Case history #1

An 8-year-old white girl presents for further evaluation of excessive weight gain. She (to bear) at term following a pregnancy complicated by gestational diabetes, and (to have) a birth weight of 4.5 kg. She has a large appetite with excessive calories eaten throughout the day. She has limited activity, and (to watch) 5 to 6 hours of television daily. She (to have)a tonsillectomy and adenoidectomy for obstructive sleep apnoea (a temporary inability to breathe) at 6 years of age. There is an extensive family history of obesity, and her father's BMI is 35 and mother's BMI is 45. The child's height is 143 cm, and weight 80 kg, giving her a BMI of 38.8, which (to be) markedly greater than the 95th percentile for age and gender.

Exercise 9. Make up questions to the underlined words:


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