Other Things I Don't Know

Question 1

Very Low Birth Weight infants require how many calories a day?

Answer 1

150cal/kg/day

Question 2

Most babies sleep through the night by what age?

Answer 2

4-6 months

Question 3

Double weight by? Triple by?

Answer 3

DOuble by 4-5 months

Triple by 1 year

Question 4

How often should new foods be added to the diet?

Answer 4

q5-7 days

Question 5

Should acetominophen be routinely administered following vaccines?

Answer 5

Only if absolutely necessary. May lower the antibody response for some vaccines

Question 6

Prognosis of stage 4S neuroblastoma?

Answer 6

Neuroblastomas that have metastasized in infants <1 year may regress spontaneously (derived from embryoliogical cell lines)

Question 7

Are purely cystic kidney masses more likely to be malignant or benign?

Answer 7

Benign

Question 8

Most likely abdominal mass < 2 years old vs 3+ years old?

Answer 8

<2: neuroblastoma

>3: Wilm’s tumor

Question 9

Second line therapy for eczema (second to hydrocortisone?)

Answer 9

Calcineurin inhibitors

Question 10

Which children should begin antihypertensive medications?

Answer 10

Stage 2 HTN (>99th percentil +5 mm), evidence of end-organ damage, 2ndary hypertension)

Question 11

Bradycardia or tachycardia with anorexia?

Answer 11

Bradycardia

Question 12

which two electrolyte abnormalities are associated with compromised cardiac function in kids with anorexia?

Answer 12

Ca

Mag

Question 13

What is Osgood Schlatters?

Answer 13

Condition caused by irritation of the growth plate at the tibial tuberosity. It is usually a self-limited pain that resolves with rest and cessation of the growth spurt

Main symptom is pain at the “bump” under the knee after activity or a fall

Question 14

At what age do you begin administering Tdap?

Answer 14

7 and older

Question 15

At what age is Men B administered?

Answer 15

16

Question 16

Murmurs that increase with which two murmurs warrant further investigation?

Answer 16

Murmurs that increase with standing or valsalva

Question 17

What exam do you do to evaluate syncope?

Answer 17

EKG- r/o WPW , long QT or another arrhythmia

Question 18

How good are EKGs at finding hypertrophic cardiomyopathy?

Answer 18

> 90% of people with hypertrophic cardiomyopathy will have an abnormal EKG

Question 19

Which is the primary anabolic hormone for fetal growth?

Answer 19

Insulin

Question 20

Most common cause of LGA babies?

Answer 20

Maternal diabetes

Question 21

What babies are at greatest risk of hypoglycemia following birth?

Answer 21

LGA babies born to diabetic mothers

Question 22

Why do SGA babies have hypoglycemia?

Answer 22

They have low glycogen stores

Question 23

When does biliary atresia develop?

Answer 23

3-6 weeks

Question 24

How do thyroid levels affect the fontanelle?

Answer 24

Hyper- small fontanelle

Hypo- large fontanelle

Question 25

Females with 21-OH CAH?

Answer 25

Virulized

Lack of mineralocorticoids leads to hyponatremia and hyperkalemia

Question 26

When should a specimen for the newborn screen be collected?

Answer 26

As close to discharge as possible- past 24 hours, but also within 1 week

Question 27

penicilllin prophylaxis for kids with SS prevents what majorly?

Answer 27

Sepsis with strep pneumo

Question 28

Treatment for enterococci UTI?

Answer 28

amp/gent

Question 29

What does a positive leukocyte esterase indicate?

Answer 29

Pyuria

Not always a UTI

Question 30

When is VCUG recommended?

Answer 30

Following a 2nd febrile UTI

Question 31

Average HR for a 4 year old-

Answer 31

110 bmp

65-135 is normal

Question 32

Diagnositc criteria for kawasaki?

Answer 32

High fever for 5 days

4/5 criteria

Question 33

What phase does aneurysm develop in KawasakI?

Answer 33

subacute- always develops within 4 weeks of onset of the illness

Question 34

Gold standard tx of kawasaki?

Answer 34

Aspirin and 1 high dose of IVIG

Aspirin can be discontinued if there is no evidence of aneurysm past 6-8 weeks