Pediatrics

Question 1

When should a child sit up unassisted?

Answer 1

6 months old

Question 2

When should a child be able to hold a spoon?

Answer 2

15 to 18 months old

Question 3

When should a child stand?

Answer 3

9 months old

Question 4

When should a child say mama and dada with meaning?

Answer 4

12 months

Question 5

When should a child be able to walk?

Answer 5

12 to 17 months old

Question 6

when should a child be able to copy a circle, throw a ball, and ride a tricycle?

Answer 6

3 years old

Question 7

When should a child be able to draw a cross?

Answer 7

4 years old

Question 8

When should a child ride a bicycle?

Answer 8

5 to 6 years

Question 9

When should we anticipate separation anxiety?

Answer 9

9 m onths

Question 10

When does the palmar grasp go away/

Answer 10

5 to 6 months

Question 11

when does the posterior fontanelle close?

Answer 11

2 to 3 months

Question 12

when does the anterior fontanelle close?

Answer 12

12 to 18 months

Question 13

when should strabismus clear up?

Answer 13

4 to 6 months old

Question 14

What reflexes are present at birth//

Answer 14

rooting
tonic neck reflex
grasp
moro
stepping

Question 15

When is the birth weight going to double?

Answer 15

6 months

Question 16

how do we know if breastfeeding is effects?

Answer 16

6 to 8 wet diapers a day

and if the baby is gaining weight

Question 17

A bilirubin greater than ____ indicates a need for phototherapy

Answer 17

15

Question 18

what is a common time to see regression in children?

Answer 18

anytime there’s a big life change

3 year old that’s potty trained then suddenly moving to a new house

Question 19

What tanner stage do you have breast budding?

Answer 19

Stage 2

Question 20

What tanner stage do you have one mound

Answer 20

stage 3

Question 21

what tanner stage do you have 2 mound and the start of their period?

Answer 21

stage 4

Question 22

What tanner stage for boys do they experience a growth spurt and where the penis grows most in length?

Answer 22

stage 3

Question 23

what age is it too early to be going through puberty for boys ….and girls?

Answer 23

boys before 9 years

girls before 8 years

Question 24

at what age should we investigate if a girl hasn’t gotten her period?

Answer 24

15 years

Question 25

when do girls meet their adult height?

Answer 25

same time they get their period

Question 26

for boys, what tanner stage can you see some straight pubic hairs?

Answer 26

stage 2

Question 27

for boys, what tanner stage can we see curly pubic hairs?

Answer 27

stage 4

Question 28

what is your first concern when a patient has cryptorchidism?

Answer 28

this is an undescended testicle so you worry about higher risk of testicular cancer

Question 29

when do mongolian spots usually resolve?

Answer 29

5 years

Question 30

what do we worry about with a child with chronic otitis media?

Answer 30

possible hearing loss that could lead to a speech delay

Question 31

what should we do if we see a cholesteatoma?

Answer 31

refer to ent

Question 32

When do we want to refer for VUR?

Answer 32

when the urine flow backs up into the ureters and can lead to dilation of the kidneys stage 3 order a voiding cystourethrogram to confirm

Question 33

What is some anticipatory guidance for Turner's

Answer 33

delayed puberty infertility

Question 34

you have a male teen come in with pain over teh anterior tibial tubercle near the insertion site...what is it?

Answer 34

osgood-schlatter

Question 35

What education do you want to give infant parents about hydrocele?

Answer 35

it will resolve on its own

Question 36

how do you tx kawasaki?

Answer 36

high dose ASPIRIN IVIG

Question 37

Whats a leading cause of death for 1 to 4 year olds?

Answer 37

drowning

Question 38

Whats a leading cause of death for teenagers

Answer 38

MVAs

Question 39

When should the Moro (startle reflex) and stepping reflex resolve?

Answer 39

2 months

Question 40

When does the palmar reflex resolve?

Answer 40

6 months

Question 41

When should a baby be able to go from their back to stomach?

Answer 41

4 months

Question 42

when should a baby be able to roll in both directions?

Answer 42

6 months

Question 43

When does the first tooth erupt?

Answer 43

6 months

Question 44

when do babies establish hand dominance?

Answer 44

11 months

Question 45

When can a baby say 2 to 4 words?

Answer 45

1 year

Question 46

When should a baby have a full set of teeth?

Answer 46

2 years

Question 47

When should a baby be able to draw a circle?

Answer 47

3 years

Question 48

when should a child be able to draw a cross and copy a square?

Answer 48

4 years

Question 49

What is considered delayed puberty for each gender?

Answer 49

females 13 males 14

Question 50

What tanner stage do females have their period?

Answer 50

Tanner 4

Question 51

what tanner stage do males have their growth spurt?

Answer 51

tanner 3

Question 52

What vaccinations are infants getting at 2 months?

Answer 52

polio Bib pneumococcal rotavirus Dtap

Question 53

What is the presentation of Kawasaki's

Answer 53

fever rash lymphadenopathy swelling in hands/feet "strawberry tongue"

Question 54

what are you going to give for someone with strep and mono at the same time?

Answer 54

macrolides and cephalosporin

Question 55

what is the cause of whooping cough

Answer 55

pertussis

Question 56

What is pertussis treated with?

Answer 56

azithromycin

Question 57

in what descent is thalassemia more common?

Answer 57

southeast asian mediterranean

Question 58

What does encopresis mean?

Answer 58

fecal incontinence

Question 59

what grade VUR are you going to refer to urology?

Answer 59

grade 3

Question 60

What is another name for nursemaid's elbow? tx?

Answer 60

radial head subluxation Elbow partially dislocates closed reduction in the office

Question 61

When does genu varum resolve?

Answer 61

bow legged 2 to 3 years old

Question 62

What is Legg-Calve-Perthes? Who does it effect? s/s

Answer 62

osteonecrosis of the femoral head Occurs between 4 to 8 years s/s -child limps -+Trendelenburg test (child cannot stand on one leg without tiling pelvis)

Question 63

Turner's syndrome cause s/s tx

Answer 63

Females missing an X chromosome s/s: -webbed neck -short tx: Refer need hormones initiated for puberty

Question 64

What is klinefelters s/s

Answer 64

Males with an extra X chromosome causes testosterone deficiency s/s: large head delayed developmental milestones mental disabilities REFER

Question 65

Marfan's s/s complications

Answer 65

long limbs tall thin arm span > height complications: -MVP w click -aortic aneurism

Question 66

Signs of autism

Answer 66

delay speaking poor eye contact difficulty interacting with others loss of developmental skills

Question 67

3 core characteristics of adhd tx <6 years

Answer 67

hyperactivity impulsivity inattention <6 months -therapy and behavior management >6months -meds

Question 68

What snri is good for neuropathic pain?

Answer 68

Duloxetine (Cymbalta)

Question 69

What tool are we going to use to assess potential anxiety?

Answer 69

GAD-7