MODULE 1

Question 1

the child’s weight is compared to that of a normal child of the same age. useful for population screening and public health evaluations.

Answer 1

Gomez classification

Question 2

Chronic malnutrition results in stunting. percent weight for height; percent height for age.

Answer 2

waterlow classification.

Question 3

when do you measure head circumference of the child?

Answer 3

first 3 years of life

Question 4

Average HC of term infant at birth

Answer 4

34 – 35 cm

Question 5

HC 6 months

Answer 5

44 cm

Question 6

HC 12 months

Answer 6

47 cm

Question 7

Membranous tissue spaces that separate the bones of

the skull from one another

Answer 7

Sutures

Question 8

Areas where the major sutures intersect in the anterior

and posterior portions of the skull

Answer 8

Fontanelles

Question 9

anterior fontanelles close by

Answer 9

7-19mos.

Question 10

Posterior fontanels close by

Answer 10

2 months

Question 11

do acoustic screen by

Answer 11

4 years

Question 12

how do you examine ear canal

Answer 12

pull the auricle up, back and

slightly out.

Question 13

rare autosomal dominant congenital disorder characterized by craniofacial deformities
such as > absent cheekbones
micrognathia (a small lower
jaw),
-conductive hearing loss
-underdeveloped zygom
-drooping part of the lateral
lower eyelids
-malformed or absent ears.

Answer 13

Treacher collin syndrome

Question 14

-abranchial arch syndrome
-affects the first branchial (or pharyngeal)
arch, which is the precursor of the maxilla
and mandible

Answer 14

Crouzon syndrome

Question 15

-small mandible (micrognathia)
-posterior displacement or retraction of the tongue
(glossoptosis)
-upper airway obstruction
-Incomplete closure of the roof of the mouth (cleft
palate) is present and is commonly U-shaped.

Answer 15

PIERRE ROBIN SEQUENCE

Question 16

Caused by the deficient enzyme N acetylgalactosamine 4-
sulfatase,
prominent forehead;prominent eyes; broad nose and low nasal
bridge;thick lips;enlarged tongue; hyperplastic gums and small, widely spaced
teeth

Answer 16

Morateaux-Lamy (mucopolysaccharidosis

Question 17

Diffuse edematous swelling of the soft tissues of the scalp that may extend across
suture lines. Secondary to pressure of the uterus on areas of the fetal head.Note the
pitting edema of the caput

Answer 17

INFANT – CAPUT SUCCEDANEUM

Question 18

Subperiosteal hemorrhage that never extends across the suture line. Secondary to
traumatic delivery or forceps delivery. Most resolve in 6 wks.

Answer 18

CEPHALHEMATOMA

Question 19

temporary asymmetry of the skull resulting from the birth process. On

palpation: overriding of sutures. Most often seen with prolonged labor and vaginal
deliveries. The normal shape is regained in 1 week;

Answer 19

SKULL ASYMMETRY – MOLDING

Question 20

abnormally large head size >97th percentile or 2 std deviations above
the mean due to hydrocephalus, subdural hematoma

Answer 20

macrocephaly

Question 21

a frequent finding in normal newborns. It results from
the breakage of small vessels during the pressure of delivery. The red area may be
large or small but is always confined to the limits of the sclera

Answer 21

Subconjunctival haemorrhage

Question 22

Salt and pepper speckling of the iris: Down Syndrome

Answer 22

Brushfield’s spots

Question 23

slightly puffy lower eyelids and extra skin folds beneath the
eyes

Answer 23

Dennie’s lines

Question 24

This pinna deformity, where the superior edge of the helix is folded down

Answer 24

Lop ear

Question 25

This infant had trisomy 18 as an underlying etiology.

Answer 25

Low-set ear

Question 26

failure of the feeding tube to pass through the nostril into the posterior pharynx

Answer 26

Choanal atresia

Question 27

associated with congenital hypothyroidism

Answer 27

Macroglossia

Question 28

The small white papules seen in the midline of the palate of this infant

Answer 28

Epstein’s pearl.

Question 29

Many babies with this condition can breastfeed without difficulty, but in some cases, a tight frenulum makes latching on difficult. In those cases, frenotomy may be indicated

Answer 29

Tongue-tie

Question 30

1- to 2-cmfirm mass in sternocleidomastoid muscle is noted in neonatal period.Indicative of fibrosis of muscle, which occurred in utero.

Answer 30

Congenital muscular torticollis

Question 31

28th week of gestation through 7th day

o Fetal period then birth until the first week of life

Answer 31

perinatal