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Pediatric EOR exam > Pediatric Neurology and Developement > Flashcards

Pediatric Neurology and Developement Flashcards

1
Q

what is the anticipatory guidance for dental evaluation

A
  • should see dentist upon eruption of first tooth.
  • should see dentist every 6 months after that
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2
Q

what is the teething process

A

-kids get fussy, cranky, and chew on objects
-may have fever

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3
Q

what is the guidance for car seats

A
  • should ride rear facing until 2yo
  • booster seat for 4yo and 40 lbs
  • safety seat until 8yo and 4’9”
  • ride in back seat until 13yo
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4
Q

what is anticipatory guidance for ATV riding

A
  • only use on non-paved surfaces
  • no passengers
  • not use under 16yo
  • always wear helmet
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5
Q

when does trisomy 21 typically occur

A

meiosis 1

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6
Q

How is fertility affected in down syndrome patients

A
  • women are fertile
  • males infertile
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7
Q

what are the s/s of trisomy 21

A
  • hypotonia
  • large tongue
  • single palmar crease
  • flat occiput and nasal bridge
  • hypothyroidism
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8
Q

How do you diagnose trisomy 21

A

quad screen on mother in 2nd trimester

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9
Q

what quad screen values suggest trisomy 21

A
  • low afp
  • high inhibin A
  • high hcg
  • low estriol
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10
Q

what is the treatment of trisomy 21

A
  • manage secondary conditions
  • developmental support
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11
Q

what group is most at risk for febrile seizures

A

3-36 months

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12
Q

the more (…) a child has, the more at risk they are for a febrile seizure

A

self limited viral infections

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13
Q

do simple febrile seizures have any long-term consequences?

A

no

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14
Q

are prophylactic anticonvulsants recommended for febrile seizures?

A

no

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15
Q

what is the MCC of febrile seizures

A

viral illnesses

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16
Q

what vaccines are given at birth

A

Hep B

17
Q

what vaccines are given at 2,4,6 months

A

DTap, polio, Hep B, Hib, pneumonia, Rotovirus

18
Q

what vaccines are given at 12 months

A

Hib, pneumonia, MMR, Varicella, Hep A

19
Q

what vaccines are given at 15 months

A

DTaP, HIB, pneumonia

20
Q

what vaccines are given at 4-6 years

A

DTaP, polio, MMR, and varicella.

21
Q

when is the HPV vaccine administered

A
  • recommended 11-12yo but can be given from 9-45
  • before 15yo: 2 doses, 6-12 months apart
  • after 15yo: 3 doses, 1-2 months and then 6 months apart
22
Q

when is the meningitis ACWY administered

A
  • 1st dose 11-13
  • 2nd dose 16-18
23
Q

when is meningitis B vaccine administered

A
  • 1st dose 16-18
  • 2nd dose 1-6 months later
24
Q

when is the flu vaccine administered

A

starting at 6 months. 1st time vaccination requires 2 doses. then once yearly after that

25
Q

what are the CI for the live attenuated flu vaccine (flumist)

A
  • children under 2
  • hx of asthma
  • close contact with immunocompromised individual
26
Q

what are s/s of viral meningitis

A
  • acute onset
  • fever, abd pain, vomiting
  • rash
  • full fontanelles
  • HA
  • meningeal signs in older children
27
Q

what is the MCC of viral meningitis

A

Enterovirus

28
Q

what is the treatment of viral meningitis

A
  • supportive
  • antivirals if HSV is causing it
29
Q

what are the s/s of pneumococcal meningitis

A
  • fever and chills
  • convulsions
  • neck stiffness
  • bulging fontanelle
  • HA
  • vomiting
  • meningeal signs
30
Q

what is the treatment of pneumococcal meningitis

A

Rocephin + Vanc

31
Q

when is chemoprophylaxis for neisseria meningitidis suggested? what is the prophylactic treatment

A

Rifampin for anyone exposed to respiratory secretions

32
Q

what are the s/s of neisseria meningitis

A
  • HA
  • n/v
  • convulsions
  • rash
  • permanent neurologic damage
33
Q

what is the treatment of neisseria meningitis

A
  • vanc + rocephin
  • PCN if susceptible
34
Q

when does teething begin

A

6 months

35
Q

what is the etiology of turners syndrome

A

loss of X chromosome (XO)

36
Q

what are the s/s of turners syndrome

A
  • webbed neck
  • low set ears
  • shield chest
  • coarced aorta
  • horseshoe kidney
  • absent puberty
37
Q

what is the treatment of turners syndrome

A

estrogen replacement

38
Q

how do you diagnose turners syndrome

A

genetic testing.

Pediatric EOR exam (20 decks)

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