Leik

Question 1

of 5% to 7% starts after birth, but neonates should regain birth weight in 2 weeks.

Answer 1

Weight loss

Question 2

Grows by up to 12 cm (first 12 months).

Answer 2

Head circumference

Question 3

Caput succedaneum

Answer 3

Caput succedaneum

Question 4

Does cnot (blood blocked by scalp sutures).

Answer 4

Cephalohematoma

Question 5

looks like thick yellow fluid and is secreted the first few days of breastfeeding before milk release.

Answer 5

Colostrum (IgG antibodies)

Question 6

Avoid during first 12 months of life (causes GI bleeding, iron-deficiency anemia).

Answer 6

Cow’s milk

Question 7

Supplement with vitamin D the first few days of life.

Answer 7

Breastfeeding

Question 8

Increases risk of testicular cancer. Refer to pediatric urologist for evaluation between 4 to 12 months of age.

Answer 8

Cryptorchidism

Question 9

is used to assess for hydrocele, empty scrotal sac, and scrotal masses.

Answer 9

Transillumination

Question 10

is fluid collection inside the scrotum (tunica vaginalis/processus vaginalis).

Answer 10

Hydrocele

Question 11

Scrotal sac with hydrocele will appear “brighter” or will have more light glow compared with scrotum with a testicle (solid objects block light, so less glow of light).

Answer 11

Infant with hydrocele and transillumination:

Question 12

In an older infant (age 6 months or older) is abnormal and indicative of brain damage.

Answer 12

A strong Moro reflex

Question 13

Do not give before age of 12 months.

Answer 13

Varicella and MMR

Question 14

Youngest age vaccine is 6 months

Answer 14

Influenza

Question 15

Only vaccine given at birth

Answer 15

Hepatitis B

Question 16

Give the neonate hepatitis B immunoglobulin (HBIG) and the hepatitis B vaccine

Answer 16

If mother HBsAg-positive

Question 17

Do not use DTaP, use Td or Tdap form of vaccine.

Answer 17

7 years or older

Question 18

At age of 11 to 12 years as a booster. If older, then replace one dose of Td with a Tdap (once in a lifetime).

Answer 18

Give Tdap vaccine

Question 19

are screening tests for DDH. Positive sign is if “click” or “clunk” sound is heard and/or if examiner palpates the trochanter becoming displaced (temporarily) from the hip socket. Tx - Refer to pediatric orthopedic specialist.

Answer 19

Ortolani and Barlow

Question 20

Rule out congenital hip dysplasia or hip fracture.

Answer 20

Asymmetry of thigh/gluteal folds

Question 21

Rolls from front to back and back to front

Answer 21

6 months

Question 22

Plays pat-a-cake and peek-a-boo

Answer 22

9 months

Question 23

is a congenital tumor of the kidneys. More common in African American girls

Answer 23

Wilms’ tumor (crosses midline)

Question 24

Sitting posture with hyperextended neck with open-mouth breathing.

Answer 24

Epiglottitis presentation

Question 25

Speech understood mostly by family members

Answer 25

2-year-old

Question 26

Speech can be understood by strangers

Answer 26

3-year-old

Question 27

• Can ride a tricycle. - Can ride a bicycle at the age of 6 to 7 years. - Can copy a circle

Answer 27

Three-year-old

Question 28

• Can copy a cross (the number “4” resembles a cross at the center). - Can draw a “stick person” with three body parts.

Answer 28

Four-year-old

Question 29

When the child is (age 3-6 years) expresses the desire to marry the parent of the opposite sex.

Answer 29

Oedipal stage

Question 30

Can draw a person with at least six body

Answer 30

Five-year-old

Question 31

Should be vaccinated with single dose of quadrivalent meningococcal vaccine (MenACWY); brand names are Menactra or Menveo.

Answer 31

11- to 12-year-old children

Question 32

• (Tdap, HPV, MCV4). - “early abstract” thinking stage (Piaget).

Answer 32

11 to 12 years

Question 33

caused by the poxvirus.

Answer 33

Molluscum

Question 34

youngest age group for vaccination is 9 years.

Answer 34

HPV vaccine (Gardasil)

Question 35

Is measles. Koplik’s spot

Answer 35

Rubeola

Question 36

Meningococcal vaccine is now required for all,

Answer 36

11 to 12 years

Question 37

Antidote IV N-acetylcysteine.

Answer 37

Acetaminophen poisoning

Question 38

Presents as enlarged lymph nodes with fever, night sweats, and pain (lymph nodes) after drinking alcohol.

Answer 38

Hodgkin’s lymphoma

Question 39

Government program to report clinically adverse events.

Answer 39

Vaccine Adverse Event Reporting System (VAERS):

Question 40

females until age 26 years

Answer 40

HPV vaccine

Question 41

for males until age 21 years (except males who have sex with males); and for gay, bisexual, or males who have sex with males until age 26 years.

Answer 41

HPV vaccine

Question 42

for males until age 21 years (except males who have sex with males); and for gay, bisexual, or males who have sex with males until age 26 years.

Answer 42

HPV vaccine

Question 43

Puberty starts - girls (breast bud) - boys (testicular enlargement and scrotal rugation/color starts to become darker).

Answer 43

Tanner stage II

Question 44

boys is elongation of the penis (testes continues to grow)

Answer 44

Tanner stage III

Question 45

• treatment needed for a 10-degree curve (observe for worsening). - Screening test for scoliosis is the Adam’s forward bend test.

Answer 45

Scoliosis

Question 46

No consent is needed for health services related to sexual activity (STD testing, pregnancy tests, birth control prescriptions).

Answer 46

Parental consent

Question 47

need parental consent (dysmenorrhea, headache, upper respiratory infection [URI]).

Answer 47

Parental consent

Question 48

Lanugo, low albumin causes pedal edema,

Answer 48

Anorexia nervosa