Pediatric Review Flashcards
Includes CDC vaccination information and a study resource that the peds residents at SAMMC use to prep for their boards.
At what age should kids show a preference for the human face?
Neonatal
At what age should kids follow a dangling ring past midline?
2 mos
At what age should kids retain a rattle briefly?
2 mos
At what age should kids have a facial response to a bell?
2 mos
At what age should kids follow an object through a 180-degree arc?
2 mos
At what age should kids lift their head and shoulders off the bed in prone position?
2 mos
At what age should kids smile socially; coo; make reciprocal vocalizations?
2 mos
At what age should kids show a spontaneous social smile?
4 mos
At what age should kids vocalize or smile when pulled to a sitting position?
4 mos
At what age should kids anticipate food on sight?
4 mos
At what age should kids sit propped for 10-15 minutes?
4 mos
This is usually meant to assess tone in kids (according to the peds docs I’m rotating with), and this requires someone else propping them up (as in they won’t just fall over). Please let me know if this is unclear!
At what age should kids have steady head control while sitting?
4 mos
At what age should kids hold their heads up?
4 mos
At what age should kids bear weight on their forearms when prone?
4 mos
At what age should kids push with feet in standing position?
4 mos
At what age should kids reach for objects?
4 mos
At what age should kids laugh out loud/squeal?
4 mos
At what age should kids initiate social interaction?
4 mos
At what age should kids transfer objects from one hand to the other?
6 mos
At what age should kids roll over in both directions?
6 mos (Something Derek Zoolander mastered much later than others.)
At what age should kids sit with support (tripod-ing)?
6 mos
At what age should kids turn directly to sound and voice?
6 mos
At what age should kids babble consonant sounds?
6 mos
At what age should kids imitate speech sounds?
6 mos
At what age should kids feed themselves w/ fingers?
9 mos
At what age should kids play gesture games (pat a cake) in imitation?
9 mos
At what age should kids bang two objects together?
9 mos
At what age should kids hold two objects at one time?
9 mos
At what age should kids grasp pellet-like objects w/ immature pincer?
9 mos
At what age should kids sit without support?
9 mos
At what age should kids say “mama” and “dada” as non-specific sounds [eg repetitive consonants]?
9 mos
At what age should kids understand their own names?
9 mos
At what age should kids recognize common objects [eg bottle] or people [eg daddy]?
9 mos
At what age should kids pull to a stand and cruise?
12 mos
At what age should kids take a few independent steps?
12 mos
At what age should kids neatly pincer grasp a raisin/pellet?
12 mos
At what age should kids say “mama” or “dada” with specific meaning?
12 mos
At what age should kids say at least one specific word in addition to “mama” and “dada”?
12 mos
At what age should kids play ball w/ examiner?
15 mos
At what age should kids give and take a toy?
15 mos
At what age should kids drink from a cup?
15 mos
At what age should kids make a line w/ a crayon?
15 mos
At what age should kids make a two-cube tower?
15 mos
At what age should kids walk independently?
15 mos
At what age should kids stoop to the floor/recover to standing position?
15 mos
At what age should kids say 3-6 specific words?
15 mos
At what age should kids follow simple commands?
15 mos
At what age should kids use jargon?
15 mos
At what age should kids indicate some desires or needs by pointing?
15 mos
At what age should kids offer an empty dish?
18 mos
At what age should kids partially feeds self w/ spills?
18 mos
At what age should kids have regulated daytime toilet training?
18 mos
At what age should kids pull a toy?
18 mos
At what age should kids carry or hug a doll?
18 mos
At what age should kids feed themselves w/ a spoon?
18 mos
At what age should kids stack a tower of three cubes?
18 mos
At what age should kids run?
18 mos
At what age should kids walk up steps w/ hand hold?
18 mos
At what age should kids imitate household tasks?
18 mos
At what age should kids say 7-10 words?
18 mos
At what age should kids use words for wants or needs?
18 mos
At what age should kids identifies one or more body parts?
18 mos
At what age should kids build a six to eight-cube tower?
24 mos
NOTE: Some literature varies on just how many blocks they should be able to stack. It varies from 4-6, 6-7, and 6-8. Look for six blocks in the answer stem.
At what age should kids turn single pages of a book?
24 mos
At what age should kids avoid turning a spoon?
24 mos
At what age should kids generally verbalize toilet needs and stay dry at night?
24 mos
At what age should kids pull on simple garments?
24 mos
At what age should kids verbalize immediate experiences?
24 mos
At what age should kids refer to themselves by their names?
24 mos
At what age should kids wash and dry their hands?
24 mos
At what age should kids remove clothing?
24 mos
At what age should kids feed self w/ spoon or fork?
