Peds 2 Flashcards

1
Q

tanner stage - breast buds, widening of the areola

A

stage 2

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2
Q

SCA - when to receive vax

A

at routine times

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3
Q

SCA - safe to give influenza vax?

A

yes!

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4
Q

head vs chest circumference - birth to 6 months

A

head exceeds chest circumference by 1-2 cm from birth to 6 months

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5
Q

head vs chest circumference - 6 to 24 months

A

head and chest circumference should be equal

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6
Q

at what age is chest circumference larger than the head

A

24 months

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7
Q

cholesteatome

A

epithelial growth in the middle ear

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8
Q

fluid in the middle ear

A

middle ear effusion

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9
Q

OME frequently precedes or follows what

A

an episode of acute OM - this should not be treated with abx since the middle ear fluid is not infected

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10
Q

OME - fluid acts as what

A

medium for bacterial growth

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11
Q

how long can fluid in middle ear stay after acute OM

A

may be present for months

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12
Q

pregnant patient wants to vaccinate her 12 month old child with MMR - is this safe

A

yes, this poses no risk to the mother although the pregnant individual should not receive this vaccine as it is attenuated

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13
Q

CN II is responsible for ___

A

vision

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14
Q

vision screening is done at what ages

A

3, 4, 5 years

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15
Q

how to check CN II on infant

A

shin light into each eye and observe for squinting or closing the eye

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16
Q

babies lose how much weight in first 3-4 days

A

10% of birth weight

17
Q

superficial partial thickness burn
4

A

moist area
red to ivory white
immediate blister formation
painful to touch

18
Q

moist area
red to ivory white
immediate blister formation
painful to touch

A

superficial partial thickness burn

19
Q

superficial thickness burns appear

A

erythematous without blisters
local pain

20
Q

erythematous without blisters
local pain

A

superficial thickness burns

21
Q

deep partial thickness burn

A

dry
waxy
whitish appearance

22
Q

burn - dry
waxy
whitish appearance

A

deep partial thickness

23
Q

full thickness burn

A

destruction of all skin elements with coagulation of subdermal plexus, muscle, or tendons

24
Q

DDH is done how often

A

at every visit until the child is walking normally

25
Q

most common pathogen PNA 0-4 year old

A

viral

26
Q

when is bacteria pathogen most common PNA in children

A

5 and older

27
Q

hydrocele should resolve around what age

A

12 months

28
Q

coarctation of the aorta is assessed how and why

A

this condition is characterized by elevated BP in upper extremities and diminished BP in lower extremities - compare upper and lower extremity BPs

29
Q

bacterial pathogen most common in PNA ages 5 and over

A

atypical pathogens like mycoplasma

30
Q

when should sx start improving after starting abx for PNA

A

24-48 hours

31
Q

bilateral mucopurulent eye discharge 1 week after birth

A

think STD from mom - most likely chlamydia

32
Q

chlamydia from mother - appears when in newborn

A

1-2 weeks post delivery

33
Q

gonorrhea from mother - appears when in newborn

A

2-4 days post delivery

34
Q

caput succedaneum

A

scalp edema - common finding in newborns, results from pressure over the presenting part, can result in some ecchymosis of the scalp, resolves in a few days

35
Q

most common pathogen for PNA in age 5 or greater

A

atypical pathogens - Mycoplasma and Chlamydophila

36
Q

child 5 or older with asthma and pna - what abx and why

A

asthma increases risk of developing pna from typical organism (strep pneumonia), give amoxicillin; if sx do not improve in 3-4 days then consider atypical pathogen (azithromycin)

37
Q

atypical PNA pathogen - 1st line abx

A

azithromycin

38
Q

doxycycline is contraindicated in children under what age

A

< 8