Flashcards
A child presents 4 months of age for his first vaccination. Which common vaccine is now too late to give?
Rotavirus
- First must be given by 15 weeks of age or the series can’t be given at all.
- Final dose can’t be given after 8 months, 0 days.
A 3 month old with SCID presents for his first set of immunizations. Which commonly given immunization is contraindicated in him?
Rotavirus
What should the hot water heater be set to at home when there is an infant?
120 F or less
A 10 year old’s permanent tooth is knocked out while playing in the backyard. The mother calls you and asks you what to do. She is not able to re-implant the tooth because the child is uncooperative. You get in touch with a dentist on call, and he will meet them soon at his office. You tell her to bring that to in a solution of what common household item?
Cold milk
Other options:
- Hank’s Balanced Salt Solution
- Save-a-Tooth solution
- Cold milk
- Less good options
- Saliva
- physciologic saline
- isotonic saline
What is the formula for BMI?
Weight (kg) / Height (m)2
What p value is considered statistically significant?
p ≤ 0.05
If you suspected a language disorder, what is the first test to order?
Hearing screen
A child was born with a large head (but within normal range.) At three months of age, he presents with a head circumference that exceeds the 98th percentile at has macrocephaly. Radiologic study confirms isolated enlargement of the subarachnoid space. What is the recommended treatment?
Reassurance
- Benign condition
- Seen more commonly and boys
- Also frequently seen in the father
If an infant presents with abnormally slow head growth or absolute microcephaly, what is the best diagnostic tests to order?
MRI or CT of the head
A premature neonate presents with possible macrocephaly. What is the diagnostic test of choice?
Head ultrasound
What is the most common reason for failure to thrive?
In adequate consumption of calories
A 15-year-old boy with history of cochlear implants presents for evaluation. You notes that he received PCV7 and PPSV23 three years ago. What vaccine, if any, should he received today, remembering that he’s 15 years old?
PCV13
- A single dose of PCV13 can be given for children aged 6 to 18 who have not received it previously add are at increased risk of invasive pneumococcal disease.
- Remember to repeat PPSV23 5 years after the first dose if the child remains high risk.
- Risk factors:
- Asplenia
- Sickle cell
- HIV
- Cochlear implant
What is the only vaccine currently recommended at birth?
Hepatitis B
What is the only live vaccine given before 12 months of age?
Rotavirus
Can someone with an egg allergy receive MMR?
Yes
- Egg allergy is no longer a contraindication to MMR vaccine.
A child lives with an HIV infected sibling in the household. Should the child receiving OPV?
No.
- You cannot expose an immunocompromised child to oral polio vaccine, or other live, attenuated vaccines.
What supplements should be given to them exclusively breast fed babies?
Vitamin D and iron
- Vitamin D should be started in the first few days of life.
- Continue until weaned to at least 1 quart of vitamin D fortified milk daily.
- Iron should be started at 4-6 months with a dose of 1 mg/kg.
At what age does the AAP recommend autism screening?
18 months
- Use the M-CHAT.
- Repeat at 24 months.
After the age of two years, what is the normal weight gain per year until adolescence?
5 pounds per year
A child comes in for his routine immunization. You learned that the mother is pregnant, and the child is still breast-feeding. Which vaccines can you NOT give the child today?
None
- There are no contraindications to immunizing a child whose mother is pregnant.
In their 2008 guidelines, AAPs Bright Futures is still recommended checking a hemoglobin/hematocrit in children of what age?
9-12 months
- It is also reasonable to only screen children who are at high risk.
All infants should have a hearing screen by what age?
3 months
Which statistical tests are influenced by the prevalence of the disease?
Positive and negative predictive value
At what age can a child music up well?
15-18 months
How much does birth length increased by one year of age?
1.5x
- Average first length is 20 inches…
- Average length at one year of age is 30 inches.
