Peds

Question 1

Definition of delayed puberty

Answer 1

F: no breast bud by age 12-13
M: no testicular enlargement by age 14

Question 2

Definition of precocious puberty

Answer 2

F: before age 8
M: before age 9

Question 3

Female athlete triad

Answer 3

Female athlete triad: anorexia/restrictive eating, amenorrhea, osteoporosis

Question 4

what is the most common renal malignancy in children?

Answer 4

Wilms’ Tumor (nephroblastoma)

Asymptomatic abdo mass extending from flank –> midline
nontender, rarely crosses midline

Question 5

Definition of failure to thrive in infants

Answer 5

Weight for age <3-5 percentile for gestation corrected age and gender on more than one occasion
OR
Crosses two or more percentile lines

Question 6

what is the prophylaxis for gonococcal ophthalmia neonatorum?

Answer 6

Prophylaxis: topical 0.5% erythromycin ointment immediately after birth

Question 7

what is the treatment for gonococcal ophthalmia neonatorum?

Answer 7

need hospital admission

high dose IV/IM cefotaxime

Question 8

what is the treatment for chlamydial ophthalmia neonatorum (Trachoma)?

Answer 8

SYSTEMIC oral erythromycin x 14 days

only 80% effective

Question 9

when should lead screening be done?

Answer 9

only if high risk (poverty, living in homes built before 1978) - screen at 12 and 24 months

Question 10

failure to pass meconium at ______ is worrisome for _______

Answer 10

Failure to pass within 24 hours is worrisome –> intestinal obstruction, Hirschsprung’s, cystic fibrosis

Question 11

dental milestones

6-10 months:
2.5 years:
6 years:

Answer 11

6-10 months: lower central incisors erupt
2.5 years: complete set of primary teeth
6 years: shed central incisors, eruption of first permanent teeth (upper and lower first molars)