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. Sho metacarpals in hands, B. Delayed pubey, C. Delayed bone age, D. Altered upper and lower segment ratio
A: Sho metacarpals in hands
Answer: A: Sho metacarpals in hands 
Explanation: Ans. is 'a' i.e., Sho metacarpal in hands Hypothyroidism o Hypothyroidism results from deficient production of thyroid hormone or a defect in thyroid hormone receptor activity. o Hypothyroidism may be : - i) Congenital --> Present since bih ii) Acquired --> Symptoms appear after a period of apparently normal thyroid function. Hypothyroidism causes - i) Delayed bone growth (Bone age markedly delayed) ii) Delayed pubey & Alteration in upper and lower segment ratio (upper segment > lower segment) Hypothyroidism o Hypothyroidism results from deficient production of thyroid hormone or a defect in thyroid hormone receptor activity. o Hypothyroidism may be : - i) Congenital --> Present since bih ii) Acquired --> Symptoms appear after a period of apparently normal thyroid function. Hypothyroidism causes - i) Delayed bone growth (Bone age markedly delayed) ii) Delayed pubey & Alteration in upper and lower segment ratio (upper segment > lower segment)