Clipp 4: 8 year old WCC/Obesity

Question 1

What is considered obese for children?

Answer 1

BMI >95% for age

Question 2

Weight age/height age?

Answer 2

Age at which the pt’s Weight/Height would plot at the 50th percentile

Question 3

What % of kids respond to methylphenidate for ADHD?

Answer 3

80%

Question 4

3 adverse effects of ADHD/stimulant drugs?

Answer 4

Decreased appetite
Insomnia
Decreases growth velocity

Question 5

Criteria for type 2 dm?

Answer 5

A1C: 6.5%
Fasting plasma glucose: >126
Two-hour plasma glucose: > 200 (oral gtt with 75g glucose)

Question 6

Screening guidelines for children at risk for DM II?

Answer 6

Every 3 years for children at risking beginning age 10 or at the onset of puberty, whichever comes first

Question 7

Percentiles for classification of blood pressure?

Answer 7

<90 - normal
90-95th: prehypertension
95-99th + 5mm: Stage 1 hypertension
>99th +5mmHg: Stage 2 hypertension

Question 8

UTIs in childhood and hypertension?

Answer 8

UTIs in childhood are one of the leading causes of hypertension and renal insufficiency later in life. This is due to renal scarring following the infection

Question 9

Two causes of catecholamine excess causing secondary hypertension?

Answer 9

Pheochromocytoma

Neuroblastoma

Question 10

Flu vaccination schedule for kids?

Answer 10

<9, two doses, 1 month apart

Question 11

Diagnostic criteria for ADHD?

Answer 11

6 or more symptoms present in 2+ setting for 6 months+