12

Question 1

anticonvulsant during pregnancy

Answer 1

ardiac defects, dysmorphic craniofacial features, hypoplastic nails and distal phalanges, IUGR, and microcephaly

Question 2

chorioretinitis in newborn

Answer 2

congenital toxoplasmosis and CMV infections

Question 3

newborn with high-pitched cry, tremulousness, hypertonicity, and feeding difficulties

Answer 3

maternal heroin use

Question 4

sensorineural deafness, eye abnormalities (retinopathy, cataracts), and patent ductus arteriosus

Answer 4

congenital rubella

Question 5

microcephaly, jaundice, hepatosplenomegaly, low birth weight, and petechiae at birth.

Answer 5

congenital CMV

Question 6

vomiting, hypotonia, musty odor, developmental delay, and decreased pigmentation of the hair and eyes.

Answer 6

PKU

Question 7

Marfanoid body habitus, a hypercoaguable state, and possible developmental delay

Answer 7

homocystinuria

Question 8

hepatomegaly, ataxia, seizures, and progressive neurologic degeneration. Fundoscopic exam reveals a “cherry-red” macula.

Answer 8

niemann-pick

Question 9

fetal factors of SGA

Answer 9

chromosomal abnormalities
TORCH infections
metabolic disorders
structural defects

Question 10

GBS + mom chooses not to have ppx abx, What are odds of disease for child?

Answer 10

1-2% of infants born to colonized women develop invasive disease (sepsis, pneumonia and meningitis)

Question 11

Does APGAR predict individual neurologic outcome or mortality?

Answer 11

NO

Question 12

What is term?

Answer 12

> 37 weeks

Question 13

Assymetrical Tonic NEck Reflex

Answer 13

Turning the newborn’s head to one side causes gradual extension of arm toward direction of infant’s gaze with contralateral arm flexion–like a
fencer.

Question 14

If a child has VKDB, when and how do you expect classic presentation?

Answer 14

Day 1-7 with Bruising and bleeding from the umbilical cord

Question 15

able to stoop and recover and walk well, put a block in a cup, have a vocabulary of a few words, wave bye-bye, and drink from a cup`

Answer 15

15 mo

Question 16

can run, scribble, build a tower of 2 cubes, have 3-6 words in her or his vocabulary, and be able to help in the house and remove garments

Answer 16

18 mo

Question 17

can balance on each foot for 1 second, wiggle their thumbs, name 4 pictures, name 1 color, name a friend, and brush their teeth with help.

Answer 17

3 years old

Question 18

Beckwith-Wiedemann syndrome

Answer 18

Wilm’s tumor + overgrowth syndrome (large for size, macroglossia, macrocephaly) + omphalocele, hemihypertrophy, hypoglycemia, large for gestational age, and other dysmorphic features.

Question 19

small blue cells

Answer 19

neuroblastoma, Ewing’s sarcoma and medulloblastoma

Question 20

When to screen for autism

Answer 20

18 and 24 mo

Question 21

When in front seat

Answer 21

13 and older

Question 22

double birth weight

Answer 22

at 4 to 5 mo; triple by 1 yr

Question 23

Cataracts
Glaucoma
Retinoblastoma
Chorioretinitis

Answer 23

absent red light reflex

Question 24

turns towards voice and babbles

Answer 24

6 mo

Question 25

Has a well developed, "neat" pincer grasp

Answer 25

1 yr

Question 26

Stage 4 S Neuroblastoma

Answer 26

may spontaneously regress if in child < 1 yr

Question 27

Elevated catecholamines by Urine or serum VMA/HVA iss seen in what RUQ mass?

Answer 27

neuroblastoma

Question 28

painless mass in the neck, chest, or abdomen

Answer 28

neuroblastoma

Question 29

Being able to jump in place is a ___-month-old milestone

Answer 29

30 months!

Question 30

throw a ball overhand is expected at ___ months of age.

Answer 30

24 months

Question 31

4 year old skills

Answer 31

hop on 1 foot, copy a cross, pour/cut/mash their own food, and brush teeth

Question 32

Throwing a ball overhand, riding a tricycle, building a tower of 6-8 cubes, and copying a circle

Answer 32

3 yr old

Question 33

mature pencil grasp, skip, tie a knot

Answer 33

5 yr old

Question 34

When to screen vision with chart

Answer 34

3

Question 35

Until what height in booster?

Answer 35

until they reach a height of 4' 9" (142 cm).

