Clip cases Flashcards
1
Q
6 month gross motor
A
- rolls over
- sits unsupported
- no head lag when pulled to sit from supine
2
Q
6 month fine motor
A
- reaches for objects
- looks for dropped item
3
Q
6 month language
A
- turns toward voice
- bables
4
Q
6 month social adaptive
A
- feeds self
- stranger recognition
5
Q
When does moro reflex disappear
A
4 months
6
Q
What over the counter drug is contraindicated for vaccines
A
Acetaminophen
7
Q
12 month gross motor
A
- stands alone (may walk well)
8
Q
12 month fine motor
A
“neat” pincer grasp
- banging 2 cubes held in hands
9
Q
12 month language
A
“mama” and “dada” and 1 or 2 words
10
Q
12 month social
A
- points when wants something
- hands parent a book to read
- wave bye-bye
11
Q
urine or serum VMA/HVA measures what? what can it detect
A
- metabolites of catecholamines
- neuroblastoma
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
13
Q
neuroblastoma metastasizes where
A
bone
14
Q
Small round blue cells with dense nuclei forming small rosettes
A
- neuroblastoma
- Ewing’s sarcoma
- Medulloblastoma
15
Q
enlarged cells with intranuclear inclusion bodies seen in?
A
-CMV
16
Q
Sheets of lymphocytes with interspersed macrophages seen in
A
Burkitt lymphoma
17
Q
Doses of DTap
A
5
18
Q
doses of IPV
A
4
19
Q
doses of Hib
A
3 or 4
20
Q
doses of PCV12
A
4
21
Q
doses of MMR
A
2
22
Q
doses of Varicella
A
2
23
Q
Doses for Rotavirus
A
2 or 3
24
Q
doses of HepA
A
2
25
doses of HepB
3
26
risk for using a bottle at age 2
dental caries
27
When does child go to dentist
6 months of first tooth eruption or 1 year of age
28
3 year old social
- brush teeth with assistance
| - feeds self
29
3 year old communication
2-3 word sentences, majority understandable
30
4 year old social
- know gender
| - plays with other
31
4 year old communication
- states first and last name
| - most speech is understandable
32
5 year old social
- listens and attends
- tell difference between real and make believe
- shows sympathy
33
5 year old communication
- articulates well
- tells simple stories
- counts to 10
34
3 year old cognitive
Knows name and use of "cup, ball, spoon, crayon"
35
3 year old physical
- throws a ball overhand
| - rides tricycle
36
4 year old cognitive
- name colors
- aware of gender
- copies a cross
37
4 year old physical
- hops on one foot
- brushes teeth
- balances for 2 sec
38
5 year old cognitive
- draws a 6 body part person
| - prints some letters and numbers
39
5 year old physical
- balances on one foot
- hops and skips
- ties a knot
- mature pencil grip
40
treatment for eczema
- steroids
- topical anti-iflammaotires ( calcineruin inhibitors)
- antihistamines
41
calculation for BMI
weight in kg / height meters squared
42
adverse effects of ADHD medication
- appetite suppression
- tic disorder
- Insomnia
- Decrease in growth velocity
43
"white coat" hypertension
being at doctors office with high blood pressure
44
amphetamines mimic what molecules in the body
norepinephrine
45
HEEADASS
- Home
- Education/Employment
- Eating
- Activities
- Drugs
- Sexuality
- Suicide risk
- Safety
46
Depression symptoms more common in adults than adolescnets
- loosing sleep
47
common health problem in anorexia
bradycardia
48
girl starts puberty between what ages
8-13
49
Boys start puberty between what ages
10-15
50
Treatment for Von Willibrand deficiency
Desmopressin
51
Von Willibrand disease inheritance pattern
autosomal dominant
52
Tanner stage I female
- no pubic hair
| - no breast
53
Tanner stage II female
- breast bud from areola and begins to widen
| - some long hair on labia major
54
Tanner stage III
- breast buds elevated
| - Pubic hair extends more laterally and does not extend to mons pubis
55
Order of female development
- breast bud
- pubic hair
- growth spurt
- menarche
56
first sign of puberty in boys
testicular enlargement
57
Order of male development
- growth of testicles
- pubic hair
- growth of penis, scrotum
- first ejaculation
- growth spurt
58
If a patient faints and they do not have a loss of consciousness, do you do any diagnostic testing
no
59
Osgood-Schlatter disease
irrigation of the growth plate at the tibial tuberosity
60
Most common cause of chest pain in children
Musculoskeletal
61
Precordial catch syndrome
- sudden, sporadic onset of sharp chest pain
- exacerbated with deep inspiration
- not associated with exercise
62
CRAFFT
- Car
- relax
- Alone
- Forget
- Friends
- Trouble
63
Vaccines given to 11 year old
- HPV
- Meningococcal
- Tdap
64
transient tachypnea of the newborn TTN is associated with what maternally
maternal diabetes
65
two risk factors for jaundice in infant
- breastfeeding
| - mediterranean ethnicity
66
urticaria
hives: pruritic, wheal
67
what cause papular urticria
insect bite
68
example of rash that comes and goes
acute urticaria
69
what is the case of seborrheic dermatitis in older patients
Malassezia
70
How does acne start
Comedones
- open ( blackheads)
- closed (whiteheads)
71
Pseudofolliculitis location?
