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
NOT a feature of hypothyroidism is – 
Select and explain. 
A. Short metacarpals in hands, B. Delayed puberty, C. Delayed bone age, D. Altered upper and lower segment ratio
A: Short metacarpals in hands
Answer: A: Short metacarpals in hands 
Explanation: Hypothyroidism

Hypothyroidism results from deficient production of thyroid hormone or a defect in thyroid hormone receptor activity.
Hypothyroidism may be : -


Congenital → Present since birth
Acquired → Symptoms appear after a period of apparently normal thyroid function.

Hypothyroidism causes -

Delayed bone growth (Bone age markedly delayed)
Delayed puberty &
Alteration in upper and lower segment ratio (upper segment > lower segment)