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Pediatrics Rotation > Clip cases > Flashcards

Clip cases Flashcards

1
Q

6 month gross motor

A
  • rolls over
  • sits unsupported
  • no head lag when pulled to sit from supine
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2
Q

6 month fine motor

A
  • reaches for objects

- looks for dropped item

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3
Q

6 month language

A
  • turns toward voice

- bables

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4
Q

6 month social adaptive

A
  • feeds self

- stranger recognition

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5
Q

When does moro reflex disappear

A

4 months

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6
Q

What over the counter drug is contraindicated for vaccines

A

Acetaminophen

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7
Q

12 month gross motor

A
  • stands alone (may walk well)
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8
Q

12 month fine motor

A

“neat” pincer grasp

- banging 2 cubes held in hands

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9
Q

12 month language

A

“mama” and “dada” and 1 or 2 words

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10
Q

12 month social

A
  • points when wants something
  • hands parent a book to read
  • wave bye-bye
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11
Q

urine or serum VMA/HVA measures what? what can it detect

A
  • metabolites of catecholamines

- neuroblastoma

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12
Q

Some things an 18 month can do

A
  • walk backwards
  • majority can run
  • scribble
  • build a tower of 2 cubes
  • 3-6 words
  • remove garments
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13
Q

neuroblastoma metastasizes where

A

bone

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14
Q

Small round blue cells with dense nuclei forming small rosettes

A
  • neuroblastoma
  • Ewing’s sarcoma
  • Medulloblastoma
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15
Q

enlarged cells with intranuclear inclusion bodies seen in?

A

-CMV

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16
Q

Sheets of lymphocytes with interspersed macrophages seen in

A

Burkitt lymphoma

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17
Q

Doses of DTap

A

5

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18
Q

doses of IPV

A

4

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19
Q

doses of Hib

A

3 or 4

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20
Q

doses of PCV12

A

4

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21
Q

doses of MMR

A

2

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22
Q

doses of Varicella

A

2

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23
Q

Doses for Rotavirus

A

2 or 3

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24
Q

doses of HepA

A

2

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25
Q

doses of HepB

A

3

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26
Q

risk for using a bottle at age 2

A

dental caries

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27
Q

When does child go to dentist

A

6 months of first tooth eruption or 1 year of age

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28
Q

3 year old social

A
  • brush teeth with assistance

- feeds self

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29
Q

3 year old communication

A

2-3 word sentences, majority understandable

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30
Q

4 year old social

A
  • know gender

- plays with other

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31
Q

4 year old communication

A
  • states first and last name

- most speech is understandable

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32
Q

5 year old social

A
  • listens and attends
  • tell difference between real and make believe
  • shows sympathy
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33
Q

5 year old communication

A
  • articulates well
  • tells simple stories
  • counts to 10
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34
Q

3 year old cognitive

A

Knows name and use of “cup, ball, spoon, crayon”

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35
Q

3 year old physical

A
  • throws a ball overhand

- rides tricycle

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36
Q

4 year old cognitive

A
  • name colors
  • aware of gender
  • copies a cross
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37
Q

4 year old physical

A
  • hops on one foot
  • brushes teeth
  • balances for 2 sec
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38
Q

5 year old cognitive

A
  • draws a 6 body part person

- prints some letters and numbers

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39
Q

5 year old physical

A
  • balances on one foot
  • hops and skips
  • ties a knot
  • mature pencil grip
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40
Q

treatment for eczema

A
  • steroids
  • topical anti-iflammaotires ( calcineruin inhibitors)
  • antihistamines
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41
Q

calculation for BMI

A

weight in kg / height meters squared

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42
Q

adverse effects of ADHD medication

A
  • appetite suppression
  • tic disorder
  • Insomnia
  • Decrease in growth velocity
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43
Q

“white coat” hypertension

A

being at doctors office with high blood pressure

44
Q

amphetamines mimic what molecules in the body

A

norepinephrine

45
Q

HEEADASS

A
  • Home
  • Education/Employment
  • Eating
  • Activities
  • Drugs
  • Sexuality
  • Suicide risk
  • Safety
46
Q

Depression symptoms more common in adults than adolescnets

A
  • loosing sleep
47
Q

common health problem in anorexia

A

bradycardia

48
Q

girl starts puberty between what ages

A

8-13

49
Q

Boys start puberty between what ages

A

10-15

50
Q

Treatment for Von Willibrand deficiency

A

Desmopressin

51
Q

Von Willibrand disease inheritance pattern

A

autosomal dominant

52
Q

Tanner stage I female

A
  • no pubic hair

- no breast

53
Q

Tanner stage II female

A
  • breast bud from areola and begins to widen

- some long hair on labia major

54
Q

Tanner stage III

A
  • breast buds elevated

- Pubic hair extends more laterally and does not extend to mons pubis

55
Q

Order of female development

A
  • breast bud
  • pubic hair
  • growth spurt
  • menarche
56
Q

first sign of puberty in boys

A

testicular enlargement

57
Q

Order of male development

A
  • growth of testicles
  • pubic hair
  • growth of penis, scrotum
  • first ejaculation
  • growth spurt
58
Q

If a patient faints and they do not have a loss of consciousness, do you do any diagnostic testing