adjacent to hair follicles, next to beard
72
first line treatment for lice
permethrin
73
Do not treat tinea with
steroids
74
Pityriasis alba ?
patches of hypo pigmentation on the face, neck, and upper trunk
75
Pityriasis rosea
scaly papules and plaques in "christmas tree" distribution on back
76
best treatment for warts before seeing doctor
Salicylic acid
77
3 common causes of diaper rash
1. irritant dermatitis
2. Diaper candidiasis
3. Bacterial infection
78
2 causes of diaper rash
1. zinc deficiency
| 2. langerhans cell histocytosis
79
which starling pressure is impacted when serum albumin concentrations decrease
lowering of plasma colloid osmotic pressure
80
why does patient have low sodium in nephrotic syndrome
- fluid overload
| - pseudohyponatremia, caused by hyperlipidemia
81
how is primary nephrotic syndrome treated
- corticosteroids
| - sodium restriction to a level of 1500-200 mg daily
82
risk of giving furosemide to nephrotic patient
- shock
83
common cause of nephrotic syndrome in children
minimal change disease
84
Difference between nephrotic syndrome and acute glomerulonephritis
nephrotic: normal BP and no cola colored urine
85
FSA
sickle cell beta thalassemia
86
FSC
sickle cell hemoglobin C disease
87
FS
baby's hemoglobin gene mutation for hemoglobin S
88
2 most common surgeries in children with sickle cell disease
- tonsillectomy
| - cholecystectomy
89
Why is penicillin given to children with sickle cell disease on a prophylactic basis
to prevent infection that can lead to sepsis
90
When is Haemophilus Influenzae type b conjugate vaccine givven
2,4,6 months
91
when is 12-valent pneumococcal conjugate vaccine given
2,4,6 months
92
what is the cation for using narcotic analgesia in sickle cell patients
narcotics are respiratory depressants
93
incentive spirometer helps preven what
atelectasis
94
treatment for acute chest syndrome for sickle celled kids
- RBC transfusion
| - antibiotics
95
standard laboratory diagnosis of Down syndrome
Lymphocyte karyotype
96
Which newborn screening test is most likely to be abnormal in an infant with Down Syndrome
Hypothyroidism
97
Another name for Trisomy 13
Patau syndrome
98
Endocardial cushion defects?
VSD, and ASD or complete atrioventricular canal defect
99
renal abnormalities, lymphedema ( edema of hands and feet), dental carries, cystic hygromas?
turner syndrome
100
4 thing you can do to diagnostically diagnose Cerebral palsy
1. MRI
2. hearing evaluation
3. vision evaluation
4. Formal developmental testing
101
Spastic quadriplegia
- entire body
- global brain abnormalities
- various clinical scenarios
102
Spastic diplegia
- legs greater than arms
- pre ventricular white matter abnormality
- premature infants
103
Dyskinetic cerebral palsy
- variable body involvement
- basal ganglia, cerebellum/thalamus abnormatliiies
- perinatal asphyxia, kernicterus
104
Spastic hemiplegia
- arm and leg on one side
- unilateral UMN abnormalitiels
- Stroke
105
Ataxic cerebal palsy
- entire body
- cerebellar abnormalities
- cerebellar hypoplasia, pontocerebellar hypoplasia
106
Most common cause of abdominal pain in school-age children
functional abdominal pain
107
2 studies that are helpful to confirm IBD
- Colonoscopy
| - upper endoscopy
