Peds

Question 1

At what age can a child transfer a cube from one hand to the other

Answer 1

6 months

Question 2

At what age can a child walk upstairs with hand held and climbs and sits into a chair. Can feed themselves but are messy.

Answer 2

18 months

Question 3

What age does a child stack 2-3 cubes, 4-6 and 8+

Answer 3

18 months, 2 years, 3 years

Question 4

At what age can a child walk up stairs alternating feet, ride a tricycle and hop

Answer 4

3 years

Question 5

What can 4 year olds do

Answer 5

Count to 4, 4 word sentences with speech fully understandable, identify 4 primary colors, draw a 4 part person, build a gate out of blocks

Question 6

Can draw a square at what age

Answer 6

5

Question 7

Can draw a triangle at what age

Answer 7

6

Question 8

Can draw a diamond at what age

Answer 8

7

Question 9

Contraindications for dtap/tdap

Answer 9

Serious allergic reaction

Encephalopathy within 7 days of receiving pertussis containing vaccine

Question 10

When should serologic testing be done for Hep b

Answer 10

Infants born to mothers that are positive after vaccines at 9-12 months

Immunocompromised patients

Hemodialysis patients

Healthcare workers and prostitutes

Question 11

If an infant weighs less than 2kg when received Hep b vaccine. What to do

Answer 11

Will need an additional dose because it doesn’t count

Question 12

Contraindications for Hep a

Answer 12

Allergic reaction to vaccine components including aluminum hydroxide and phenoxyethanol

Question 13

Hep A endemic area travel recommendations

Answer 13

If < 1 yr - passive immunization with immune globulin

If over 1 yr give vaccine

Question 14

Special considerations for meningococcal vaccination MCV4

Answer 14

Children with HIV > 2yrs

Children 2-10yrs with terminal complement deficiency, asplenia, traveling to prevalent regions

3 yrs after receiving MPSV4

Question 15

Exposure to measles for not immunized

Answer 15

If within 72 hrs give vaccine as young as 6 months

If after 72 hrs but less than 6 days give measles immunoglobulin

Question 16

Contraindications to MMR

Answer 16

Severe allergic reaction to vaccine component neomycin or gelatin

Pregnancy

Severely immunocompromised (chemotherapy, aids)

Mmrv is contraindicated in kids with hiv

Question 17

Who requires post exposure prophylaxis for varicella

Answer 17

Immunocompromised children

Pregnant women

Hospitalized premie 28wks or more if mom lacks immunity

Hospitalized premie less than 28wks regardless of maternal immunity

Newborn infant if mom had 5 days before or 2 days after

Question 18

Who gets an additional dose of pcv13 AND ppsv23

Answer 18

Immunocompromised (functional asplenia, sickle cell, HIV, malignancy, transplant recipient, congenital immunodeficiency)

CSF leaks, cochlear implants

Given at 6-18 yrs and the 23 is given 8 wks after the 13

Question 19

Who received PPSV23

Answer 19

Chronic heart and lung disease, diabetes mellitus

After 2 years of age

Question 20

Who received PPSV24 booster

Answer 20

Immunocompromised

5 yrs after initial dose

Question 21

Contraindications to rotavirus

Answer 21

Severe allergy to precious doses

SCID and Hx of intussusception

Question 22

Which vaccines do you need to avoid if egg allergy

Answer 22

Yellow fever

Influenza only if severe anaphylactic reaction to eggs

Question 23

By what percentage do bicycle helmets reduce injury

Answer 23

85

Question 24

What percentage of death in bicycles are due to head injuries

Answer 24

75

Question 25

Where are bicycle reflectors required

Answer 25

Pedals, tire sidewalls or rims, front and rear of the bicycle

Question 26

Drowning facts (8)

Answer 26

Infants are more likely to drown in a bathtub

Younger than 5 more likely to drown in residential pool

Adolescents more likely to drown in fresh water

Above ground pool least likely to cause drowning

Drowning is higher among AA makes

Drowning most common cause of death in pts with epilepsy

Makes account for 75% of all drownings

4 sided fence around pool with locked gate best prevention