Development and Primary Care in Peds

Question 1

disconjugate gaze disappears by

Answer 1

3-4 month

Question 2

vision screening in peds

Answer 2

age 3-5

Question 3

Scaphocephaly

Answer 3

premature fusion of sagittal suture

long, narrow head

Question 4

Anterior Plagiocephaly

Answer 4

premature closure of coronal suture

drawn up eye on affected side

Question 5

Brachycephaly

Answer 5

Bilateral closure of coronal suture

Question 6

Trigonocephaly

Answer 6

premature closure of metopic suture

Question 7

Posterior Positional Plagiocephaly- Appearance

Answer 7

anterior displacement of ipsilateral ear
ipsilateral frontal prominence
contralateral occipital prominence

Question 8

Posterior Plagiocephaly - Appearance

Answer 8

posterior displacement of ipsilateral ear

contralateral frontal prominence

Question 9

Age for Lifting Head

Answer 9

2 months

Question 10

Age for Lack of Head Lag when sitting

Answer 10

4 months

Question 11

Rolling Front to Back, then Back to front

Answer 11

4-5 months, 5-6 months

Question 12

Sitting with support and without support

Answer 12

6 months, 7 months

Question 13

Draws a Circle

Answer 13

3 years

Question 14

Draws a Cross

Answer 14

3-4 years

Question 15

Draws a Square

Answer 15

4 years

Question 16

Draws a Triangle

Answer 16

5 years

Question 17

Draws a Diamond

Answer 17

6 years

Question 18

Pulls to Stand

Answer 18

9 months

Question 19

Walking - Age

Answer 19

~13 months

Question 20

Separation Anxiety

Answer 20

6-12 months

Question 21

Puberty in Females

Answer 21

8-13

Question 22

Puberty in Males

Answer 22

9-14

Question 23

Workup for premature adrenarche

Answer 23

DHEAS, testosterone, 17OHP

bone age

Question 24

Pincer Grasp

Answer 24

by 10 months

fine grasp by 12 months (1 finger + thumb)

Question 25

Cruising at age

Answer 25

11 months

Question 26

Primary Amenorrhea

Answer 26

no menses by age 15 or 3 years after secondary sex characteristics

Question 27

Secondary Amenorrhea

Answer 27

no menstration for three months or 6 months if irregular cycles

Question 28

Progesterone Challenge

Answer 28

10d of MP = withdrawal bleeding
positive = menstratution (prog def)
negative = low estrogen or outflow obstruction

Question 29

Primary Amenorrhea, increased FSH

Answer 29

ovarian failure (hypergonadotropic hypogonadism)

Question 30

Primary Amenorrhea, decreased FSH

Answer 30

pituitary or hypothalamic, hypogonadotropic hypogonadism)

Question 31

Weight doubles, triples, quadruples….

Answer 31

1-2-4
Doubles at 4 months
Triples at 1 year
Quadx at 2 years

Question 32

Height doubles, triples…

Answer 32

Doubles at 4 years

Triples at 13 years