Pediatrics

Question 1

2 month old milestones x2

Answer 1

smiles

eyes to midline

Question 2

4 month old milestones x2

Answer 2

eyes follow beyond midline

aware of caregiver

Question 3

6 month old milestones x4

Answer 3

(dog)

• rolls
• babbles (barks)
• sits
• grasps

Question 4

9 month old milestones x2

Answer 4

-crawling
-grasps with thumb
+/- a word

Question 5

12 month milestones x5

Answer 5

rules of 2

• stand +/- walks on two legs
• 2+ words
• 2 block tower
• pincer with 2 fingers
• too scared of strangers

Question 6

18 month milestones x3

Answer 6

runs/walks backwards
uses cup
2 word sentences

Question 7

2 year old milestones x4

Answer 7

• stairs
• jumps
• 6 block tower
• sentences, 50-70 words

Question 8

3 year old milestones x2

Answer 8

trike

copies circle

Question 9

4 year old milestones x3

Answer 9

• 250 words/4 word sentences
• plays with others
• draws cross, triangle

Question 10

6 year old milestones x2

Answer 10

skips

draws stick figure

Question 11

Baby weight milestones timing
birthweight?
double?
triple? 
quadruple?

Answer 11

BW: 2 wks

double: 4 months
triple: 1 year
quadruple: 2 years

Question 12

What is height increase at 1 year? 4 years? 13 years?

Answer 12

1 year up 50%
4 years double
13 years triple

Question 13

How much weight should kids gain each year?

Answer 13

5 lbs from age 2 to 13

Question 14

Constitutional vs familial short stature

Answer 14

familial= does not catch up 
constitutional= catches up

Question 15

4 ways to define failure to thrive

Answer 15

less than 3rd %ile for corrected GA
weight less than 80% of ideal
weight falls 2 major curves
weight: length less than 10%ile

Question 16

two types of strabismus

Answer 16

exo-out

eso- in

Question 17

1st sign of retinoblastoma

Answer 17

leukocoria

loss of RED reflex

Question 18

amblyopia is ? treatment is?

Answer 18

loss of vision due to misuse or disuse

patch the good eye

Question 19

When to screen kids for lead?

How and when to treat?

Answer 19

houses older than 1950

give dimercaprol/ calcium disodium edetate if greater than 70 mcg/dl

Question 20

Workup for child abuse

Answer 20

CPS
skeletal survey
PTT,PT,CBC,LFTs
Head CT 
STD testing

Question 21

What to give at birth for maternal hep B

Answer 21

HBIG

Question 22

How to handle shots for low birth weight/preemies

Answer 22

same as usual schedule

Question 23

When to avoid rota vaccine?

Answer 23

ok in HIV!

But not with history of intussusception

Question 24

SIDS peak

Answer 24

2-4 months

Question 25

Aside from sleeping incorrectly, what are risks for SIDS?

4

Answer 25

mom <20
smoking
prematurity
overheating

Question 26

Car seat stages
rear facing until?
forward carseat until?
booster until?
backseat until?

Answer 26

rear until 2 years
forward until 5 years or until outgrows
booster until 4’9”
backseat until 13