This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
[{'content': '8 yrs. old child presents with lethargy multiple epiphyseal breaks, wormian bones with growth retardation and mental retardation Diagnosis is ? \nSelect and explain. \nA. Rickets, B. Hypothyroidism, C. Scurvy, D. Hypoparathyroidism', 'role': 'user'}, {'content': "Answer: B \nExplanation: Ans. is 'b' i.e., Hypothyroidism o Multiple epiphyseal breaks, wormian bones with lethargy, growth retardation and mental retardation suggest the diagnosis of hypothyroidism. X-ray findings of hypothyroidism o Delayed appearance of epiphysis o Multiple foci of ossification --) Epiphyseal dysgenesis o Epiphyseal breaking of 12th thorasic and 1st or 2nd lumber veebrae. o Skull --> i) Large fontanelle ii) Wide sutures iii) Wormian bones iv) Enlarged & rounded Sella turcica o Delayed dentition", 'role': 'assistant'}]