Health Supervision

Question 1

Failure to thrive definition

Answer 1

growth rate of less than expected fora child

Question 2

Failure to thrive affected first

Answer 2

weight affected before length. Head circumference initially spared.

Question 3

Regain birthweight by

Answer 3

2 weeks

Question 4

Double birthweight by

Answer 4

4-6 months

Question 5

Triple birthweight by

Answer 5

12 months

Question 6

Birth length increases by 50% at

Answer 6

12 months

Question 7

Birth length doubles by age

Answer 7

4 years

Question 8

Birht length triples by age

Answer 8

13 years

Question 9

Most common cause failure to thrive =

Answer 9

inorganic or disturbed parent child bond

Question 10

By 1 year of life head circumference

Answer 10

increases to 75% of adult

Question 11

what is cephalohematoma and problem of it?

Answer 11

subperiostal hemorrhage of newborn cranium after trauma delivery. Messes up head measurements

Question 12

By 1 year of life centimeters increase in head circumference

Answer 12

12 cm since birth

Question 13

congenital vs acquired microcephaly

Answer 13

congenital is from abnormal creation/movement of brain tissue
acquired = cerebral insult in third trim, pregnancy, 1st year

Question 14

Craniosynostosis

Answer 14

premature closure of one of the cranial sutures

Question 15

Two syndromes with craniosynostosis

Answer 15

Crouzon and apert syndromes

Question 16

Cranial sutures open until

Answer 16

Open till 2 years when 90% is completed
Close at age 5

Question 17

Most common surture to close early in craniosynostosis

Answer 17

sagittal suture causing dolichocephaly or scaphocephaly

Question 18

TORCH bugs

Answer 18

toxoplasmosis, syphallus (other), rubella, CMV, HSV

Question 19

Premature coronal suture closure causes

Answer 19

brachycephaly or shortened skull

Question 20

What is plagiocephaly

Answer 20

asymmetry of infant head not associated with premature closing of suture

Question 21

Positional plagiocephaly is what? Associated with what?

Answer 21

flattening of occiput, prominence of ipsilateral frontal area
associated with congenital muscular torticollis

Question 22

sotos syndrome

Answer 22

overgrowth syndrome where all growth parameters are enlarged

Question 23

Live vaccines

Answer 23

oral polio, varicella, MMR,

Question 24

Advantage of live attenuated over inactivated

Answer 24

It gets excreted in stool and can then immunize more people

Question 25

Mumps associated most with

Answer 25

parotitis but can also do meningoencephalitis and orchitis

Question 26

Pneumovax vs prevnar in terms of purpose

Answer 26

Pneumovax useless for under 2. More for asplenic people and elderly. Prevnar is for kids under 7

Question 27

Difference in pneumovax and prevnar in terms of coverage

Answer 27

Pneumovax covers 23 pneumo subtypes Prevnar covers only 7

Question 28

Contraindication to DTaP

Answer 28

encephalopathy or other neuro problems

Question 29

Pregnant patients don't get what vaccines?

Answer 29

Live vaccines

Question 30

If you got immunoglobluins don't give vaccines because

Answer 30

Don't give vaccine within 3-11 months because it might interfere with body making immune response

Question 31

How to screen newborn for hearing

Answer 31

Brainstem auditory evoked response - uses EEG evoked otoacoustic emission - uses microphone in ear

Question 32

Most accurate hearing test?

Answer 32

Brainstem auditory evoked response

Question 33

What is phimosis and paraphimosis

Answer 33

Phimosis = can't retract skin paraphimosis - retracted skin gets stuck and is tourniquet

Question 34

What is balanitis and what is it associated with?

Answer 34

inflammation fo glans of penis. associated w candida or gram neg

Question 35

where does tooth eruption normally occur?

Answer 35

Usually lower central incisors

Question 36

How late is delayed dental eruption

Answer 36

primary eruption afte 16 months

Question 37

What are effects of flourosis and which teeth does it affect

Answer 37

mostly affects permanent teeth cosmetic changes only. Most vulnerable 2-4 years

Question 38

where do teeth erupt that occur natal or neonatal

Answer 38

Mostly mandibular central incisors

Question 39

Most common bacteria in nursing or bottle caries

Answer 39

Streptococcus mutans. Kids get it from parent or sibling because it only colonizes once teeth erupt

Question 40

Nursing or bottle caries affect which teeth?

Answer 40

Mostly upper teeth bc lower teeth protected by tongue

Question 41

Best way to save a tooth that was removed by trauma

Answer 41

Keep tooth in liquid and replace soon!

Question 42

Rear facing seat until?

Answer 42

1 year and 20lbs

Question 43

Small head circumference at birth indicates

Answer 43

congenital. TORCH, exposure to drugs/toxins, chromo abnormalities,.

Question 44

spit sutures plus bulging fontanelle =

Answer 44

Increased ICP.

Question 45

When should cow milk be added and why?

Answer 45

Not introduced until 9 months otherwise can cause iron-deficiency anemia. Whole milk has less bioavailable iron and causes stool blood loss.

Question 46

Effects of lead intoxication and who is at risk

Answer 46

Usually asymptomatic. Children under 6 at risk

Question 47

phimosis normal until

Answer 47

6 years of age

Question 48

Lead intoxication common symptoms

Answer 48

neurocog impairment, lethargy, anemia, vomiting, irritability.

Question 49

Vit D supplement for?

Answer 49

Kids who are not exposed to much sunlight.

Question 50

Treatment of torticollis

Answer 50

range of motion stretching exercises, repositioning head in sleep, increased "tummy time"