Pre-Convention Symposium 3: The Adolescent with Puberty and Growth Concerns

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Symposium 3: The Adolescent with Puberty and Growth Concerns

1. Risk taking behavior peaks during adolescence because of the following reasons:(Required)

a. Immature prefrontal cortex leading to reduced capacity for self-control.

b. Hormonal surge leading to increase impulsivity.

c. Sense of invincibility.

d. All of the above

Correct Answer: d. All of the above

2. Rapid HEEADSSSS is a triaging tool to identify adolescents who need urgent evaluation and management.(Required)

a. True

b. False

Correct Answer: a. True

3. In teens who present with irregular menses, immaturity of the HPO axis encompasses how many years from menarche?(Required)

a. 6 months

b. 1 year

c. 2 years

d. 4 years

Correct Answer: c. 2 years

4. The criteria for the diagnosis of Polycystic Ovarian Syndrome (PCOS) in teens is the same as in adults.(Required)

a. True

b. False

Correct Answer: b. False

5. A 14-year-old girl is evaluated for short stature and delayed puberty. Her height is 138 cm (<2SD). She has no breast development (Tanner stage I) and has not yet had menarche. Physical examination reveals a broad chest with widely spaced nipples. Laboratory results, FSH: 72 IU/L (normal prepubertal: <10 IU/L), LH: 38 IU/L (normal prepubertal: <10 IU/L), Estradiol: 8 pg/mL (normal pubertal girls: 30–400 pg/mL), bone age is 13 years, similar to chronological age. Which of the following is the most appropriate test to confirm the diagnosis?(Required)

a. Karyotyping

b. Pelvic ultrasound 

c. MRI of the pituitary gland 

d. Serum growth hormone level

Correct Answer: a. Karyotyping

6. Which of the following findings is a worrisome indicator of a pathologic growth disorder requiring further evaluation?(Required)

a. Mid-parental height at 1SD

b. Height at 2SD for age and sex

c. Height within the mid-parental target height

d. Progressive crossing downward of growth percentiles with reduced growth velocity

Correct Answer: d. Progressive crossing downward of growth percentiles with reduced growth velocity

7. Which of the following blood biomarkers is used to detect steatotic liver disease?(Required)

a. Bilirubin

b. BUN

c. ALT

d. Serum albumin

Correct Answer: c. ALT

8. Which of the following choices is a cardiometabolic criteria used for the diagnosis of MASLD in the pediatric population?(Required)

a. BMI >75th percentile for age/sex

b. Fasting serum glucose >85 mg/dl

c. Plasma triglycerides >150 mg/dl in children >10 years of age

d. Plasma HDL cholesterol >40mg/dl

Correct Answer: c. Plasma triglycerides >150 mg/dl in children >10 years of age