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
The features of neonatal hypehyroidism include all except - 
Select and explain. 
A. Triangular facies with craniosynostosis, B. Congestive cardiac failure, C. Advanced osseous maturation, D. Goiter is rare
D: Goiter is rare
Answer: D: Goiter is rare 
Explanation: Ans. is 'd' i.e., Goiter is rare Goiter is almost always present in congenitally hypehyroid infants" Fetal and neonatal hypehyroidism o Fetal and neonatal hypehyroidism are usually produced by transplacental passage of thyroid - stimulating immunoglobulins. o Most commonly, the thyroid stimulating immunoglobulins are a component of active maternal grave's disease.