Aquifer #1

Question 1

What is the most common cause of abdominal pain in school aged kids?

Answer 1

Functional abdominal pain

Question 2

What is the most common cause of microcytic anemia in children?

Answer 2

Iron deficiency

Question 3

What is the single greatest risk factor for the development of IBD?

Answer 3

Having a first degree relative who has it

Question 4

95% of kids typically walk between what age?

Answer 4

9 and 17 months

Question 5

What 5 domains are monitored/screened for in developmental monitoring of kids?

Answer 5

Gross motor, fine motor, communication, problem solving, personal/social

Question 6

At what 4 ages does the AAP recommend that developmental screening be performed?

Answer 6

9 months, 18 months, 24 months, and 30 months

Question 7

The AAP recommends routine screening or autism spectrum disorder in all children at what age?

Answer 7

18 and 24 month visits

Question 8

What is the most common motor disability in childhood?

Answer 8

Cerebral palsy

Question 9

Explain what spastic diplegia is and what condition increases its incidence?

Answer 9

Increased tone and spasticity, mostly in the LEs.

Premature baby

Question 10

3 components of intellectual disability?

Answer 10

Cognitive impairment, adaptive impairment (everyday activities), both presenting before 18

Question 11

What are 3 associated syndromes with intellectual disability and which one is most common?

Answer 11

Down syndrome, fragile x syndrome, and fetal alcohol syndrome.
Fragile x is most common

Question 12

What are 6 serious, don’t miss causes of ab pain in kids?

Answer 12

Appendicitis, bowel obstruction, DKA, HUS, myocarditis, and trauma

Question 13

What is the go to image modality for appendicitis in kids and then what is the follow up to confirm modality?

Answer 13

US

CT

Question 14

What is a very common cause of decline in hemoglobin for patients since being admitted to the hospital?

Answer 14

Phlebotomy

Question 15

What is the virus causing Mono and 3 symptoms?

Answer 15

Epstein Barr Virus

Fatigue, pharyngitis, and LAD

Question 16

What depression symptom is more commonly found in adults that is not found in adolescents?

Answer 16

Wakes early in the morning and has difficulty fall asleep at night

Question 17

What is the mnemonic for teenage screening and what does each letter stand for?

Answer 17

Heeadsss

Home, education/employment, eating disorders, activities, drugs, sexuality, suicide and depression, and safety.

Question 18

5 differentials for fatigue in a teenager?

Answer 18

Anemia, bleeding problem, hypothyroidism, depression, and substance abuse

Question 19

5 main steps of puberty for girls to remember in order?

6 steps for boys?

Answer 19

Breast buds, pubic hair appears, growth spurt, periods begin, adult height

Growth of testicles, pubic hair, growth of penis and scrotum, first ejaculations, growth spurt, adult height

Question 20

Another name for constitutional short stature?

Answer 20

Late bloomer

Question 21

What is the most common hereditary bleeding disorder and what is the inheritance?

Answer 21

Von willebrand

Autosomal dominant

Question 22

What is the most common cause of respiratory distress in premature infants?

Answer 22

RDS

Question 23

Transient tachypnea of the newborn is much more common in infants born in what 2 circumstances?

Answer 23

To mothers with diabetes and born by c section

Question 24

Pneumothorax in a baby is more likely in what 2 situations?

Answer 24

Premature infant with RDS and baby with meconium aspiration

Question 25

Hyperglycemia is a major factor of birth defects and the incidence of major malformations is directly related to what?

Answer 25

First trimester HbA1C levels

Question 26

2 respiratory problems in baby because of maternal diabetes?
3 respiratory problems in baby because of premature birth?
1 respiratory problem in baby because of c section?

Answer 26

RDS and TTN
RDS, pneumothorax, and sepsis
TTN

Question 27

What percentile is LGA?

Answer 27

Greater than 90

Question 28

3 classic symptoms of respiratory distress?

Answer 28

Tachypnea, retractions and grunting