General Pediatrics

Question 1

Age at which infant can follow moving toy from side to side and also in vertical plane with eyes?

Answer 1

3 months

Question 2

Development at 1 month

Answer 2

regard FACE
follow items MIDLINE
VOCALIZE
respond to BELL
LIFT HEAD from table

Question 3

Age at which child should be able to smile and coo when talked to?

Answer 3

8 weeks

Question 4

Age at which language is fully understandable by examiner?

Answer 4

4 years of age

Question 5

Name 4 colors, define 5 words, three adjectives

Answer 5

4 years

Question 6

Stand on 1 leg for 2 seconds. Age?

Answer 6

4 year old

Question 7

Stand on 1 leg for 5 seconds. Age?

Answer 7

5 years old

Question 8

Dress self independently, skip, ask meaning of quesitons. Age?

Answer 8

5 years old

Question 9

child

Answer 9

RITTER Disease - Staphylococcal scaled skin disease

Tx: Abx to cover MRSA + localized skin care

Question 10

Oropharyngeal bacteria?

Tx for human bite?

Answer 10

S aureus
Streptococcus viridans
Eikenella corrodens

Tx: Would open to heal by 2ndary intention,

Amoxicillin-clavulanate orally or
ticarcillin-clavulanate or
ampicillin sulbactam IV

Question 11

Genu varum

Answer 11

bowlegs - common in infants toddlers <2 years old

Question 12

Genu varum in >2 year old

Answer 12

Blount disease - idiopathic tibia vara: abnormalitiy in medial aspect of proximal tibial epiphysis.

Prominent step abnormality with eaking and calcification at proximal tibial epiphysis.

Bracing up to 3 years old, surgery >3 years old

Question 13

Types of breat holding spells

Answer 13

CYANOTIC - upsetting or scolding child, peak at 2 yo, resolve by 5 yo.

PALLID breath holding in response to pain.

Question 14

Diffuse infiltrates bilaterally in 8 hour old term infant, low WBC count with left shift

Answer 14

GBS Pneumonia

Question 15

Pneumonia, hepatosplenomegaly, jaundice, rashes, hemolytic anemia at birth.

Answer 15

congenital syphillis

Question 16

16 yo c/o knee pain after playing basketball. On exam, swelling, tenderness and increase size of tibial tuberosity.

Answer 16

Osgood-Schlatter disease - microfractures in area of insertion of patellar tendon into tibial tubercle.
Tx. Rest.

Question 17

When can infants sit alone, lean forward into tripod? Reach for object by changing position of torso? Role from prone to supine?

Answer 17

6 to 6.5 months of age

Question 18

5 mo old with 3 mo h/o poor weight gain. Lymphadenopathy, hepatomegaly, persistent oral candidiasis.

Answer 18

HIV - was mother in jail? (Prostitution)