DrVirgo
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27. A 16 year old boy is brought to the physician because he is much shorter than his peers. He is proportionally devloped and otherwise healthy. An x-ray of the wrist is recommended to assess bone age. Which of the following radiographic findings will be an indication that his growth is complete?
A. Absence of the epiphyseal cartilaginous plate
B. Absence of the primary ossification center
C. Presence of calcified material in the diaphysis
D. Presennce of calcified material in the epiphysis
E. Presence of lines of arrested growth
A? or C? 
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| leen
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A..
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| robin082006
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D
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| m2298
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A
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| Cedrick
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D
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| DrVirgo
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haha.. so i guess its not C...
Can you all please explain WHY you think its A or D so we can come to a final conclusion on the answer?
I'll go with A because i guess thats the growth plate they are talking about... it will be absent in adults...
anyone else??
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| Cedrick
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Surecito !
Calcified epiphysis means it has mature,since he is shorter well than his peers
maybe the bone has calcified
and they are asking about bone age so that is why I put down D
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| nadiabarati
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A
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| mohelgamal
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they try to no if the bone is still growing so if there is any cartilage he is still growing
it is A
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| ssrpk
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exactly, as even in the growing bones there will be evidence of calcification in the epiphysis, although it won't be complete!
answer is definitely A
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| drfax
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A. is most probable answer why?
coz presence or absence of cartilage determines the bone growth in children and absence of is means stopping linear bone growth.( remmember acromegaly the same mechanism)
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