A

no

59
Q

Osgood-Schlatter disease

A

irrigation of the growth plate at the tibial tuberosity

60
Q

Most common cause of chest pain in children

A

Musculoskeletal

61
Q

Precordial catch syndrome

A
  • sudden, sporadic onset of sharp chest pain
  • exacerbated with deep inspiration
  • not associated with exercise
62
Q

CRAFFT

A
  • Car
  • relax
  • Alone
  • Forget
  • Friends
  • Trouble
63
Q

Vaccines given to 11 year old

A
  • HPV
  • Meningococcal
  • Tdap
64
Q

transient tachypnea of the newborn TTN is associated with what maternally

A

maternal diabetes

65
Q

two risk factors for jaundice in infant

A
  • breastfeeding

- mediterranean ethnicity

66
Q

urticaria

A

hives: pruritic, wheal

67
Q

what cause papular urticria

A

insect bite

68
Q

example of rash that comes and goes

A

acute urticaria

69
Q

what is the case of seborrheic dermatitis in older patients

A

Malassezia

70
Q

How does acne start

A

Comedones

  • open ( blackheads)
  • closed (whiteheads)
71
Q

Pseudofolliculitis location?

A

adjacent to hair follicles, next to beard

72
Q

first line treatment for lice

A

permethrin

73
Q

Do not treat tinea with

A

steroids

74
Q

Pityriasis alba ?

A

patches of hypo pigmentation on the face, neck, and upper trunk

75
Q

Pityriasis rosea

A

scaly papules and plaques in “christmas tree” distribution on back

76
Q

best treatment for warts before seeing doctor

A

Salicylic acid

77
Q

3 common causes of diaper rash

A
  1. irritant dermatitis
  2. Diaper candidiasis
  3. Bacterial infection
78
Q

2 causes of diaper rash

A
  1. zinc deficiency

2. langerhans cell histocytosis

79
Q

which starling pressure is impacted when serum albumin concentrations decrease

A

lowering of plasma colloid osmotic pressure

80
Q

why does patient have low sodium in nephrotic syndrome

A
  • fluid overload

- pseudohyponatremia, caused by hyperlipidemia

81
Q

how is primary nephrotic syndrome treated

A
  • corticosteroids

- sodium restriction to a level of 1500-200 mg daily

82
Q

risk of giving furosemide to nephrotic patient

A
  • shock
83
Q

common cause of nephrotic syndrome in children

A

minimal change disease

84
Q

Difference between nephrotic syndrome and acute glomerulonephritis

A

nephrotic: normal BP and no cola colored urine

85
Q

FSA

A

sickle cell beta thalassemia

86
Q

FSC

A

sickle cell hemoglobin C disease

87
Q

FS

A

baby’s hemoglobin gene mutation for hemoglobin S

88
Q

2 most common surgeries in children with sickle cell disease

A
  • tonsillectomy

- cholecystectomy

89
Q

Why is penicillin given to children with sickle cell disease on a prophylactic basis

A

to prevent infection that can lead to sepsis

90
Q

When is Haemophilus Influenzae type b conjugate vaccine givven

A

2,4,6 months

91
Q

when is 12-valent pneumococcal conjugate vaccine given

A

2,4,6 months

92
Q

what is the cation for using narcotic analgesia in sickle cell patients

A

narcotics are respiratory depressants

93
Q

incentive spirometer helps preven what

A

atelectasis

94
Q

treatment for acute chest syndrome for sickle celled kids

A
  • RBC transfusion

- antibiotics

95
Q

standard laboratory diagnosis of Down syndrome

A

Lymphocyte karyotype

96
Q

Which newborn screening test is most likely to be abnormal in an infant with Down Syndrome

A

Hypothyroidism

97
Q

Another name for Trisomy 13

A

Patau syndrome

98
Q

Endocardial cushion defects?

A

VSD, and ASD or complete atrioventricular canal defect

99
Q

renal abnormalities, lymphedema ( edema of hands and feet), dental carries, cystic hygromas?

A

turner syndrome

100
Q

4 thing you can do to diagnostically diagnose Cerebral palsy

A
  1. MRI
  2. hearing evaluation
  3. vision evaluation
  4. Formal developmental testing
101
Q

Spastic quadriplegia

A
  • entire body
  • global brain abnormalities
  • various clinical scenarios
102
Q

Spastic diplegia

A
  • legs greater than arms
  • pre ventricular white matter abnormality
  • premature infants
103
Q

Dyskinetic cerebral palsy

A
  • variable body involvement
  • basal ganglia, cerebellum/thalamus abnormatliiies
  • perinatal asphyxia, kernicterus
104
Q

Spastic hemiplegia

A
  • arm and leg on one side
  • unilateral UMN abnormalitiels
  • Stroke
105
Q

Ataxic cerebal palsy

A
  • entire body
  • cerebellar abnormalities
  • cerebellar hypoplasia, pontocerebellar hypoplasia
106
Q

Most common cause of abdominal pain in school-age children

A

functional abdominal pain

107
Q

2 studies that are helpful to confirm IBD

A
  • Colonoscopy

- upper endoscopy

Pediatrics Rotation (19 decks)

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