD is usually due to a _________________________ and manifests as new-onset growth failure.

Cushing's syndrome is caused by too much glucocorticoid and cortisol. It can also occur due to increased adrenocorticotrophic hormone (ACTH), producing a pituitary tumor that would present as all of the following except:

Midline defects often associated with growth hormone deficiency (GHD)are cleft palate, choanal atresia, optic nerve hypoplasia, and single upper central incisor.

Always investigate a growth of less than ____ cm per year in children from the age of 5 until puberty.