Common Concerns Of Parents

Question 0

What is a likely diagnosis for an infant who cries excessively and becomes diaphoretic during feeding?

Answer 0

Anomalous left artery

Question 1

What are Wessel’s rule of 3’s of colic?

Answer 1

Crying > 3 hours a day for > 3 days a week for > 3 weeks

Question 2

Colic usually resolves by what age?

Answer 2

3 months but 1/3 persists until 4 months

Question 3

When do night terror occur?

Answer 3

Abrupt arousal from stage ND3 sleep

Question 4

During what stage of sleep does sleep walking occur?

Answer 4

Stage ND3

Question 5

Sleep talking occurs during what stage of sleep?

Answer 5

All stages

Question 6

What is the definition of deafness?

Answer 6

Hearing loss > 90 dB

Question 7

What is the most common cause of conductive hearing loss?

Answer 7

Fluid in the middle ear.

Question 8

What is sensorineural hearing loss?

Answer 8

Dysfunction of the sensory epithelium, the cochlea, or neural pathways to the auditory cortex.

Question 9

Severe or profound hearing loss is usually what type?

Answer 9

Sensorineural and usually affects high frequency

Question 10

What is the most common reason for hearing loss?

Answer 10

50% are inherited with 80% autosomal recessive, 18% dominant, and 2% X-linked.

Question 11

What are the common infections causing hearing loss?

Answer 11

CMV and toxoplasmosis

Question 12

What is the usual cause of a shallow tympani grams?

Answer 12

Associated with ossicular fixation or TM scarring, not due to middle ear effusion

Question 13

What is the usual reason for a disarticulation type of tympani gram?

Answer 13

Ossicular disarticulation. Here the peak pressure is very high

Question 14

What is the reason for a finding a type B retracted, poorly mobile tympani gram?

Answer 14

Negative middle ear pressure

Question 15

What is the reason for a type C negative pressure tympani gram?

Answer 15

Eustachian tube dysfunction, a small broad peak to the left. This would show conductive loss

Question 16

What is visual accommodation?

Answer 16

Ability to focus intraocolar lens to near-viewing and is present at birth but inaccurate until 2-3 months

Question 17

Are term babies far- or near sights?

Answer 17

Hyperopia or farsighted

Question 18

Are premie babies far or near-sighted?

Answer 18

Myopic or near-sighted

Question 19

When does color discrimination occur?

Answer 19

Starts at about 2 weeks of age and improves over the next 3 months.

Question 20

What is the definition of strabismus?

Answer 20

Misalignment of the eyes-esotropia,exotropia, hypertrophic (upward), or downward (hypotonia).

Question 21

What is the most common cause of vision loss

Answer 21

Amblyopia- loss of visual acuity not due to ocular pathology and is not corrected by glasses or contact lenses

Question 22

What are the most common causes of amblyopia?

Answer 22

Strabismus and anisometropia (unequal refraction between eyes)

Question 23

When does the ability to match colors occur?

Answer 23

By 2 years

Question 24

Are boys or girls more affected by color blindness?

Answer 24

By 2 years, boys (8-10%) > girls (0.5% girls. X- linked

Question 25

What is protan and debutant defects?

Answer 25

Blue-green blindness

Question 26

What are the usual age and weight for ROP?

Answer 26

< 30 weeks and < 1,250 gm

Question 27

What would a white pupil or leukokoria suggest?

Answer 27

Retinoblastoma, most often caused by a 13q deletion.

Question 28

Is any type of physical punishment acceptable according to the AAP?

Answer 28

No

Question 29

At what age does separation anxiety become noticeable?

Answer 29

6 months and ends by age 3 years

Question 30

At what age does body rocking occur?

Answer 30

6 months in 5-20% of children

Question 31

At what age does head banging occur?

Answer 31

8-9 months of age and stops by age 4 years.

Question 32

At what age do most children stop sucking their thumb?

Answer 32

By age 4 years.

Question 33

Should evaluation for other problems be considered in a thumb sucking adolescent girl?

Answer 33

Yes may indicate underlying psychological psych problem.

Question 34

Is their a sex difference in nail biting?

Answer 34

Between 5-10 boys=girls, but after 10, boys outnumber girls

Question 35

What abnormal behavior should make you concerned of possible abuse?

Answer 35

Imitation of sexual intercourse, doll play of any sexual act.

Question 36

What is meant by gender identity disorder?

Answer 36

Children who truly believe they are the opposite of their genetic sex.

Question 37

Homosexual youth make up a large percentage of homeless youth?

Answer 37

Yes, estimated 25-40%

Question 38

What are growing pains?

Answer 38

Benign limb pains, they occur often late in the day or middle of the night and have no joint involvement.

Question 39

What type of pain presents with severe night time pain and responds to NSAIDS but not Tylenol?

Answer 39

Osteitis ostoma

Question 40

What is osteitis osteoma?

Answer 40

Benign lesion most often in the proximal femur followed by the tibia.

Question 41

What is Osgood-Schlatter disease?

Answer 41

Repetitive stress injury to the patellar tendon as it inserts to the tibial tubercle.

Question 42

What is Legg-Calve-Perthes disease?

Answer 42

Partial or complete idiopathic avascular necrosis of the femoral head

Question 43

What is Slipped capital femoral epiphysis?

Answer 43

The slipping of the epiphysis off the metaphysics. Usually an obese adolescent African American

Question 44

What are the clinical findings of ADHD?

Answer 44

Distract able, impulsive, hyperactive, disorganized emotional lability.

Question 45

Do children with conduct disorder have remorse for their behavior?

Answer 45

They lack guilt or remorse

Question 46

What is obsessive-compulsiveness?

Answer 46

When rituals and superstitions loose their age appropriateness.

Question 47

What are the characterizations of obsessions?

Answer 47

Persistent and recurrent, must be involuntary.

Question 48

Are there conditions where OCD symptoms get worse?

Answer 48

Group A step-PANDAS

Question 49

What is the definition of obesity?

Answer 49

> 120% of the median weight for height, or BMI > 95th%

Question 50

What is the definition of over weight?

Answer 50

BMI is 85% - 95%

Question 51

What are the two most common causes of amblyopia?

Answer 51

Strabismus and anisometropia (unequal refractive error between eyes)