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
All are true regarding symmetric IUGR except 
Select and explain. 
A. Obstretic cause like utero - placental in sufficiency, B. Ponderal index >2, C. Problem occuring in first trimerter, D. Brain growth (head circum ference) spared
A: Obstretic cause like utero - placental in sufficiency
Answer: A: Obstretic cause like utero - placental in sufficiency 
Explanation: IUGR: Evidence of wasting +



 
Symmetric IUGR
Asymmetric IUGR


Timing of problem
Problem in first and
			early second trimester
Problem in last second and
			third trimester


Cause 
TORCH infection
			Chromosomal anamoly
Maternal problems:
			Maternal hypertension
			Placental insufficiency


 
Head to foot are
			equally affected
Brain growth (head
			circumference) spared



Ponderal index (PI)
			PI = Weight (gm) X 100
			       Length (cm3)

>2
<2