Pediatrics

Question 1

2-8 week old infant presenting with:
Regurgitation or vomiting
+/- Painless bloody stools
+/- Eczema

Answer 1

Milk- or Soy-protein-induced colitis

Rectal bleeding stops within 2 weeks of stopping milk/soy diet

Question 2

Infant presenting with weight under 10th percentile

Answer 2

Small for Gestational Age (SGA)

Question 3

What are infants with Small for Gestational Age (SGA) at risk for?

Answer 3

Polycythemia (2/2 hypoxia), hypoxia, perinatal asphyxia, meconium aspiration, hypothermia, hypoglycemia, hypocalcemia

Question 4

What are risk factors for Small for Gestational Age?

Answer 4

Maternal: Preeclampsia, malnutrition, placental insufficiency, multi-parity or drug use
Fetal: genetics, congenital infections

Question 5

What are the risk factors for vitamin D deficiency Rickets?

Answer 5

Exclusive breast feeding
Dark skin pigmentation
Lack of sun exposure

Question 6

APGAR Scoring: first A

Answer 6

Appearance/Color:
Completely blue/pale = 0
***Body pink, extremities blue = 1
Completely pink = 2

Question 7

APGAR Scoring: P

Answer 7

Pulse:
Absent = 0
< 100/min = 1
> 100/min = 2

Question 8

APGAR Scoring: G

Answer 8

Grimace/reaction:
Absent = 0
Grimace/whimper = 1
Cough/sneeze/cry = 2

Question 9

APGAR Scoring: second A

Answer 9

Activity/muscle tone:
Limp = 0
Some flexion = 1
Active/spontaneous = 2

Question 10

APGAR Scoring: R

Answer 10

Respiration:
Absent = 0
Slow/irregular = 1
Regular = 2

Question 11

APGAR Scoring

Answer 11

7 & up = no intervention required

< 7 = may require further evaluation and resuscitation