CLIPP 3 Flashcards

1
Q

at what ages/age do/does vision screening w/ a chart, and audiometry, begin?

A

3,4

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2
Q

what is a risk factor for dental carie

A

using bottle at age 2

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3
Q

when should kid first go to dentist

A

within 6 months of the first tooth eruption or by one year of age. Additionally, the AAP states that all children should be screened by 6 months to see if they are at a higher risk of developing caries. Your community, however, may not have a pediatric dentist. Also, many general dentists feel that the first visit should be at age 3 years.
This is an unresolved issue between general and pediatric dentists.

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4
Q

when should you be in a forward facing carseat in rear seats?

A

> 24mos or outgrown weight/ht requirements of carseat

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5
Q

when to stay in booster seat until

A

until 142 inches/4’9’’

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6
Q

socio emotional for 3, 4, 5 yo

A

3: dresses and feeds
4: age, gender, friendly to others, plays w/ others
5: listens/attends, can distinguish real vs make belief, shows sympathy

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7
Q

communication for 3, 4, 5 yo

A

3: 2-3 word sentences, 75% understandable
4: first and last name, sings song, most speech understandable
5: aticulates, tells simple story w full sentences, tenses/pronouns , counts to 10, follows simple sentences

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8
Q

cognitive for 3, 4, 5 yo

A

3: knows name and use of ball, spoon, cup, crayon
4: names colors, aware of gender, board games, copies a cross, draw person w/ 3 parts
5: letters/#, person w/ 6 parts, copies squares/triangels

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9
Q

physical for 3, 4, 5 yo

A

3: tower of 6-8 cubes, rides bike, copies circle, throws overhand
4: hops on foot, balances on 1 for 2 sec , mashes/pours food, brushes teeth
5: hops, skips, balances on one foot, mature pencil grasp, undresses/dresses w/ little help, tie knot, copy squares,

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10
Q

guttate psoriadsis

A

looks like droplets, precipitated often by strep

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11
Q

eczema nickanme

A

the itch that rashes

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12
Q

eczema tx

A

topical (rx bc OTC too weak) hydrocortizone, anti histamines, possibly calcienuriin inhbiitiors

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13
Q

kids should be limited to __ juice per day

A

no more than 4-6 oz/day

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14
Q

when should bottle be discontinued

A

between 12-15 months

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15
Q

how does fluoride prevent dental caries

A

promoting re-mineralization of calcium into the enamel

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16
Q

what is shotty LAD

A

(pea or marble-sized, nontender, easily mobile lymph nodes that are not fixed to surrounding structures) in the anterior and occasionally posterior cervical chain. These are normal in the cervical and inguinal chains in children and may persist for years.

17
Q

most common gait variation in kids

A

in-toeing due to tibial torsion, most spontaouelsy resolves by 8 yo but if not by 4, refer to ortho

18
Q

sids affects which age group

A

babies <1yo (infants)

19
Q

SCREENING for anemia is…

A

at 12 months and kindergarten/preschool entry - don’t necessarily need a cbc for this unless other factors warrant it, can just do fingerstick hgb test

20
Q

lead poisoning RFs

A

at risk housing, mouthing objects, immigrant (kids from certain countries are more at risk)
Risk of lead poisoning is increased in patients who live in homes built before the 1950s. Additionally, this patient does not complain of other symptoms suggestive of lead poisoning: weight loss, lethargy, vomiting, and learning difficulties.

21
Q

retic count in increased destruction, decreased production, and blood loss

A

high, low, high

22
Q

side effect of iron defieicny

A

cognitive impact

23
Q

jump in place at what age

A

30 month milestone

24
Q

overhand ball throw

A

expecreed at 24months

25
Q

two key things at 24 months socially

A

parallel play, listen to story

26
Q

fine motor skills at 24 months

A

can hold pencil, immature grip, imitates pencil strokes. can remove pants and socks but needs help w/ some aspects of undressing

27
Q

24 month two key things language

A

inappropriate pronounce use, can follow two step commands (take a book, put it on shelf)

28
Q

goats milk diet can –>

A

folate deficiency