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Med Skills > Child Growth exam > Flashcards

Child Growth exam Flashcards

1
Q

causes of swallowing difficulty

A

pain with eating

swallowing dysfunction

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2
Q

causes of decreased intake

A

swallowing difficulty

dietary limitation

psychosocial

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3
Q

causes of dietary limitations leading to decreased intake

A

decreased appetite

dietary restrictions (adolescences, 12+)

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4
Q

causes of psychosocial issues of decrease intake

A

poverty

behavioral

child neglect/abuse

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5
Q

cause of mouth soreness

A

stomatitis

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6
Q

pain with chewing

A

gingivitis

periodontitis

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7
Q

pain with swallowing

A

esophagitis

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8
Q

problems with coordination cause

A

cerebral palsy

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9
Q

muscle weakness cause

A

muscular dystrophy

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10
Q

causes of decreased appetite leading to dietary limitations leading to decreased intake

A

chronic dz

medications for seizures or hyperactivity

satiety from sugar

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11
Q

pain with eating causes

A

stomatitis (mouth soreness)

gingivitis (pain with chewing)

periodontitis (pain with chewing)

esophagitis (pain with swallowing)

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12
Q

causes of dietary restrictions leading to decreased intake

A

fad or health diets

irrational beliefs

anorexia nervosa

(only applies to adolescents)

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13
Q

swallowing dysfunction causes

A

cerebral palsy (coordination)

muscular dystrophy (muscle weakness)

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14
Q

poverty causes

A

homelessness

refugee status

poverty

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15
Q

behavioral causes of decreased intake

A

picky eater

feeding aversion

hyperactivity

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16
Q

causes of neglect leading to psychosocial-effected decreased intake

A

child neglect

child abuse

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17
Q

stomatitis question

A

Is your mouth sore?

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18
Q

gingivitis question

A

Does it hurt to chew?

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19
Q

periodontitis question

A

Does it hurt to chew?

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20
Q

esophagitis question

A

Does it hurt to swallow?

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21
Q

cerebral palsy question

A

Are there problems with coordination?

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22
Q

muscular dystrophy question

A

Is there muscle weakness?

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23
Q

chronic dz question

A

Are you followed for any medical conditions?

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24
Q

what medications to be looking out for which can cause dec appetite

A

medications for hyperactivity or seizures

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25
Q

satiety from sugar questions

A

Do you drink fruit juice or soda between meals?

Do you snack between meals?

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26
Q

fad or health diet questions

A

Do you avoid certain foods?

only applies to adolescents

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27
Q

irrational beliefs questions

A

Are there certain foods that you cannot eat?

only applies to adolescents

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28
Q

anorexia nervosa questions

A

Are you dissatisfied with your body size?

Does your weight affect the way you think about yourself?

(only applies to adolescents)

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29
Q

picky eater questions

A

Does the child refuse to eat certain foods?

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30
Q

feeding aversion questions

A

Is the child anxious at mealtime?

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31
Q

hyperactivity questions

A

Is the child busy with other activities at mealtime?

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32
Q

homelessness question

A

What is your family’s living situation?

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33
Q

refugee question

A

What is your family’s living situation?

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34
Q

poverty question

A

Are there times when members of your family are hungry?

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35
Q

child neglect questions

A

Who is at your house when you come home from school (when you get up in the morning, when you go to sleep at night?

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36
Q

child abuse questions

A

Have you ever been hurt by someone taking care of you?

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37
Q

increased intake causes

A

increased needs

increased losses

38
Q

hypermetabolism causes

A

inc metabolic rate

inc activity

39
Q

cytokines causes

A

chronic inflammation

chronic infection

40
Q

inc metabolic rate causes

A

congenital heart dz, other conditions

asthma, other conditions

hyperthryoidism

41
Q

congenital heart dz questions

A

Does the child have a heart condition?

42
Q

asthma questions

A

Does the child have a problem with their lungs?

43
Q

hyperthyroidism questions

A

Does the child have episodes of heart pounding?

Does the child have increased energy?

Does the child have sudden mood changes?

[Flighty - heart flutters, flits around, flipping emotions]

44
Q

causes of increased activity leading to increased needs

A

hyperactivity

attention deficit

45
Q

short attention span cause

A

attention deficit

46
Q

impulsivity cause

A

attention deficit

47
Q

attention deficit questions

A

Does the child have a short attention span and impulsivity?

48
Q

hyperactivity causing increased intake questions

A

Is the child fidgety and always ‘on the go’?

