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Paediatric

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Growth And Development

Question
40 out of 55
 

Peak growth velocity in adolescent girls is seen just after - (AIPG 2010)



A Appearance of pubic & axillary hair

B Breast enlargement

C Onset of menstruation

D Enlargement of external genitalia

Ans. A

Appearance of pubic hair and Axillary hair

a. Sexual growth is divided into sequential stage of development, from I to 5 -+ Sexual maturity rating (SMR) or Tanner stages -+ SMR I indicates no sexual growth (prepubescent stage) while SMR 5 denotes complete matura-tion. Sexual development begins in SMR2.

b. SMR involves -

For Girls For boys

i) Pubic hair development

i) Pubic hair develoment

ii) Breast development

ii) Genitalia (Testis, scrotum & penis) bvelopment.

c. First sign of sexual maturation is enlargement of breast in females and testes in boys.

d. Thelarche + Pabarche + Peuk growth velocity + Menarche

e. Thelarche (development of breast buds) is first visible sign of puberty.

f. Pubarche /Adrenarche (development of axillary and pubic hair) is the second sign It occurs about 6-12 months after thelarche

g. Menarche (onset of menstruation) occurs later, about 2.5 years to 6 years after Thelarche.

h. Maximum growth spurt neither occurs at pubarche nor thelarche, but considerably later when breasts and pubic/axillary hairs reach the third stage of development,just prior to onset of menarche, but sequence of events remains as defined.

Growth And Development Flashcard List

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