General Pediatrics

Question 1

What are the true contraindications to DTaP/TdaP

Answer 1

1) Hx encephalopathy within 7 days of vaccine 2) anaphylaxis to vaccine componenet

Question 2

What is a contraindication to MCV vaccine?

Answer 2

Hx of guillan barre

Question 3

What are the benefits of the conjugated MCV vaccine over polysaccharide

Answer 3

1) longer lasting response 2) booster response 3) Herd immunity 4) eradicates nasopharyngeal carriage

Question 4

What are the contraindications to MMR?

Answer 4

1) Immuno compromised (not asymptomatic HIV) 2) pregnancy 3) anaphylaxis to first vaccine/neomycin/gelatin

Question 5

what are the side effects of MMR?

Answer 5

1) minor- local redness, swelling 2) fever 3) joint pain 4) increased febrile seizure if using MMRV

Question 6

What are the contraindications to Varicella

Answer 6

1) pregnancy 2) Immunocompromised (T-cell) 3) HIV- OK if CD4+>15% 4) high dose steroids (wait 1 month)

Question 7

What is the contraindication to Influenza?

Answer 7

anaphylaxis to eggs

Guillain Barre within 6 weeks is precaution

Question 8

What age do infants double birth weight?

Answer 8

4 months

Question 9

what age do infants triple birth weight?

Answer 9

1 year

Question 10

How much weight per year do infants gain from 2-puberty?

Answer 10

2 kg/year

Question 11

What is the rate of linear growth from age 4-puberty

Answer 11

5cm/year

Question 12

what is the rate of growth of head circumference during the first year of life?

Answer 12

1cm/month

Question 13

what age does brain weight double?

Answer 13

4-6 months

Question 14

what age does brain weight triple?

Answer 14

1 year

Question 15

What are the most common features of fetal alcohol syndrome

Answer 15

cardiac anomalies- most commonly VSD
microcephaly
thin upper lip
radioulnar synostosis
long thin philtrum