A

Question 1

when to primary teeth erupt

Answer 1

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

Question 2

leading cause of death through 4 mo old

Answer 2

SIDS

Question 3

after 4 mo leading cause of death

Answer 3

trauma with MVA being number 1 and drowning 2

Question 4

best indicator for intellectual potential

Answer 4

language

Question 5

full set of primary teeth by what age

Answer 5

25-33 months

Question 6

M-CHAT test

Answer 6

autism spectrum screening

Question 7

most common cause conductive hearing loss in children

Answer 7

otitis media with effusions

Question 8

milia

Answer 8

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

Question 9

infantile seborrhea

Answer 9

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

Question 10

neonatal acne

Answer 10

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

Question 11

rhonchi in neonate

Answer 11

normal if hours after delivery because of residual amniotic fluid

Question 12

scaphoid abdomen

Answer 12

diaphragmatic hernia

Question 13

umbilical hernias

Answer 13

generally benign and resolve in most cases

Question 14

what are hydroceles from

Answer 14

remnants proces vaginalis

Question 15

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

Answer 15

erbs palsy

damaged C5 C6

Question 16

klumpke palsy

Answer 16

upper arm unaffected

hand muscles are weak and grasp reflex might not be present

Question 17

Moro reflex

Answer 17

when “drop baby” supine

babys arms abduct with fingers extended

Question 18

transmission CMV

Answer 18

anytime during pregnancy

Question 19

congenital CMV

Answer 19

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

Question 20

how is CMV Dx

Answer 20

in urine, saliva and blood within 2 weeks of birth

Question 21

most common infecitous cause of sensorinural hearing loss in infants

Answer 21

CMV

Question 22

Screening for CMV

Answer 22

Ab testing before or early in pregnancy to document prior infection

Question 23

transmission HSV

Answer 23

perinatal through delivery

Question 24

noenatal HSV presentation

Answer 24

first 4 weeks
isolated mucocutaneous lesions, keratoconjunctivitis
encephalitis
disseminated disease

Question 25

Dx neonatal HSV

Answer 25

viral culture or fluorescent Ab testing

Question 26

EKG herpes

Answer 26

periodi epileptiform discharges

Question 27

transmission pravo virus

Answer 27

congenital infection with vertical transmission

Question 28

presentation parvo virus

Answer 28

hydrops fetalis

Question 29

dx parvo virus

Answer 29

maternal IgM and IgG levels

Question 30

Tx parvovorius

Answer 30

intrauterine blood transfusions and supportive care

Question 31

HIV transmission

Answer 31

anytime

Question 32

cpresentation neonatal HIV

Answer 32

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

Question 33

Dx HIV in neonate

Answer 33

HIV culture or PCR

Question 34

Prevention for neonatal HIV

Answer 34

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

Question 35

contraindications for HIV mothers to newborn

Answer 35

breast feeding

Question 36

transmission varicella zoster

Answer 36

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

Question 37

presentation congenital zoster

Answer 37

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

Question 38

presentatoin neonatal acquired varicella zoster

Answer 38

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

Question 39

prevention neonatal zoster

Answer 39

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

Question 40

transmission rubella

Answer 40

any time

Question 41

presentation neonatal rubella

Answer 41

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

Question 42

Dx neonatal rubella

Answer 42

maternal Ab titers during pregnancy

Question 43

transmission syphilis

Answer 43

transplacental anytime during pregnancy

Question 44

presentation neonatal syphilis

Answer 44

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

Question 45

Tx neonatal syphilis

Answer 45

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

Question 46

transmission toxoplasmosis

Answer 46

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

Question 47

presentation neonatal toxo

Answer 47

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