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
most common pathogen PNA 0-4 year old
viral
26
when is bacteria pathogen most common PNA in children
5 and older
27
hydrocele should resolve around what age
12 months
28
coarctation of the aorta is assessed how and why
this condition is characterized by elevated BP in upper extremities and diminished BP in lower extremities - compare upper and lower extremity BPs
29
bacterial pathogen most common in PNA ages 5 and over
atypical pathogens like mycoplasma
30
when should sx start improving after starting abx for PNA
24-48 hours
31
bilateral mucopurulent eye discharge 1 week after birth
think STD from mom - most likely chlamydia
32
chlamydia from mother - appears when in newborn
1-2 weeks post delivery
33
gonorrhea from mother - appears when in newborn
2-4 days post delivery
34
caput succedaneum
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
most common pathogen for PNA in age 5 or greater
atypical pathogens - Mycoplasma and Chlamydophila
36
child 5 or older with asthma and pna - what abx and why
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
atypical PNA pathogen - 1st line abx
azithromycin
38
doxycycline is contraindicated in children under what age
< 8