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LMCC Part 2 > Pediatrics > Flashcards

Pediatrics Flashcards

1
Q

Normal respiratory rate

A

Age 12 12-16

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2
Q

Normal heart rate

A

Age 12 60-100

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3
Q

Normal blood pressure

A

70 mmHg + (2 x age in years)

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4
Q

Age for: Gross motor - Raises head slightly from prone position, makes crawling movements; Visual-motor and problem solving - Visually fixes, has tight grasp, follows to midline; Language, social, and adaptive - Alerts to sound, regards face

A

1 month

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5
Q

Age for: Gross motor - Holds head in midline, lifts chest off table; Visual-motor and problem solving - No longer clenches fist tightly, follows object past midline; Language, social, and adaptive - Smiles socially (after being stroked or talked to), recognizes parent

A

2 months

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6
Q

Age for: Gross motor - Supports on forearms in prone position, holds head up steadily; Visual-motor and problem solving - Holds hands open at rest, follows in circular fashion, responds to visual threat; Language, social, and adaptive - Coos (produces long vowel sounds in musical fashion), reaches for familiar objects, anticipates feeding

A

3 months

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7
Q

Age for: Gross motor - Rolls front to back, supports on wrists and shifts weight; Visual-motor and problem solving - Reaches with arms in unison, brings hands to environment midline; Language, social, and adaptive - Laughs, orients to voice, enjoys looking around

A

4 months

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8
Q

Age for: Gross motor - Rolls back to front, sits supported; Visual-motor and problem solving - Transfers objects; Language, social, and adaptive - Says “ah-goo,” orients to bell (localizes laterally)

A

5 months

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9
Q

Age for: Gross motor - Sits unsupported, puts feet in mouth in supine position; Visual-motor and problem solving - Unilateral reach, uses raking grasp; Language, social, and adaptive - Babbles, recognizes strangers

A

6 months

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10
Q

Age for: Gross motor - Pivots when standing, pulls to stand, cruises; Visual-motor and problem solving - Uses pincer grasp with forefinger, gestures, waves bye-bye, holds bottle, throws objects; Language, social, and adaptive - “Mama” indiscriminately, understands “no”, starts to explore environment, plays gesture games

A

9 months

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11
Q

Age for: Gross motor - Walks alone; Visual-motor and problem solving - Uses mature pincer grasp, releases voluntarily, marks paper with pencil; Language, social, and adaptive - Uses two words other than “Dada” and “Mama”, imitates actions, comes when called, cooperates with dressing

A

12 months

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12
Q

Age for: Gross motor - Runs, throws objects from standing without falling; Visual-motor and problem solving - Scribbles spontaneously, builds tower of 3 blocks, plays in company of other children; Language, social, and adaptive - Uses 2-word combinations, copies parent in tasks (sweeping, dusting), turns 2-3 pages at a time

A

18 months

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13
Q

Age for: Gross motor - Walks up and down steps without help; Visual-motor and problem solving - Imitates stroke with pencil, builds tower of 7 blocks, turns pages 1 page at a time, removes shoes and pants; Language, social, and adaptive - Uses pronouns appropriately, follows 2-step commands, parallel play

A

2 years

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14
Q

HEADSSS history

A

Home; education/employment; activities; drugs/diet; sex/safety/suicide

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15
Q

Pediatric assessment triangle

A

Appearance (tone, irritable/interactive, consolable, look/gaze, speech/cry), work of breathing, circulation to skin

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16
Q

Differential diagnosis for altered mental status in children

A

AEIOUTIPS - Alcohol (adolescents), ammonia (inborn errors), abuse; Electrolytes, encephalopathy; Infection; Oxygen, overdose; Uremia; Trauma, tumor; Insulin (hypoglycemia), intussusception, inborn errors of metabolism; Psychiatric, poisoning; Seizure, shock, shunt malfunction, subarachnoid hemorrhage

17
Q

Simple febrile seizure

A

Brief (less than 15 minutes), generalized seizure occurring no more often than once in a 24 -hour period in children between the ages of 6 months and 6 years

18
Q

Historical features concerning for child abuse

A

History lacking in details; Inconsistency–details change with repeated questioning; History inconsistent with child’s developmental status; Reported mechanism inconsistent with injury

19
Q

Physical examination and radiologic findings concerning for child abuse

A

Bruising in young infants; Patterned bruises or burns; Bruises on the ears, trunk, inner thighs, neck or groin; Posterior rib fractures; Classic metaphyseal fractures; Any fracture in a non ambulatory child; Fractures in different stages of healing

LMCC Part 2 (6 decks)

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