MCQS 383-385:The average age of patients with a slipped capital femoral epiphysis at presentation is

Question:383
Correct Answer: J

Explanation:
Giant Papillary Conjunctivitis (GPC) is a type of allergic reaction, typically due to protein deposits on contact lenses. Since protein deposits are more common with soft contact lens use, GPC is more common in soft lens wear than rigid lens wear. GPC can be caused due to an allergic reaction to the chemicals in the contact lenses and/or the solutions used. GPC is characterized by a series of visible white lumps, nodules, or giant papillae usually on the underside of the upper eyelid. GPC can cause extensive irritation and scarring under the upper eyelids that can prohibit further use of soft contact lenses.

 

Question:384
Correct Answer: E

Explanation:
In slipped femoral epiphysis usually a history of symptoms for several months. The symptoms typically worsen as the slip progresses. Sex hormones, growth hormone, and other hormones alter the rate of growth in the femoral epiphysis and the rate of skeletal growth. Slipped femoral epiphysis occurs in adolescents who are either obese and have delayed skeletal maturation or are tall and thin and have had a recent growth spurt. In obese adolescents, a low level of sex hormones has been postulated, whereas in tall, thin individuals, an overabundance of growth hormone is implicated. Slipped femoral epiphysis can also occur as a complication of an underlying endocrine disorder such as hypothyroidism, pituitary disorders, pseudohypoparathyroidism, and others. When a Slipped femoral epiphysis occurs before puberty (10 yr of age or younger), an endocrine disorder (hypothyroidism, growth hormone deficiency) should be suspected

 

Question:385
Correct Answer: E

Explanation:
Slipped capital femoral epiphysis (SCFE) is the most common adolescent hip disorder. Its cause is unknown, but an endocrine basis has been suggested because SCFE is frequently accompanied by abnormalities of growth.


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