Peds 3

Question 1

think CHD in infant when feeding
7

Answer 1

1. limited intake of volume of milk
2. feedings take a long time
3. falling asleep
4. chocking, gagging
5. vomiting
6. rapid breathing
7. persistent cough or wheezing

Question 2

pharm tx for HTN should be started when patient has
4

Answer 2

1. HTN and DM
2. symptomatic HTN
3. HTN >95th percentile
4. end organ damage

Question 3

usually asymptomatic and absent on exam but may be elicited by increasing intraabdominal pressure such as straining or crying

Answer 3

inguinal hernia

Question 4

common developmental tasks for a 5 year old
6

Answer 4

1. draw a person with body, head, arms, legs
2. recognize most letters and can print some
3. know address and phone number
4. dress self without help
5. skip and tiptoe
6. play cooperatively and enjoy playmate’s company

Question 5

abx for acute OM children 2 years and older

Answer 5

abx 5-7 days for mild to moderate acute OM

Question 6

abx for acute OM children under 2 years tx length

Answer 6

treat for 10 days

Question 7

infant has thrush and gave it to moms nipple - how to treat

Answer 7

oral antifungal for baby
topical antifungal for mom

Question 8

DDH - US is best for what ages

Answer 8

first 3-4 months of life

Question 9

DDH - after 3-4 months, what is best imaging test

Answer 9

AP x ray of hips

Question 10

a patient is on abx - can they get vaxed today

Answer 10

yes

Question 11

patients with mod to severe illness, with or without fever - get vax today?

Answer 11

no wait

Question 12

live vaccines and family members who are on chemo

Answer 12

do not give live vaccine

Question 13

when to start measuring BP and how often after

Answer 13

age 3, annually

Question 14

usually, the first indication that a patient has renal artery stenosis is what

Answer 14

an elevated BP

Question 15

sinus arrhythmia occurs when

Answer 15

occurs when an irregular HR increases with inspiration and decreases with expiration and is considered normal in children

Question 16

oral health risk assessment screening ages

Answer 16

6 months, 9 months and then referral to a dental home at 1 year, then risk assessment at 18, 24 months

Question 17

the most common diagnosis associated with febrile seizures is

Answer 17

otitis media

Question 18

Tanner stage 3 girls

Answer 18

enlargement and elevation of breast and areola with no separation of their contours

Question 19

weaning from the bottle takes place around what age

Answer 19

about 1 year

Question 20

stranger anxiety develops around what age

Answer 20

9 months

Question 21

average 12 months old says how many words

Answer 21

2-5

Question 22

thrush in a newborn would be uncommon and might suggest what

Answer 22

immunocompromised infant or hyperglycemia in mother

Question 23

what med should be avoided in viral infection in children and adolescents and why

Answer 23

aspirin due to risk of reye syndrome that can cause neurological issues

Question 24

varicella and influenza infections - avoid what med

Answer 24

aspirin

Question 25

clubfoot involves the

Answer 25

foot and lower extremity

Question 26

pain in knees - think

Answer 26

osgood-schlatter

Question 27

growing pain usually occurs when

Answer 27

nighttime

Question 28

kawasaki disease is what

Answer 28

an autoimmune disease that produces vasculitis of the mid-sized arteries

Question 29

an autoimmune disease that produces vasculitis of the mid-sized arteries

Answer 29

kawasaki disease