Peds 6

Question 1

metatarsus adductus (MA)

Answer 1

most common congenital foot deformity, not related to clubfoot; the forefoot deviates medially, the hindfoot remains in neutral position

Question 2

metatarsus adductus (MA) - tx

Answer 2

usually spontaneously corrects; x ray not needed; in severe cases, casting may be needed

Question 3

test to assess for scoliosis

Answer 3

adam’s forward bend test

Question 4

osgood-schlatter disease is assessed by

Answer 4

assessing for pain with palpation of the tibial tubercle

Question 5

trendelenburg’s test can assess for what conditions
3

Answer 5

slipped capital femoral epiphysis SCFE
legg-calve perthes disease
DDH

Question 6

tanner stages - male
1 through 5

Answer 6

1. prepubertal; absent pubic hair, same size, proportion of penis, testes, scrotum as in childhood
2. sparse growth of downy hair at base of penis, minimal or no enlargement of penis; enlargement of testes
3. increase in amount of pubic hair with curling; significant enlargement of penis, further enlargement of testes
4. pubic hair is adult like in type but not distribution; development of facial and axillary hair; further enlargement of testes and penis
5. pubic hair in medial aspects of thighs, linea alba

Question 7

stranger anxiety usually resolves around what age

Answer 7

3 years

Question 8

term - 1 month to 12

Answer 8

infant

Question 9

term - 12 months to 3 years

Answer 9

toddler

Question 10

preschooler age

Answer 10

4-5 years

Question 11

the first sign that a male child is experiencing sexual maturation is

Answer 11

increase in testicular size

Question 12

the term used to describe the urethral opening on the ventral surface of the penis

Answer 12

hypospadias

Question 13

screen test for SCA

Answer 13

visual exam of RBCs

Question 14

definitive dx of SCA is done how

Answer 14

hemoglobin electrophoresis or DNA analysis

Question 15

murmur thrills and referrals

Answer 15

finding a thrill is always abnormal and requires referral

Question 16

iron is best absorbed with what but..

Answer 16

acid stuff, OJ - but 1st recommendation is on an empty stomach is tolerable

Question 17

standard for treating iron anemia in infants and children

Answer 17

in divided doses between meals alone or with OJ

Question 18

infant develop conjunctivitis from chlamydia infection in mother - when does this show up and how to treat

Answer 18

shows up 1-2 weeks post delivery; must be treated orally with oral erythromycin in divided doses for 14 days

Question 19

newborns with chlamydia infection from vaginal canal from infected mother may present with what
2

Answer 19

pneumonia and/or conjunctivitis

Question 20

scrotal swelling, painless, easily transilluminated

Answer 20

hydrocele

Question 21

large, soft scrotal mass that decompresses when child lies down

Answer 21

varicocele

Question 22

what reflex disappears at what age but many be present during sleep up to 12 months

Answer 22

rooting

Question 23

___ HTN is more common in preadolescences

Answer 23

secondary, usually renal

Question 24

___ HTN is more common in adolescent

Answer 24

essential

Question 25

kawasaki disease

Answer 25

acute, febrile, immune-mediated, self-limited disease of young children that is characterized by vasculitis

Question 26

acute, febrile, immune-mediated, self-limited disease of young children that is characterized by vasculitis

Answer 26

kawasaki disease

Question 27

kawasaki disease - average age of patient

Answer 27

most are less than five, average 2.3

Question 28

kawasaki disease classic s/sx mnemonic

Answer 28

FEBRILE
F - fever; high fever for 5 days
E - exanthem
B - bulbar conjunctivitis, bilateral
R - rash
I - internal organ involvement
L - lymphadenopathy
E - extremity changes; desquamation of palms, feet, periungual area, perineal area after 2-8 weeks onset

Question 29

kawasaki disease - isolation?

Answer 29

not necessary

Question 30

kawasaki disease - pharm

Answer 30

main goal is to reduce inflammation and plt activation - IVIG and high dose aspirin (be cautious of Reyes syndrome though)