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Pediatrics · Growth and development: familial short stature
Sample itemA 6-year-old girl has height below the 3rd centile, normal growth velocity, bone age equal to chronological age, and both parents are short. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Familial short stature
In familial short stature the child tracks along a low centile with normal velocity, normal bone age and short parents. No investigation or treatment is usually needed.
Option by option
A. Constitutional delay of growth
Constitutional delay has a delayed bone age and a late-maturing family history.
B. Familial short stature (correct)
Correct. Normal velocity and bone age with short parents indicates the familial variant.
C. Hypothyroidism
Hypothyroidism shows delayed bone age and slow growth.
D. Growth hormone deficiency
GH deficiency shows reduced growth velocity.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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