Pediatric exam

Question 1

Shortly after delivery newborns are routinely given:

Answer 1

Erythromycin ointment in eyes to prevent infection

Vitamin K injection to prevent bleeding

Question 2

Fever in a neonate

Answer 2

is an emergency!
Rectal temp over 100.4
Work up includes blood culture, urine culture, lumbar puncture and empiric antibiotics while awaiting culture results

Question 3

Infant exams

Answer 3

Younger than about 9 months: Exam can be done on table

Older than 9 months:
Examine on parent’s lap
Stranger anxiety develops at this age
Object permanence develops

Must be flexible with exam sequence

Question 4

colic

Answer 4

peaks at 1-2 months

Question 5

first week visit counseling

Answer 5

make sure rear facing car seat placed in the back seat

Question 6

Immunizations at 2 months

Answer 6

RV
DTaP
Hib
PCV
IPV

Question 7

Immunizations at 4 months

Answer 7

RV
DTaP
Hib
PCV
IPV

Question 8

Immunizations at 6 months

Answer 8

RV
DTAP
Hib
PCV

Question 9

fontanelles should feel

Answer 9

soft and flat

Question 10

difference between caput succadaneum and cephalohematoma

Answer 10

Caput succedaneum crosses suture lines.
Cephalohematoma does not.

(cephalohematoma is under the periosteum)

Question 11

alopecia areata vs tinea capitis

Answer 11

alopecia areata- no broken hairs

tinea capitis- broken hairs. (ringworm of the scalp)

Question 12

Ears

Answer 12

Children have wider, shorter eustachian tubes, predisposing them to ear infections

Question 13

periodic breathing

Answer 13

immature nervous system will make them stop breathing sometimes, it’s totally normal.

Question 14

innocent murmurs

Answer 14

Low pitched (non-turbulent, not high velocity)

Question 15

age of Palmar grasp

Answer 15

B-4 m

Question 16

age of Plantar Grasp

Answer 16

B- 9 m

Question 17

age of Moro (startle Reflex)

Answer 17

B- 9 m

Question 18

age of Rooting

Answer 18

B to 3-4 m