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shelf PEDS > A > Flashcards

A Flashcards

1
Q

when to primary teeth erupt

A 
lower central 6-10mo
upper central 8-12 mo
upper lateral incisor 9-13 mo
lower lateral 10-16 mo
full set 20 teeth by 25-33 mo
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2
Q

leading cause of death through 4 mo old

A

SIDS

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3
Q

after 4 mo leading cause of death

A

trauma with MVA being number 1 and drowning 2

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4
Q

best indicator for intellectual potential

A

language

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5
Q

full set of primary teeth by what age

A

25-33 months

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6
Q

M-CHAT test

A

autism spectrum screening

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7
Q

most common cause conductive hearing loss in children

A

otitis media with effusions

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8
Q

milia

A

pearly white or pale yellow epidermal cysts found on nose, chin and forehead

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9
Q

infantile seborrhea

A

btwn 2-10 weeks commonly called cradle cap when it occurs on the scalp
also involves face and other areas rich in sebaceous glands

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10
Q

neonatal acne

A

cheeks and nose around age 3-4 weeks and persisits up to 3 mo

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11
Q

rhonchi in neonate

A

normal if hours after delivery because of residual amniotic fluid

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12
Q

scaphoid abdomen

A

diaphragmatic hernia

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13
Q

umbilical hernias

A

generally benign and resolve in most cases

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14
Q

what are hydroceles from

A

remnants proces vaginalis

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15
Q

infant holds arm close to body extended at elbow and internaly rotated, forearm in pronation

A

erbs palsy

damaged C5 C6

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16
Q

klumpke palsy

A

upper arm unaffected

hand muscles are weak and grasp reflex might not be present

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17
Q

Moro reflex

A

when “drop baby” supine

babys arms abduct with fingers extended

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18
Q

transmission CMV

A

anytime during pregnancy

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19
Q

congenital CMV

A

preterm birth intrauterine growth retardation, microcephaly, poor feeding, lethargy, petechiae, “blueberry muffin”, jaundice, HSM, elevated liver enzymes, anemia, thrombocytopenia, intracranial calcifications, seizures, chorioretinitis

20
Q

how is CMV Dx

A

in urine, saliva and blood within 2 weeks of birth

21
Q

most common infecitous cause of sensorinural hearing loss in infants

A

CMV

22
Q

Screening for CMV

A

Ab testing before or early in pregnancy to document prior infection

23
Q

transmission HSV

A

perinatal through delivery

24
Q

noenatal HSV presentation

A

first 4 weeks
isolated mucocutaneous lesions, keratoconjunctivitis
encephalitis
disseminated disease

25
Q

Dx neonatal HSV

A

viral culture or fluorescent Ab testing

26
Q

EKG herpes

A

periodi epileptiform discharges

27
Q

transmission pravo virus

A

congenital infection with vertical transmission

28
Q

presentation parvo virus

A

hydrops fetalis

29
Q

dx parvo virus

A

maternal IgM and IgG levels

30
Q

Tx parvovorius

A

intrauterine blood transfusions and supportive care

31
Q

HIV transmission

A

anytime

32
Q

cpresentation neonatal HIV

A

lymphadenopathy, HSM, failure to thrive, developmental delay, encephalopathy, bacterial infections, opportunisitc infection and lymphoid interstitial penumonitis

33
Q

Dx HIV in neonate

A

HIV culture or PCR

34
Q

Prevention for neonatal HIV

A

mom takes zidovudine and then infant gets it for first 6 weeks of life

35
Q

contraindications for HIV mothers to newborn

A

breast feeding

36
Q

transmission varicella zoster

A

congenital anytime
neonatal acquired- delivery
acquired- through vesicular fluid, mucosa or infected respiratory secretions

37
Q

presentation congenital zoster

A

IUGR, cutaneous zig zag scarring, limb atrophy, ocular abnormalites (cataracts, chorioretinitis)

38
Q

presentatoin neonatal acquired varicella zoster

A

widespread cutnaeous lesions, penumonia, hepatitis, death in up to a third of infants

39
Q

prevention neonatal zoster

A

vaccination for mom prior to pregnancy or Tx if contract during pregnancy

40
Q

transmission rubella

A

any time

41
Q

presentation neonatal rubella

A

fetal demise, premature delivery and or congenital rubella syndrome: cataracts, sensorineural hearing loss, congenital cardiac defects and developmental delay

42
Q

Dx neonatal rubella

A

maternal Ab titers during pregnancy

43
Q

transmission syphilis

A

transplacental anytime during pregnancy

44
Q

presentation neonatal syphilis

A

fetal demise, premature delivery, anemia, thrombocytopenia, jaundice, snuggles, HSM, elevated liver enzymes, skeletal abnormalities, osteochondritis and periostitis

45
Q

Tx neonatal syphilis

A

penicillin G, aqeuous crystalline penicillin G IV or IM for 10-14 days

46
Q

transmission toxoplasmosis

A

anytime
lowest in first trimester and hightest in 3rd
severitiy highest in 1st trimester and lowest in 3rd

47
Q

presentation neonatal toxo

A

intracranial calcifications and chorioretinitis, anemia, jaundice, HSM, lymphadenopathy

shelf PEDS (13 decks)

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