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Peds Boards > Growth, Development, Preventative Peds > Flashcards

Growth, Development, Preventative Peds Flashcards

1
Q

PPSV23 in Pediatrics - Dosing Regimen

A

8 weeks after last dose of PCV 3

Repeat Dose 5 years later x 1

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2
Q

Subcutaneous Vaccines

A

MMR, MMRV

Varicella

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3
Q

Measles Vaccine & PPD test

A

Measles vaccine can suppress tuberculin reactivity; wait 4-6 weeks to do PPD

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4
Q

Hib Vaccine & Cut Off Age

A

5 years of age, unless

HIV, functional/asplenia, leukemia, immunocompromised

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5
Q

First Dental Visit

A

within 6 months of first tooth eruption and no later than 12 months

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6
Q

BP Monitoring starts at age

A

3

monitor earlier if risk factors (prematurity, etc)

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7
Q

DTAP Contraindications

A

history of encephalopathy w/in 7 days of administration
anaphylaxis
?history of progressive neurological disorder

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8
Q

SubQ or IM Vaccines

A

PPSV23

IPV

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9
Q

MMR Series

A

12-15 months

4-6 years of age

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10
Q

Hep B testing for infants of Hep B + mothers

A

at 9-12 months or 1-2 months after last administration

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11
Q

Hep A Vaccines

A

Between 12 and 23 months, 2 doses at least 6 months apart

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12
Q

Hearing Screen

A

Before leaving the hospital with goal of all infants by 3 months

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13
Q

Cholesterol Screening

A

non-fasting between 9-11 & 17-21 years of age

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14
Q

Risk Factors to Measure a fasting lipid profile x 2

A

Mi/ACS/Stroke before 55 in males and 65 in females
parent with total cholesterol >240 or known dyslipidemia
BMI >95th percentile or obesity-related illness

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15
Q

Lead Screening

A

Recommended at 1 and 2 years of age

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16
Q

Leave to treat with Lead Poisioning

A

Unknown, but continue to follow/primary prevention if 5-44

chelation recommended >45

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17
Q

AAP Tooth Paste

A

rice size w/ first tooth

pea sized after 3 years

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18
Q

PPD Test, 5mm

A

Close contact w/ TB individual
Clinical Evidence of TB
Immunosuppressive conditions or treatment

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19
Q

PPD Test, 10mm

A

< 4 yeaers of age
other conditions (DM, RF)
Born/Travel to high prevalence regions
Exposure to right risk adults (HIV, homeless, IVDU, incarcerated)

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20
Q

Delayed tooth eruption

A

no teeth by 12-13 months

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21
Q

SIDS most common at what age

A

2nd and 3rd months

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22
Q

Colic

A

> 3 hours a day, >3 days a week, for at least 3 weeks

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23
Q

Testing for Children who Immigrate to US

A

CBC, Lead, TSH

NMSS if <2 years

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24
Q

MMR Contraindications

A

anaphylaxis to gelatin or meomycin

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25
Q

MMR Common Adverse Events

A

Fever 6-12 days after

joint pain 6-21 days after (rubella)

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26
Q

Varicella Vaccine for post-exposure

A

within 3-5 days

27
Q

Menningococcal Serogroup B Indications

A

2 or 3 doses

children >10 w/ increased risk

28
Q

HPV Vaccine Schedue

A

2 doses: 9-14

3 doses: 15-45

29
Q

Breakthrough Varicella Rash

A

Maculopapular

usually limited to less than 50 lesions

30
Q

Back to sleep until

A

1 year!

31
Q

Rotavirus Contrainidciations

A

history of intusspecption

SCID

32
Q

Congenital Heart Screen Passing

A

> /= 95% in right hand and foot

no more than 3% difference

33
Q

Which Vaccine NOT to give to preterm infants

A

rotavirus

34
Q

Two Doses of Influenza Required until

A

9 years old!

35
Q

MCV4 Vaccine

A

All: 11-12 years,then 16

Increased risk: two doses starting at 2 months of age

36
Q

Standard seat belts at age..

A

8-12y and at least 4’9

37
Q

Peds Dedicious Teeth Rule

A 
7+4
7 months: 1st tooth
11: 4 teeth
15: 8 teeth 
etc
38
Q

Hep B Vaccination for infants <2 kgs

A

1 month of age or hospital discharge

39
Q

head circumference in first 2 months of life

A

0.5cm/week for first two months, 10 cm for year

40
Q

HC in 2nd year of life

A

2-3 cm

41
Q

HC in childhood

A

5-6 cm total

42
Q

Weight Patterns

A

dbl by 4 mths
triple by 12 months
quadruple by 2 years
~5lbs / year

43
Q

Height Patterns

A

increase 50% in first year
double by 4
triple by 13

44
Q

Genetic Short Statue and Bone Age

A

bone age = chronological age

45
Q

Constituational Growth Delay and Bone Age

A

Bone age behind chronological age

46
Q

Failure to thrive

A

<3% weight
<5% W for H
2 growth curves crossed

47
Q

Overweight =

A

85th to 95th percentile

48
Q

Obesity =

A

> 95th percentile

49
Q

BMI =

A

wt/height^2

50
Q

Pediatric Bariatric Indications

A

> 120% of the 95% + comorbidity

>140% of the 95%

51
Q

MCHAT administered at`

A

18 and 24 months

52
Q

Scaphocephaly

A

most common!
premature closure of the sagittal suture
long, narrow skull

53
Q

Weight Gain in Infants

A

30g/d x 3 months
3-6m: 20g/d
6m-1 year: 10g/d

54
Q

Object Permaenance

A

between 9-12 months

55
Q

Anterior Plagiocephaly

A

premature closure of the coronal suture

drawn up appearance of orbit on the affected side

56
Q

Brachycephalpy

A

bilateral closure of coronal sutures

associated with Apery Sydrome, Crouzon Disease

57
Q

Trigonocephaly

A

premature closure of metopic suture

pointed forehead

58
Q

Peak Height Velocity & Staging

A

stage 2-3 in girls (11.5)

stage 3-4 in boys (13.5)

59
Q

Thumb Sucking should stop by

A

age 5

60
Q

Separation Anxiety ages

A

can start at age 6, most noticable 9-18m of age

61
Q

Head Banging and guidance

A

can start around age 8-9m, lasts till around 4 years

62
Q

When should colic disappear by

A

3 months; rare past 4 months

63
Q

1st permanent teeth to erupt

A

1st molars around 6 years of age

Peds Boards (21 decks)

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