02: Infant well-child visits (2, 6, and 9 months)

Question 1

When does the AAP recommend developmental screening tests at minimum?

Answer 1

9, 18, and 30 month checkups

Question 2

When is autism specifically screened for?

Answer 2

18 and 24 months

Question 3

How much Vitamin D should breastfed infants receive (even if partially breastfed)?

Answer 3

400 IU daily

Question 4

What type of milk can irritate the lining of the stomach and intestine, leading to blood loss in the stool?

Answer 4

Cow’s milk

Question 5

By when should infants have regained all of their birthweight?

Answer 5

2 weeks

Question 6

How many calories per day do infants >37 weeks require?

Answer 6

100-120/kg/day

Question 7

How many calories per day do infants born between 32-37 weeks need?

Answer 7

115-130/kg/day

Question 8

How many calories per day do infants born <32 weeks need?

Answer 8

150/kg/day

Question 9

When does the Moro reflex disappear?

Answer 9

4 months

Question 10

What 2 things can the Moro reflex detect?

Answer 10

1. MSK abnormalities

2. Neural plexus abnormalities

Question 11

When can babies begin spoon feeding solid foods?

Answer 11

4-6 months

Question 12

When can children sit in the front seat?

Answer 12

13 years

Question 13

When can children switch to a front-facing car seat?

Answer 13

2 years

Question 14

The most effective car seat restraint is a _____-point harness?

Answer 14

5-point

Question 15

How many doses of DTAP should kids get total?

Answer 15

5

Question 16

How many doses of IPV should kids get total?

Answer 16

4

Question 17

How many doses of Hib should kids get total?

Answer 17

3-4

Question 18

How many doses of PCV13 should kids get?

Answer 18

4

Question 19

How many doses of MMR should kids get?

Answer 19

2

Question 20

How many doses of Varicella should kids get?

Answer 20

2

Question 21

How many doses of Rotavirus should kids get?

Answer 21

2-3

Question 22

How many doses of Hep A should kids get?

Answer 22

2

Question 23

How many doses of Hep B should kids get?

Answer 23

3

Question 24

Do significant health problems given after immunization need to be reported to the CDC’s program VAERS?

Answer 24

Yes

Question 25

What’s the prognosis of Stage 4S Neuroblastoma (metastasized)?

Answer 25

Good; it infants less than age 1, these may spontaneously regress

Question 26

What cell lines are Neuroblastomas from?

Answer 26

Embryonal

Question 27

What does penetrance mean?

Answer 27

The percent of individuals with a mutation that display the clinical effects

Question 28

What landmarks do you use to measure head circumference?

Answer 28

From the broadest part of the forehead to the occipital prominence at the back of head

Question 29

What test is highly specific to Neuroblastoma?

Answer 29

Catecholamine metabolites

Question 30

What’s could the following all present as? Hepatic neoplasm, hydronephrosis, neuroblastoma, teratoma, Wilms’ tumor

Answer 30

RUQ mass and pallor in an infant

Question 31

Where might a neuroblastoma mass form (3)?

Answer 31

1. Neck
2. Chest
3. Abdomen

Question 32

What type of tumor may present with an abdominal mass, vomiting, hypertension, and doesn’t lead to abnormal development?

Answer 32

Wilms’ tumor (nephroblastoma)