24 mos
At what age should kids run well; kick a ball?
24 mos
At what age should kids jump w/ two feet off of floor?
24 mos
At what age should kids throw a big ball overhead?
24 mos
At what age should kids combine words into two-or-three word phrases?
24 mos
At what age should kids point to pictures named?
24 mos
At what age should kids use a vocabulary of 50+ words?
24 mos
At what age should kids use “I”, “me”, and “mine” in speech.
24 mos
At what age should kids walk up stairs by alternating their feet?
36 mos
At what age should kids walk well on their toes?
36 mos
At what age should kids ride/pedal a tricycle?
36 mos
At what age should kids jump from a step?
36 mos
At what age should kids hop two or three times?
36 mos
At what age should kids understand 800 words?
36 mos
At what age should kids follow two-step commands?
36 mos
At what age should kids understand two prepositions (on, under)?
36 mos
At what age should kids help in dressing (unbuttoning clothing, putting on shoes)?
36 mos
At what age should kids stack towers of ten cubes?
36 mos
At what age should kids copy a circle?
36 mos
At what age should kids stand momentarily on one foot?
36 mos
At what age should kids be able to complete broad jumps?
36 mos
At what age should kids have 75% intelligible speech?
36 mos
TIP: Think 3 years old, three-quarters intelligible.
At what age should kids speak in sentences of 5-8 words?
36 mos
At what age should kids know the meaning of simple adjectives (eg tired, hungry, thirsty)?
36 mos
At what age should kids know their age and gender?
36 mos
At what age should kids be able to copy a cross?
48 mos
At what age should kids draw a simple figure of people (head plus one body part)?
48 mos
At what age should kids be able to balance on one foot for 3 seconds?
48 mos
At what age should kids pretend play?
48 mos
At what age should kids have fully intelligible speech?
48 mos
TIP: At four years, these kids are four-quarters intelligible.
At what age should kids ask questions (eg when?, why?, how?)?
48 mos
At what age should kids tell a story?
48 mos
At what age should kids count four objects accurately?
48 mos
At what age should kids tandem walk backwards?
5 yrs (can you do this?)
At what age should kids skip by alternating feet?
5 yrs
At what age should kids hop 10 times?
5 yrs
At what age should kids dress and undress?
5 yrs
At what age should kids draw a person w/ 6 body parts?
5 yrs
At what age should kids play board/card games?
5 yrs
At what age should kids ask about the meanings of words?
5 yrs
At what age should kids be able to name four colors?
5 yrs
At what age should kids ride a bicycle without training wheels?
6 yrs
At what age should kids be able to write their names?
6 yrs
At what age should kids know right from left across the midline (“Touch your right ear with your left hand.”)?
6 yrs
At what age should kids know the names of colors?
6 yrs
At what age should kids be able to identify letters and numbers?
6 yrs
What vaccinations are newborns given before leaving the hospital?
Hep B
What vaccinations are given at 1 month?
Hep B
What vaccinations are given at 2 mos?
Hep B (if second dose not received yet), RV, DTaP, Hib, PCV, IPV.
What vaccinations are given at 4 mos?
RV, DTaP, Hib, IPV, PCV
What vaccinations are given at 6 mos?
Hep B, RV, DTaP, Hib, PCV, IPV, Influenza
What vaccination is given between 6 mos and 18 mos (this vaccination’s range goes from 6 mos to 18mos)?
The third Hep B dose.
What vaccinations are given at 12 mos?
Hep B (if 3rd dose not yet given), Hep A, HiB, PCV, IPV, MMR, Varicella, Influenza
What vaccinations are given between 15 and 18 mos?
TDaP
What vaccinations are given between 4-6 years old?
DTaP, IPV, influenza, MMR, Varicella
Overall, what vaccinations can/should kids receive from ages 7-18?
Influenza, HPV (three doses), Tdap, MCV4 (meningococcal, two doses)
At what age is it recommended that adolescents receive the HPV vaccination series?
According to the CDC, the current guidelines suggest beginning the series at ages 11-12. There are three vaccinations in the series that are spaced out. The second shot is given 1-2 mos after the first, and the third shot is given six months after that.
At what age(s) should a kid receive the MCV4 (meningococcal) vaccination?
Kids should get the first vaccination at 11-12 years old. The booster should be administered at age 16 (up to 18).
At what age between 7 and 18 yrs should adolescents receive the Tdap vaccination?
Between ages 11-12, just like the MCV4 and HPV vaccinations. :D
What is the age range that adolescents should receive the HPV series?
Males: From 11-12 to age 21 unless they are MSM or immunocompromised, then they can have the series through age 26.
Females: From 11-12 to age 26.
At what age are kids alert to sound [bell or voice]
Neonate
