Kids

Question 1

Hyperactivity
Impulsivity
Inattention (forgetful & disorganized)

Must have two of these symptoms to be correctly diagnosed

Rx stimulants

Answer 1

ADHD

Question 2

Amoxicillin 90mg/kg/d, DAILY

Txt for streptococcus pneumoniae (CAP)

Answer 2

Pneumonia

Question 3

Most common cause is RSV

Wheezing

Supportive Care, NO Abx!!! But CAN use bronchodilator and possible steriods but its controversial

Answer 3

Bronchiolitis

Question 4

Maculopapular “brick red” rash starts on head and neck then goes down the rest of the body spreading to trunk and extremities, moves down the body

3 C’s = cough, conjunctivitis, coryza (irritation of mucous membranes of nose)

With Kopliks spots!!!! (In mouth)

Answer 4

Measles (rubeola)

Question 5

“Slapped cheek” rash, Lacy macular rash

Rosy red cheeks

Answer 5

5th disease (erythema infectiosum)

Question 6

High fever for 1 to 2 days, fever stops, with sudden appearance of maculopapular rash but not on the face, can be on and off up to 12 weeks, will increase after a hot shower or playing outside, and child can go back to daycare with the rash as long as they are fever free for 24hrs.

Answer 6

Roseola (exanthem subitum)

Question 7

Undescended testicle that does not to send with massage of the inguinal area.surgical correction within the first year of life if it does not spontaneously descend

Risk of testicular cancer is increased

Answer 7

Cryptorchidism

Question 8

Collection of fluid inside scrotum

Answer 8

Hydrocele

Question 9

Birthweight does what it six months and what at 12 months?

Answer 9

Six months doubles, 12 months triples

Question 10

Urethral opening under glands, shaft – refer

Answer 10

Hypospadias

Question 11

Urethral opening on top of glands, shaft – refer

Answer 11

Epispadias

Question 12

What screening test can be used for developmental dysplasia of the hip? This test is positive if you hear a click or clunk sound when the trochanter becomes displaced from the hip socket. You will rotate the hips and a Froggett like a position abduction and adduction.

Answer 12

Ortolani maneuver screening test

Question 13

What is the maneuver test for developmental dysplasia of the hip where you place your index and middle finger over the greater trochanter and justly push both knees together at midline downwards. A positive clunk sound or palpating trochanter being displaced

Answer 13

Barlow maneuver screening test

Question 14

You will want to compare radial and femoral pulses simultaneously worrying about the narrowing of Aorta?

Answer 14

Coarctation of Aorta

Question 15

At what age is speech understood mostly by a family member?

Answer 15

Two years old

Question 16

A child’s speech can be understood by strangers

Also at this age they can copy a circle. (Easy way to memorize the fact is when you take a three and join the two halves it forms a circle: 3)

Answer 16

Three years old

Question 17

By this age in months a kid will be able to roll both directions , play peekaboo, and pattycake

Answer 17

9 months

Question 18

What Tanner stage does puberty start?

Girls: breast bud

Boys: testicular enlargement & scrotal rugation/color becomes darker

Answer 18

Tanner II

Question 19

At this stage boys penis becomes elongated and testes continue to grow. AKA: penis lengthens

Girls: breast and Areola have 1 mound

Answer 19

Tanner III

Question 20

Boys, penis widens

Girls, breast and Areola secondary mound

Answer 20

Tanner VI

Question 21

What are the two criteria for an Emancipated minor? this means the minors give full consent as an adult without parental involvement

Answer 21

1) legally married

2) Active duty and Armed Forces

Question 22

No parental or guardian consent is necessary for the following……

Answer 22

Pregnancy test, birth-control prescriptions, STD testing

Anything related to sexual activity.