Question 36

States first and last name Sings a song Most speech clearly understandable

Answer 36

4 year old

Question 37

Draws a person with > 6 body parts Prints some letters and numbers Copies squares and triangles

Answer 37

5 years old

Question 38

Common sources of lead exposure

Answer 38

``` House paint used before 1978 Soil Plumbing, pipes Hobbies, occupational exposures Imported toys, ceramics, candy, cosmetics Folk remedies ```

Question 39

When to screen for anemia?

Answer 39

screening for anemia is done at 12 months and again at preschool or kindergarten entry

Question 40

chest pain, cold lower extremities, dizziness, syncope, exercise intolerance, failure to thrive, poor growth, headache, and dyspnea

Answer 40

coarctation of the aorta

Question 41

masses associated with catecholamine excess

Answer 41

pheochromocytoma, neuroblastoma

Question 42

Can ADHD present with motor impairment and emotional labiality?

Answer 42

YES

Question 43

inability to conform to societal norms, disregard of the rights of others, and criminality

Answer 43

anti-social personality disorder

Question 44

pattern of negativistic, hostile and defiant behavior

Answer 44

oppositional defiant disorder

Question 45

prenatal and neonatal risk factors for obesity

Answer 45

high birth weight and maternal diabetes

Question 46

displacement of the femoral head from the femoral neck through the physeal plate

Answer 46

SCFE -> obese with recent growth spurt

Question 47

antalgic gait + widening of physis on XR

Answer 47

SCFE

Question 48

BMI 85% and parent with Type 2 DM. Screen at 10 years old?

Answer 48

YES

Question 49

> 99th percentil BP

Answer 49

Stage 2 HTN

Question 50

Can Placement of an umbilical arterial or venous line during the perinatal period may predispose to renal vascular disease?

Answer 50

YES

Question 51

What is inheritance of von Willebrand disease?

Answer 51

AD

Question 52

No breast glandular tissue and no pubic hair

Answer 52

Tanner I

Question 53

pubic hair across mons pubis

Answer 53

Tanner IV

Question 54

pubic hair extends to the medial surface of the thighs

Answer 54

Tanner V

Question 55

Order of development for girls

Answer 55

breast bud -> pubic hair -> growth spurt -> menarche

Question 56

Which electrolyte abnormalities in anorexia lead to compromised cardiac function

Answer 56

calcium and magnesiu

Question 57

Ecchymoses (small hematomas in areas of trauma) Epistaxis Menorrhagia (why vWD is diagnosed more often in women than men) Bleeding post-to

Answer 57

vWD, AD inheritance, desmopressin for tx

Question 58

_______ syndrome can cause syncopal episodes in late childhood or adolescence.

Answer 58

Long QT, puts at risk of ventricular fibrilliation and other arrhythmias

Question 59

Positive family history for young cardiac death

Answer 59

get ecg and refer to cardiology

Question 60

sudden, sporadic onset of sharp pain, usually along the left sternal border, which is often exacerbated with deep inspiration

Answer 60

precordial catch syndrome, benign so reassure pt

Question 61

Small amount of fine hair along the base of scrotum | and phallus

Answer 61

Tanner 2

Question 62

Adult-type hair extending to medial surface of thighs

Answer 62

Tanner 5

Question 63

When Men B given?

Answer 63

One dose at 16

Question 64

When MCV4?

Answer 64

11 and 16

Question 65

Which murmurs need further evaluation?

Answer 65

Louder than grade III/VI Any diastolic murmur Any murmur that increases with standing or Valsalva

Question 66

ECG for all patients with syncope?

Answer 66

YES

Question 67

How to exclude HCM?

Answer 67

Echo -- sometimes ECG doesn't reveal

Question 68

premature, tachypnea, grunting

Answer 68

RDS

Question 69

tachypnea in IDM or c-section baby, residual fluid in lungs, self-resolves

Answer 69

TTN

Question 70

premature and ground glass appearance of lungs on XR

Answer 70

RDS

Question 71

atelectasis, inflammation, or pulmonary edema and prolonged ventilation

Answer 71

bronchopulmonary dysplasia

Question 72

Newborn > 90th percentile

Answer 72

LGA

Question 73

delayed lung maturation, increased insulin in DM mothers delays surfactant production

Answer 73

RDS

Question 74

combination of whey proteins (70%) and casein (30%

Answer 74

human milk

Question 75

jaundice, dark urine, and acholic (pale) stools between 3 and 6 weeks of age

Answer 75

biliary atresia

Question 76

feeding problems, large fontanelles, hypotonia, large tongue, coarse cry, and frequently an umbilical hernia

Answer 76

congenital hypothyroidism; usually shows up at 6 weeks once moms thyroid leaves the body

Question 77

bulging fontanelles

Answer 77

Meningitis Hydrocephalus Subdural hematoma Lead poisoning

Question 78

virilized female with hyponatremia, hyperkalemia, dehydration, shock

Answer 78

CAH

Question 79

``` Feeding problems Decreased activity Constipation Prolonged jaundice Skin mottling Umbilical hernia ```

Answer 79

congenital hypothyroidism