Miscellaneous

Question 1

What is the nexus criteria?

Answer 1

To clear a c spine need all the following: No posterioir midline cervical tenderness, no intoxication, no focal neuro deficits, pt is AAO x3, no distracting injuries.

Question 2

At what age do teeth usually erupt?

Answer 2

Age 6-10 months

Question 3

Triad of septic optic dysplasia

Answer 3

optic nerve hypoplasia, midline defects, pituitary abnormalities

Question 4

Why do you test tryptase levels a few weeks after serious anaphylaxis to insect sting?

Answer 4

Approximately 1% to 10% of patients who experience severe anaphylaxis after an insect sting have underlying mastocytosis or a clonal mast cell disorder. For patients who experience a severe anaphylaxis episode to a flying insect sting, a baseline serum tryptase should be obtained 1 to 2 weeks after the reaction. Those who have serum tryptase measurements of 11.4 ng/mL or greater should be referred to an immunologist or hematologist for consideration of a bone marrow biopsy, with specific attention to analysis for c-kit mutations, CD25, and mast cell staining.

Question 5

At what age wcex do we give out ASQ?

Answer 5

9,18,30

Question 6

At what age do we do Mchat?

Answer 6

18 and 24 mo

Question 7

What should you do about an avulsed tooth?

Answer 7

If permanent, put back in socket within 5 minutes, if cannot put in childs saliva or cold milk and go to dentist. If a deciduous tooth, do not replace it

Question 8

what is defined as delayed eruption of teeth?

Answer 8

16months. Think of hypothyroid, hypopit, rickets

Question 9

What are contraindications to tonsillectomy or adenoidectomy

Answer 9

Contraindications to tonsillectomy or adenoidectomy include velopharyngeal conditions that predispose to velopharyngeal insufficiency (submucosal cleft), anemia (hemoglobin < 10 g/dL [100 g/L]), disorders of hemostasis, and acute nonobstructive upper airway infection

Question 10

By when do most kids have control of bowel/bladder?

Answer 10

75% by 36 months

Question 11

When should babies sleep through the night?

Answer 11

4 months

Question 12

When can you start sleep training?

Answer 12

6-8 months of age

Question 13

When do breath holding spells usualyl appear

Answer 13

6-18 months, usually around 1, can last until 5

Question 14

What is PANDAS

Answer 14

pediatric autoimmune neuropsychiatric disorder associated with Streptococcus (PANDAS). About a month after a strep infection, child will get OCD symptoms. Check ASO if suspicious (this stays possible for 6 months after infection).

Question 15

What percent of patients with ODD go on to have conduct disorder?

Answer 15

30%

Question 16

Average length to complete toilet training

Answer 16

6-7 months

Question 17

at what age do we start testing vision and with what?

Answer 17

age 3 with dot E test