NEET SS Pediatrics Growth and Development Questions

1. 16 years old boy came to the hospital with a complaint of immaturity in his voice. On examination, you made a provisional diagnosis of delayed puberty. which of the following is the most common cause of delayed puberty in this case?

1. Kallman syndrome
2. Klinefelter syndrome
3. Constitutional
4. Prader-Willi syndrome

Answer : 3

Solution :

DELAYED PUBERTY: More common in boys Delayed puberty in boys → lack of pubertal changes by14 years of age Most common etiology for delayed puberty in boys is constitutional.

Constitutional delay in puberty in boys:

• Have growth retardation & delayed bone age
• Family history of delayed puberty is present.

2. Central precocious puberty is defined by the

1. Onset of breast development before the age of 7 years in children / female
2. Onset of breast development before the age of 8 years in female
3. Onset of testicular development before 10 years of age in boys
4. Onset of testicular development before 11 years of age in boys

Answer : 2

Solution :

Central precocious puberty is defined by the onset of breast development before the age of 8 years in girls and by the testicular development before the age of 9 years in boys.

3. 5 years old child came to the hospital with a complaint of a fractured radius. 2 years back, the patient had a similar complaint on the other hand. The patient had normal dentition and sclera. You made a provisional diagnosis of Osteogenesis imperfecta. Which of the following type of Osteogenesis imperfecta present with this feature?

1. Type IA
2. Type II
3. Type III
4. Type IVB

Answer : 1
Solution :

• Osteogenesis imperfecta (OI) :
  • There are 12 types of OI
  • Both types I and IV are further divided into A and B subtypes depending on the absence (A) or presence (B) of dentigerous imperfecta.
• Osteogenesis imperfecta:
  • Multiple fractures in childhood (MC cause)
  • Autosomal dominant
  • Defective type 1 collagen.
• C/F:
  • Deformed bones, fractures in different areas & different stages of healing.
  • Blue sclera
  • Deafness
  • Dentigerous imperfecta
  • Treatment: Gene therapy

4. Juvenile criminal is said between the ages of following:

1. 10-12 years
2. 12-18 years
3. 8-12 years
4. < 8 years

Answer : 2
Solution :

The juvenile criminal is said between 12-18 years.

Legal age definitions relevant to adolescence:

The minimum age for marriage	Boys 21 yr; girls 18 yrs.
Responsibility for crime	12 yrs.
Juvenile criminal	12-18 yrs.
Compulsory free education	6-14 yrs.
Consumption of alcohol	Beyond 18-25 yrs. In different states (illegal in some states and union territories)
Employment in hazardous occupation or hotels	14 yrs.

5. DDST-II, a developmental screening test is useful for the age group?

1. 0-2 years
2. 0-30 months
3. 0-6 years
4. 12 months - 2 years

Answer : 3

Solution :

Explanation:- DDST-II or Denver is used for 0-6 years of age. It assesses domains like gross motor, language, fine motor, adaptive and personal - social.

Table 20.4: Developmental screening tests commonly available in India

Test	Domains assessed	Age of group	No.of Items	Psychometric properties
Trivandrum development screening test (TDSC)12	Gross motor, fine motor, vision/hearing and personal /social /language	0-2 years		Sensitivity 66.7%; specificity 78.8%; validated against DDST
Denver development screening Test - II (DDST-II) or Denver -II13	Gross motor, language, fine motor, adaptive and personal - social also a behavior rating scale	0-6 years	123	Sensitivity 83% specificity 43%
Baroda development screening test (BDST)14	Motor and mental	0-30 months	54	Sensitivity and specificity of 65-95%

6. Which of the following milestones are attained by the age of 1 year?

1) Stand without support

2) Plays peek a boo

3) Can speak “mama”, “papa”

4) Draws a circle

1. Only 1,2,3 is correct
2. Only 2,3,4 is correct
3. Only 1,2,4 is correct
4. All are correct

Answer : 1
Solution :

A child is able to copy a circle at 3 years of age

Stands without support - 1 year

Plays peek a boo - 10 months

Can speak “mama”, “papa” (Bisyllable babbling) - 9 months.

7. Thelarche is usually the first clinically recognisable stage of puberty and typically occurs between 10 and 12 years of age and is characterised by?

1. Pubertal breast enlargement in boys
2. Breast enlargement in infancy
3. Hormone-related breast enlargement in girls
4. Testicular enlargement in pubertal boys

Answer : 3

Solution :

Thelarche is usually the first clinically recognisable stage of puberty and typically occurs between 10 and 12 years of age and is characterised by the appearance of a ‘breast bud’ (Tanner stage 2).(Hormone-related breast enlargement in girls).

8. A 6 year old child was being examined in the OPD by the JR when he notices that the child's development is not normal. He asks the interns present there to calculate his DQ, which came out to be equal to that of child half his age. Which of the following milestones this child has achieved according to his DQ?

1. Identify 5 colours
2. Speak short sentences
3. Ride a bicycle
4. Copy a triangle

Answer : 2

Solution :

DQ = Developmental age x 100/actual age

6 year old child has a DQ of 50; so his developmental age is 3 years. So he can do milestones corresponding to 3 years only.

• Speaks short sentences - at 2 years (child can speak 2 word sentences at 2 years and 3 word sentences at 3 years)
• Ride a tricycle- at 3 yrs
• Name 2 colours - At 3 years
• Name 5 colours - At 5 years
• Copy a triangle- at 5 years
• Since option 2 is the only milestone the child has reached, so the answer is option 2.

Hope you found this blog helpful for your Growth and Development NEET SS pediatrics preparation. For more informative and interesting posts like these, keep reading PrepLadder’s blogs.