49
Q

chronic inflammatory dz causes

A

inflammatory bowel dz

cystic fibrosis

50
Q

what causes abd pain and diarrhea

A

inflammatory bowel dz

51
Q

what causes chronic cough and dyspnea

A

cystic fibrosis

52
Q

what causes sinus infections

A

cystic fibrosis

53
Q

cystic fibrosis questions

A

Has the child had a chronic cough and dyspnea?

Has the child had sinus infections?

54
Q

chronic infection causes

A

TB

chronic Hep B

primary immunodeficiency

HIV infection

55
Q

increased caloric needs causes

A

hypermetabolism

cytokines

56
Q

what causes a fever, cough, and weight loss

A

TB

57
Q

what causes abd pain and jaundice

A

chronic Hep B

58
Q

what causes recurrent infections of the ears, sinuses, skin, or lungs

A

primary immunodeficiency

59
Q

what causes swollen lymph nodes, mouth infections, and weight loss

A

HIV infection

60
Q

increased caloric losses causes

A

GI losses

renal losses

inborn errors of metabolism (only infants below age 2)

61
Q

GI losses causes

A

Celiac dz

inflammatory bowel dz

bulimia nervosa (only adolescents above age 12)

62
Q

causes of renal loss leading to increased caloric loss

A

chronic renal dz

DM

63
Q

inborn errors of metabolism causes

A

disorders of carbohydrate and lipid metabolism

only infants below age 2

64
Q

bulimia nevosa question

A

Have you made yourself “sick” because you feel uncomfortably full?

(only applies to adolescents)

65
Q

what makes pt’s vomit b/c they feel full

A

bulimia nervosa (only adolescents above age 12)

66
Q

eating disorders in general questions

A

Do you worry you have lost control over how much you eat?

only adolescents above age 12

67
Q

what causes chronic diarrhea and abd bloating

A

Celiac dz

68
Q

Celiac dz questions

A

Has the child had chronic diarrhea and abdominal bloating?

69
Q

inflammatory bowel disease questions

A

Has the child had bloody diarrhea and abdominal pain?

70
Q

what causes bloody diarrhea and abdominal pain

A

inflammatory bowel disease

71
Q

what causes chronic GI dz

A

Celiac dz

inflammatory bowel disease

72
Q

chronic renal dz causes

A

chronic renal insufficiency

nephrotic syndrome

73
Q

DM symptoms causes

A

poor control DM leading to high blood sugars

DM leading to increased susceptibility to infection

out of control DM leading to diabetic ketoacidosis

74
Q

what causes thirst and inc appetite

A

DM in poor control with high blood sugars

75
Q

what causes yeast infections or oral thrush

A

DM leading to increased susceptibility to infection

76
Q

what causes lethargy, rapid breathing, inc urine output, and abd pain

A

out of control DM leading to diabetic ketoacidosis

77
Q

out of control DM leading to diabetic ketoacidosis questions

A

Has the child had lethargy, rapid breathing, increased urine output, and abdominal pain?

78
Q

DM in poor control leading to high blood sugars questions

A

Has the child had inc thirst and inc appetite?

79
Q

DM leading to increased susceptibility to infection questions

A

Has the child had yeast infections or oral thrush?

80
Q

what causes fatigue, nausea, and decreased freq of urination

A

chronic renal insufficiency

81
Q

chronic renal insufficiency questions

A

Has the child had fatigue, nausea, and decreased frequency of urination?

82
Q

what causes swelling around the eyes, legs, or abd

A

nephrotic syndrome

83
Q

nephrotic syndrome questions

A

Has the child had swelling around the eyes, legs, or abdomen?

84
Q

what causes severe dehydration following minor illnesses

A

disorders of carbohydrate metabolism

only infants below age 2

85
Q

what causes hypoglycemia following a period of fasting

A

disorders of carbohydrate metabolism

only infants below age 2

86
Q

disorders of carbohydrate metabolism questions

A

Has the child had severe dehydration following minor illnesses?

Has the child had hypoglycemia following a period of fasting?

(only infants below age 2)

87
Q

gen PMHx questions

A

ongoing medical conditions

PSHx

hospitalizations

88
Q

PMHx medication questions

A

list of current medications

include any OTC meds and herbal remedies

89
Q

PMHx allegies questions

A

list any medical allergies and the type of reaction that occurred

90
Q

Social Hx questions

A

describe the socioeconomic situation and any stresses at home

91
Q

PFHx questions

A

Any hereditary conditions that run in the family

Med Skills (2 decks)

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