Intro

Question 1

If the baby can’t walk by what month should that be a red flag?

Answer 1

18 months

Question 2

The moro reflex can identify what?

Answer 2

any limb lesions

Question 3

At what age should the baby be able to look at faces, reflex grasp, and moro reflex?

Answer 3

newborn

Question 4

What medication should be avoided in children under 16 years old due to the fear of Reye’s syndrome?

Answer 4

aspirin

Question 5

what are major contributors to infant mortality?

Answer 5

• prematurity
• severe congenital defects
• chromosomal abnormalities

Question 6

What is the leading causes of death in children? (5)

Answer 6

1. accidents (35-40%)
2. suicide
3. homicide
4. cancer
5. congenital defects

Question 7

Definition for failure to thrive?

Answer 7

sustained falling through the centiles for weight

*length will follow

Question 8

what medication should be avoided in children under 6 yrs old?

Answer 8

OTC cough/cold medication

Question 9

What vaccines are contraindicated in immunocompromised patients?

Answer 9

Live vaccines

Question 10

What is the difference between antenatal and post-natal passive immunity?

Answer 10

• antenatal = fetus receives maternal IgG via placenta

- post natal = infant receives maternal IgA if breastfed or bottle fed pumped breast milk

Question 11

At what age should babies be able to point to pictures and body parts, and be able to throw balls overhand?

Answer 11

2 years old

Question 12

What type of agents are used to vaccinate against these diseases?

a. influenza, HAV, IPV
b. tetanus, diphtheria
c. HBV, pertussis
d. HIB, PVC7
e. OPV, MMR, Rotavirus, VZV

Answer 12

a. killed
b. toxoid
c. component
d. Conjugated polysaccharide
e. live attenuated

Question 13

When does the moro reflex appear and disappear?

Answer 13

• appears at birth

- disappears at 4 months

Question 14

Medication in pediatrics is based on what?

Answer 14

weight

Question 15

What is the most common factor contributing to an inadequate intake of nutrients that may lead to failure to thrive?

Answer 15

Socioeconomic

Question 16

Failure to thrive is seen mostly in what age group?

Answer 16

6-12 mo

Question 17

If the patient has severe failure to thrive and needs inpatient refeeding. What do you need to monitor and why?

Answer 17

• Electrolytes

- refeeding syndrome (electrolyte imbalance)

Question 18

What is the MOST common etiology of failure to thrive?

Answer 18

-Not enough intake

Question 19

What is the expected walking capabilities at the following ages?

6-7 month
7-10 month
8-11 month
11-15 month

Answer 19

6-7 month = commando crawl
7-10 month = crawl
8-11 month = cruise
11-15 month = walk

Question 20

2 years old should be able to say how many different words and phrases how long?

Answer 20

• 48+ words

- 2-3 word phrases

Question 21

What medication should be avoided in new borns as it can displace bilirubin and increase jaundice?

Answer 21

ceftriaxone

Question 22

What report should be sent to DCF within 48hrs if you have suspicion of abuse or neglect?

Answer 22

51-A

Question 23

Routine annual vaccination recommended for all aged what and over?

Answer 23

aged 6 and over

Question 24

At what age should the baby be able to sit without a head lag, roll both ways and babble consonants?

Answer 24

6 months old

Question 25

What vaccines are contraindicated in patients who have severe allergy to egg white?

Answer 25

influenza

Question 26

At what age should the baby have their first steps and be able to perform a fine pincer grasp

Answer 26

12 months old

Question 27

In infants, the probability of dying in the first year of life in US is the same as what?

Answer 27

that of dying between 59-60 y/o