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AANP > Pediatrics 1 > Flashcards

Pediatrics 1 Flashcards

1
Q

Hep A immunization

A

min age: 1 yr
2 doses, 6 months apart

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2
Q

Hep B immunization

A

3 doses
0 months
1-2 months
6-18 months

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3
Q

DTaP immunization

A

5 doses
2 months
4 months
6 months
15-18 months
4-6 yrs

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4
Q

Tdap immunization

A

11-12 years
booster every 10 yrs

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5
Q

Hib immunization

A

4 doses
2 months
4 months
6 months
12-15 months

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6
Q

PCV 13 immunization

A

4 doses
2 months
4 months
6 months
12-15 months

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7
Q

PPSV 23 given to

A

special populations- chronic moderate lung disease, cancer, cochlear implant

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8
Q

rotavirus vaccine

A

2 dose series
Oral
2 months
4 months

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9
Q

IPV vaccine

A

4 dose
2 month
4 month
6-18 month
4-6 yrs

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10
Q

MMR vaccine

A

2 dose
12-15 months
4-6 yrs
**contra if allergic to neomycin, gelatin

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11
Q

Fever, rash after live or attenuated immunizations represent

A

a reaction to viral replication, not the vaccine

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12
Q

live attenuated vaccines should be given either

A

together or 4 weeks apart

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13
Q

live attenuated vaccines should not be given to

A

under age 1
pregnant women
immune compromised

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14
Q

varicella

A

2 dose
12-18 months
4-6 yrs

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15
Q

if pt has egg allergy with hives

A

admin flu vaccine as prescribed

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16
Q

it pt has egg allergy with angioedema, resp distress

A

give flu vaccine under supervision

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17
Q

meningococcal conjugate vaccine

A

11-12 yrs
booster 16 yrs

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18
Q

HPV vaccine

A

2-3 dose
age 9-14, second 6-12 months later
age >15, 0, 1-2 m, 6m

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19
Q

Most common vaccine reactions

A

among adolescents are to: HPV, MenACWY, and Tdap (syncope)

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20
Q

A vaccine given 4 days prior to the scheduled time to receive it is considered

A

a valid dose

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21
Q

A vaccine given 5 days prior to the scheduled time to receive it is considered an

A

INVALID dose and should
be repeated

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22
Q

otitis media best predictors

A

cloudy bulging tm with impaired mobility

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23
Q

otitis media with effusion

A

fluid accumulation in middle ear without sign of infection

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24
Q

most common viral cause otitis media

A

RSV, flu

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25
Q

most common bacterial cause otitis media

A

step pneumo

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26
Q

otitis media considered severe if

A

fever, severe pain, bilateral

27
Q

give antibiotics if definite otitis media to

A

<6 months
severe >6 months

28
Q

if otitis media uncertain only give abx to

A

<6 months
severe 6-24 months

29
Q

pharm choice for otitis media

A

amoxicillin 80-90 mg/kg/d
if recent abx, augmentin

30
Q

referral for OM if

A

3 or more episodes in 6 months
4 or more episodes in 12 months
treatment failure after oral fluoroquinolone

31
Q

most common pathogen pneumonia peds

A

viral & strep pneumo

32
Q

most sensitive sign of pneumonia in infant

A

increased resp rate

33
Q

if bacterial pneumo can see this in CBC

A

left shift
increase in seg/bands and WBC >15

34
Q

pharm management pneumonia peds

A

90mg/kg/d amox
if allergy, clindamycin

35
Q

bronchiolitis peds

A

self limited
URI for 1-3 days
thick purulent nasal secretions

36
Q

croup

A

stridor, barking cough, hoarse
viral
self limited

37
Q

viral gastroenteritis

A

> 3 water stools in 24 hours
symptoms 1-2 wks
fecal oral route most common mode of transmission

38
Q

gastroenteritis treatment

A

fluid replacement
avoid antidiarrheal

39
Q

1st peds UTI

A

aggressive tx to prevent pyelo
specimen, culture
cover for e.coli

40
Q

1st ped uti tx

A

2nd, 3rd gen ceph for 3-5 days (if no fever, 10 if there is)

41
Q

if 2-24 months with first febrile uti

A

recommend renal and bladder US

42
Q

most common cause of raised red papillae on tongue

A

strep throat

43
Q

roseola caused by

A

human herpes virus 6

44
Q

fifth dx caused by

A

parvovirus b19

45
Q

herpangina virus caused by

A

coxsackie a virus

46
Q

hand foot mouth virus caused by

A

coxsackie virus a16

47
Q

measles rash

A

“brick red” rash, starts on head/neck, spreads to trunk/extremity

48
Q

fifth dx rash

A

“slapped cheek”, lacy, maculopapular

49
Q

rubella rash

A

looks like measles rash with lymphadenopathy, forchheimer spots

50
Q

forchheimer spots

A

macules on soft palate, found in rubella

51
Q

roseola rash

A

high fever 2-4 days
abrupt cessation of fever, maculopapular rash everywhere but face

52
Q

scarlet fever

A

secondary to group a infection
sandpaper like rash

53
Q

roseola occurs mostly commonly in

A

7-13 month old

54
Q

rubella can cause

A

birth defects, miscarriage if contracted during pregnancy

55
Q

measles 3 C’s

A

conjunctivitis
coryza (runny nose, congestion)
cough

56
Q

koplik spots

A

found with measles
grains of sand of oral mucosa, precede rash

57
Q

ADHD symptom of hyperactivity typically observed by age

A

4, peak in symptoms in 3-4 yrs

58
Q

DSM5 criteria for ADHD dx

A

> 6 symptoms inattention, hyperactivity in kids, >5 in teens/adults

59
Q

suspect autism spectrum disorder if

A
  • Delayed language/communication milestones
  • Regression in social or language skills
  • Siblings with ASD
  • Developmental concerns raised by caregivers
60
Q

HA red flags

A

awaken child
n/v, altered mental status
<3 yrs
no fam hx

61
Q

migraine ha tx children

A

no caffeine
exercise
sleep
topamax if over age 12

62
Q

if history of intussusception

A

don’t give rotavirus vaccine

63
Q

hydrocele should resolve in child by

A

1 yr

AANP (18 decks)

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