Lopez: Pediatric Assessment

Question 1

What are the six major portions of the pediatric mental exam?

Answer 1

mental status
cranial nerves
motor exam 
sensory exam
reflexes
cerebellar exam

Question 2

This can be used for kids under 10 years of age

Answer 2

head circumference

Question 3

What makes the pediatric exam unique during the first 3 to 4 years of life?

Answer 3

the exam changes rapidly during those years from visit to visit

Question 4

List the primitive reflexes in newborns

Answer 4

grasp
babinski
neck righting
sucking
parachute
stepping
moro

Question 5

What testing should be done for children with global developmental delay?

Answer 5

genetic and metabolic testing

Question 6

In patients with GDD/ID, (blank) testing is diagnostic on average in 7.8%

Answer 6

microarray

Question 7

G-banded (blank) is abnormal in at least 4%

Answer 7

karyotyping

Question 8

T/F: Sub-telomeric fluorescence in situ hybridization is positive in 3.5%

Answer 8

true

Question 9

Testing for X-linked ID genes has a yield of up to (blank) in males with an appropriate family history

Answer 9

42%

Question 10

FMR1 testing shows full expansion in at least 2% of patients with mild to moderate GDD/ID

Answer 10

Fragile X syndrome

Question 11

MeCP2 testing is diagnostic in 1.5% of females with moderate to severe GDD/ID

Answer 11

Rett Syndrome

Question 12

Tests for metabolic disorders have a yield of up to (blank)% and tests for congenital disorders of glycosylation and cerebral creatine disorders have yields of up to (blank)%

Answer 12

5; 2.8

Question 13

T/F: Several genetic and metabolic screening tests have been shown to have a better than 1% diagnostic yield in selected populations of children with GDD/ID

Answer 13

True…