Pediatrics

Question 1

What scenario would require peanut allergy testing in an infant before introducing into the diet?

Answer 1

Has severe eczema and/or known egg allergy; if not infants can be introduced at age 4-6 months; wait until 6 months if baby has mild to moderate eczema

Question 2

Car seat laws: how long in rear facing car seat, how long forward facing, when outgrow booster seat

Answer 2

Rear facing until 2 yrs and 35-40lb, forward facing until outgrows manufacturers limit for height/weight, regular seatbelt at usually 4’9” or 8-12 years and belt fits correctly over shoulder and lap

Question 3

bullae that become red patches w/ honey crust; bacteria that causes it; treatment

Answer 3

bullous impetigo; staph aureus; topical abx like mupirocin

Question 4

At what age should you start monitoring blood pressure at well child visit?

Answer 4

age 3

Question 5

at what age does USPSTF recommend starting screening for depression?

Answer 5

age 12

Question 6

what is the recommended maintenance fluid for children?

Answer 6

0.9% NaCl + KCl + 5% dextrose

Question 7

what is the first line treatment that should be initiated upon diagnosis of acute rheumatic fever?

Answer 7

NSAIDs

Question 8

when should you repeat a hearing screen if a baby fails the newborn screening before discharge?

Answer 8

at 3 months old

Question 9

infants born before 37 weeks and are exclusively breastfed should be supplemented with ____?

Answer 9

iron at 2mg/kg/day after 1 month of life and vitamin D supplementation

Question 10

what medication should be given to child with croup regardless of severity of illness?

Answer 10

steroids

Question 11

at what age in teens do BP guidelines begin to follow that of adults with stage 1 HTN 130-139/80-89 and stage 2 being >140/90?

Answer 11

age 13 or older