Pediatric endocrine disorders SBA set 243

A 15-year-old boy is evaluated by a clinician for failure to develop normal male secondary
sexual characteristics. Physical examination reveals small testes, a small penis, and
gynecomastia. The boy has had some difficulties
in school, and the parents say that the school psychometrist said he had an IQ of 90. This
patient’s condition is most likely to be related to
which of the following ?

A 10-year-old-boy is brought to the office complaining about his height. He is doing well in
school and has many friends, but he is sick of being shorter than everyone else. He
recently started to avoid social gatherings on the weekends because of his height concern.
His mother is 143 cm tall, and his father is 168 cm tall. They both have a body mass index of
20. The father explains that his height was always below average until he was 15, before he
began to tower over his classmates. The patient is now at the third percentile for height
and thirty-fifth for weight, he does not show any signs of malnourishment. Physical
examination shows delayed sexual maturation, but is otherwise normal. A complete blood
count, biochemical profile (including glucose, blood urea nitrogen, creatinine, calcium and
phosphorus, liver function tests), thyroid-stimulating hormone level, and urinalysis are
normal. Insulin-like growth factor concentration is normal for maturation.
The most appropriate next step in management is to ?

A young woman presented with galactorrhoea for 2 months duration. Which of the following
investigations are appropriate for her [Common mcqs]

A pregnant women is thyrotoxic. Which of the following is most likely to result in neonatal
hyperthyroidism by maternal-fetal placental transfer? [Common mcqs]

A neonate presented with hypotension, tachypnea and tachycardia. On examination
hyperpigmentation and ambiguous genitalia were noted. Investigations revealed hyperkalemia,
hyponatremia and acidosis. What is the most likely diagnosis? [Common mcqs]

Community level screening greatly cost benefitted in. [Intake 27]

A 9 year old girl with hypothyroidism is on thyroxine 50 micrograms/day. She is having
constipation. Her grandmother worried that her school performance is poor & she is
bullied at school for short stature. Her T4 is 2.6 (2.1-2.8) and TSH is 15 (0.5-5.0). What is
the next step of her management? [2015 MARCH]

9 years old girl presented with breast enlargement- tanner stage 3. Pubic and axillary
tanner stage 2. Which explains the condition best [2016 MAY]

9 years old girl brought to the paediatric clinic complaining of breast development, acne,
and pubic hair. Examination revealed
Breast tanner stage 3, pubic hair tanner stage 2 height > 3SD
What is the probable etiology of the above condition?
[2016 MAY]

A 13-year-old kid was brought by his parents due to his tiny stature, a. His voice has not yet broken, and he has no pubic, axillary, or facial hair.His testicular volume is 6ml & tanner stage is 01 ( NL prepubertal size = 4ml) what is the next step in the management [Past common mcq]