Peds 1

Question 1

Café-au-lait spots are

Answer 1

light to dark brown pigmented birthmarks that commonly appear on a newborn’s skin

Question 2

Café-au-lait spots - what should be in your differential and why

Answer 2

neurofibromatosis (NF) - around 85% of patients NF have these spots and NF can cause cognitive issues, refer to neuro

Question 3

earliest age for construction paper and a pair of rounded pointed scissors

Answer 3

4

Question 4

physical exam techniques used to idenitfy hip dislocation
2

Answer 4

ortolani’s
barlow’s

Question 5

DHH - a palpable clunk is considered ___

Answer 5

diagnostic

Question 6

fever of 102 for the last 3 days, then wakes up from a nap with no fever and has a maculopapular rash =

Answer 6

roseola/exanthem subitum

Question 7

roseola is caused by

Answer 7

HSV6

Question 8

roseola course

Answer 8

high fever for 3 days followed by abrupt cessation of fever and the appearance of a maculopapular rash that usually resolves in a few days

Question 9

high fever for 3 days followed by abrupt cessation of fever and the appearance of a maculopapular rash that usually resolves in a few days

Answer 9

roseola

Question 10

roseola - when can child return to school

Answer 10

when fever free for 24 hours

Question 11

GERD - first two tx options (non pharm)

Answer 11

1. avoid overfeeding - try small, frequent feedings
2. milk thickening agents

Question 12

GERD - avoid what type of milks/formulas if trying to r/o hypoallergenic conditions

Answer 12

cows milk
soy

Question 13

GERD - meds

Answer 13

first line PPI (ex. Omeprazole)
then H2 blockers (cimetidine)

Question 14

vaccines that minimum wait time between next dose include
4

Answer 14

hep B
DTaP/DT
IPV
MMR

Question 15

children ages 7-10 who aren’t fully vaccinated against pertussis - TDaP

Answer 15

should get a single dose of TDaP vaccine and f/u with TD 4 weeks later

Question 16

patient in unable to tolerate the pertussis component of the TDaP - what do you do

Answer 16

give them the DT, and then another DT four week later

Question 17

minimum length of time between varicella vaccine is

Answer 17

3 months if younger than 13 years

Question 18

when can second dose of hep A be given

Answer 18

6 months after first dose

Question 19

vaccine not administered to children older than 59 months/5 years

Answer 19

HIB

Question 20

test for DDH
3

Answer 20

newborn to 3 months - Barlow & Ortolani
>3 months - Galeazzi & Klisic
walking aged children - Trendelenburg pelvic tilt test

Question 21

the romberg test is used for

Answer 21

the clinical assessment of patients with neurologic problems such as disequilibrium or ataxia

Question 22

use for the clinical assessment of patients with neurologic problems such as disequilibrium or ataxia

Answer 22

romberg test

Question 23

what indicated a positive trendelenburg pelvic tilt test

Answer 23

weakness of the hip abductors on the affected side in the presence of unilateral hip dysplasia

Question 24

Tanner stages 1-5 girls

Answer 24

1 - preadolescent
2 - breast budding (age 11)
3 - continued enlargement (age 12)
4 - areola and papilla form secondary mound (age 13)
5 - mature female breast, projection of the nipple only (15)

Question 25

HR 60-100

Answer 25

age 10

Question 26

legg-calve perthes disease

Answer 26

childhood hip disorder initiated by disruption of blood flow to the head of the femur

Question 27

childhood hip disorder initiated by disruption of blood flow to the head of the femur

Answer 27

legg-calve perthes disease

Question 28

legg-calve perthes disease - child should avoid what

Answer 28

high impact sports such as basketball during treatment since increased weight on the hip will cause further damage

Question 29

coarse, dry hair - think

Answer 29

hypothyroid

Question 30

3 month old with area of alopecic at occiput

Answer 30

common due to them laying on that spot for sleep and naps - encourage caregiver to change infant’s head position

Question 31

colic usually occurs around what months

Answer 31

1-3 months

Question 32

colic predictable pattern

Answer 32

typically in the evening after feeding

Question 33

colic - meds, formula, education

Answer 33

1. meds not needed
2. changing formula is not indicated
3. provide education to parent and comfort measures like rhythmic rocking or frequent burping