Immuniz

Question 1

birth to 6 years old

Answer 1

Immunization

Question 2

birth and 2 months

Answer 2

Hep b

Question 3

2,4, 6,months

Answer 3

Rotavirus

Question 4

2,4,6,16, 18 months, 4 years ol

Answer 4

DTAP

Question 5

2,4,6,12 months

Answer 5

Hib influenza

Question 6

2,4,6,12, 15 months

Answer 6

Pneumonia pcv4

Question 7

2,4,6,18,months 4 years old

Answer 7

IPV

Question 8

12 months 4 years old

Answer 8

MMR

Question 9

12 months 4 years old

Answer 9

Varicella

Question 10

6 and then annually

Answer 10

Influenza

Question 11

at birth first day of life or full-term infant,

Tx - first line is phototherapy, bilirubin lab, complication is kernicterus- bilirubin circulation damages CNS

Answer 11

Jaundice

Question 12

Temporary decrease of H&H by kidney erythropoietin

Answer 12

Physiological anemia of infant

Question 13

spontaneously resolves in 6 months

Answer 13

Congenital lacrimal duct obstruction (dacryostenosis)

Question 14

redness warmth tenderness and swelling of one lacrimal duct, complication of orbital cellulitis,
Tx - lacrimal sac massage, culture discharge and TX with systemic Abx,

Answer 14

Acute dacryostenosis

Question 15

rule out conditions cause pain, discomfort, infection, environment and formula allergy resolves 3-4 months

Answer 15

Infant colic

Question 16

Narrowing of the large blood vessel that leads from the heart, systolic BP on lower extremities is supposed to be higher compared to upper extremities,
Dx - COA its vice/versa (weak radial pulse and bounding femoral pulse) CAUSED BY CONGENITAL HEART DEFECT, order echocardiogram, ekg, cxray

Answer 16

Coaction of aorta

Question 17

asymmetry of creases of the legs, high risk breech births, female gender, family history, oligohydramnios, check gluteal popliteal hip to match, Tx - order US of hips, refer to pediatric orthopedist

Answer 17

Developmental dysplasia of the hip (DDH)

Question 18

rotate hips in frog leg position abduction adduction, if click or clunk sound or palpable trochanter becoming displaced

Answer 18

Ortaloni maneuver test

Question 19

is pushing both knees together midline downward and upward, click or clunk or palpable trochanter being displaced by index/middle finger

Answer 19

Barlow maneuver

Question 20

one femur appears shorter when infant is supine

Answer 20

Galeazzi sign

Question 21

obstruction of the intestines, cuts off blood supply, fatal, sudden
loud crying, comes/goes, vomiting, blood/mucus mixed with stool, SAUSAGE LIKE MASS

Answer 21

Intussusception