Last Minute Flashcards
What is the average growth length (growth velocity) per year after 2 years of age (later childhood)?
5cm
How much does the head circumference increase per month in the 1st year?
1/m
When does the head grow the fastest?
First 60 days
.5/wk
Child with enlarged head > 98th percentile, similar to the father, no symptoms and normal cognitive function, head imaging study showed prominent subarachnoid space especially in the frontal region
Benign familial macrocephaly
Anterior displacement of the occiput on one side and the frontal region on the ipsilateral side and the ear is more anterior on the side of occipital flattening (parallelogram)
Positional plagiocephaly
Anterior displacement of the occiput on one side and frontal bossing on the contralateral side and the ear is displaced more posteriorly (trapezoid)
Posterior plagiocephaly (craniosynostosis)
The most common type of craniosynostosis
Long narrow head (scaphocephaly), which is an early closure of the sagittal sutures
Infant born to HBsAg positive mom what should be given?
Hepatitis B and HepB immunoglobulin in the first 12 h
Encephalopathy within 7 days of administration is an absolute contraindication in which vaccine?
Dtap
If you give only MMR vaccine, how long should you wait to do PPD test?
4-6 weeks
The child who received MMR vaccine 2 weeks ago Rubella is now having pain in the hip joints. Which component of the vaccine is responsible for this reaction?
Rubella
2-month-old child with complement component deficiency. What are the vaccines that should be given at the 2-months well visit?
Routine 2 months vaccines plus meningococcal vaccine
Visual acuity for a newborn is
20/400
Newborn with a mother who is HIV positive
Breastfeeding is contraindicated (except in resource-limited settings)
What is the latest age for first tooth eruption?
18 months (after that, dental consult)
Child with a capillary lead level of > 5 μg/ dL. What is the next best step?
Obtain venous sample
Gestational age of screening for group B Streptococcus (GBS)
35–37 weeks gestation
Birth weight less than 2500 g
Low birth weight
Birth weight less than 1500 g
Very low birth weight (VLBW)
Birth weight less than 1000 g
Extremely low birth weight (ELBW)
Uteroplacental insufficiency is associated with what type of deceleration?
Late deceleration
A neonate is born to a mother with chorioamnionitis. The neonate is alert with good tone, no respiratory distress, and vital signs are normal. What is the next best step?
Obtain blood culture, complete blood cell count, and start ampicillin and gentamicin
Newborn with one side of the body pink and the other side pale, with a sharp line in-between, no other symptoms
Harlequin color change
Children younger than 9 years of age, never been vaccinated for influenza before; how many doses should they receive during the first instance of influenza vaccination?
2 doses 1 month apart