Indications for GH treatment to promote growth include the following EXCEPT

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Endocrine System Pediatrics Questions

Question 1 of 5

Indications for GH treatment to promote growth include the following EXCEPT

Correct Answer: C

Rationale: Celiac disease (C) is treated with a gluten-free diet, not GH; others (A, B, D, E) are approved GH indications.

Question 2 of 5

Peak serum concentrations of TSH at birth in full-term infants reach

Correct Answer: D

Rationale: TSH peaks at 60-80 mU/L within hours of birth; 80 (D) is typical.

Question 3 of 5

Retardation of osseous development in congenitally hypothyroid infants can be shown radiographically at birth in approximately

Correct Answer: C

Rationale: About 60% (C) of congenital hypothyroidism cases show delayed bone age at birth.

Question 4 of 5

One of the following is not routinely done in children with suspected hypothyroidism

Correct Answer: A

Rationale: Sonography (A) is not routine; TSH (C) and free T4 (B) are primary tests, with antibodies (D, E) for autoimmune causes.

Question 5 of 5

A painless nodule in the thyroid or in the neck is the usual presentation of childhood thyroid cancer. Of the following, the MOST common site of distant metastasis is

Correct Answer: D

Rationale: Lungs (E) are the most common site of distant metastasis in pediatric thyroid cancer.

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