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AANP > Pediatrics 2 > Flashcards

Pediatrics 2 Flashcards

1
Q

lead toxicity symptoms

A

fatigue, GI symptoms, irritable, renal change
cog/behavioral changes irreversible

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2
Q

major risk factor contributing to development of severe hyperbilirubemia

A

jaundice observed in first 24 hours

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3
Q

pathologic jaundice causes

A

increased production d/t hemolysis
decreased removal d/t maternal/fetal endo prob
poor feeding

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4
Q

sickle cell disease highly susceptible to

A

infection due to functional asplenia

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5
Q

sickle cell disease medication prophylaxis

A

PCN twice daily
fever can be life threatening

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6
Q

failure of bone marrow indicated by

A

abnormal RBC, WBC, plt

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7
Q

most common leukemia children

A

acute lymphocytic leukemia (ALL)

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8
Q

leukemia symptoms

A

anorexia, wt loss
hepatosplenomegaly
fever
bleeding
bone pain
lymphadenopathy

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9
Q

rules about lymph nodes

A

> 10 mm is enlarged

EXCEPT
epitrochlear >5mm
inguinal >15mm
cervical >20mm

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10
Q

inhaled corticosteroid affect children

A

1-2 inches shorter than their peers

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11
Q

cystic fibrosis

A

autosomal recessive
excessive loss of sodium via sweat, channels don’t effectively transport Cl

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12
Q

cystic fibrosis symptoms

A

thick mucus
frequent LURI
greasy stools

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13
Q

if pulses are unequal/weak suspect

A

coarc of aorta

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14
Q

first dyslipidemia screening

A

at age 9

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15
Q

bmi percentile

A

child’s bmi to peers of same age/gender
85-95 overweight
>95 obese

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16
Q

screening in children for DM

A

asymptomatic children, teens who have started puberty and overweight with one risk factor

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17
Q

grade 1 murmur

A

faintest sound that can be detected, no thrill

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18
Q

grade 2 murmur

A

soft murmur readily detected
no thrill

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19
Q

grade 3 murmur

A

louder than 2 murmur but no thrill

20
Q

grade 4 murmur

A

palpable thrill

21
Q

grade 5 murmur

A

very loud, audible with stethoscope lightly placed on chest
palpable thrill

22
Q

grade 6 murmur

A

audible with stethoscope off chest
palpable thrill

23
Q

innocent murmur clues

A

grade 2 or less
softer intensity when upright
musical quality

24
Q

colic

A

rule of 3
crying for no apparent reason for >3 hours/day
occurs >3 days/wk
otherwise healthy infant <3 months

25
Q

pyloric stenosis symptoms

A

4-6 weeks old
boy
projectile vomiting
olive like mass

26
Q

pyloric stenosis diagnosed with

A

ultrasound

27
Q

GERD red flags infants

A

choking with eating
poor wt gain
ab tenderness
fever

28
Q

lifestyle modifications to help with GERD peds

A

breastfeeding
keep infant upright x20 min
small frequent feeding
1-2 week trial hypoallergenic formula
avoid overfeeding, smoke

29
Q

pharm management gerd treatment infants

A

ppi x2 weeks, if s/s improve continue for 3-6 months

30
Q

gerd in infants usually resolved by

A

age 1

31
Q

intussusception affects those age

A

6-36 months

32
Q

classic triad intussusception

A

sudden onset of crampy progressive abdominal pain (child pulls knees to chest)
bloody mucousy “currant jelly stools”
tender palpable mass

33
Q

intussusception imaging

A

abdominal US

34
Q

management for recent constipation children

A

sorbitol containing juice/purees/ high fiber foods
glycerin suppository

35
Q

encopresis definition

A

involuntary soiling of stool in child over 4 yrs

36
Q

encopresis underlying problem is typically

A

constipation

37
Q

most common gu disorder in boys

A

undescended testes

38
Q

if only one palpable teste in scrotum, refer to urology at age

A

1

39
Q

hydrocele normally resolves by age

A

1

40
Q

ortolani and barlow maneuvers test

A

hip instability

41
Q

nursemaids elbow commonly occurs in

A

age 1-4
present with child arm straight at side with refusal to bend

42
Q

scoliosis defined as curvature of the spine over

A

10 degrees

43
Q

osgood schlatter dx

A

anterior knee pain increases over time
usually unilateral
overuse injury

44
Q

legg calve perthes dx

A

avascular necrosis
pain to hip/medial aspect of knee
worsens with activity
positive trendelenburg

45
Q

slipped capital femoral epiphysis (SCFE)

A

several weeks/months of hip/knee pain with intermittent limp
positive trendelenburg

46
Q

trendelenburg test

A

standing on affected leg causes pelvic tilt: positive
positive in: SCFE, legg calve perthes, developmental dysplasia of hip

47
Q

transient synovitis of hip

A

most common cause of hip pain
acute limp, hip pain

AANP (18 decks)

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