Peds

Question 1

Best scoring system for ADD/ADHD with most sensitivity and most specificity?

Answer 1

Conners Abbreviated Symptoms Questionnaire

Question 2

10 yo presents with fatigue, backache, fever, bruising from where dog jumped on him, pale, cervical lymphadenopathy, hepatomegaly with scattered bruises. dx?

Answer 2

Acute Lymphoblastic Leukemia(ALL) = MC in childhood, get CBC!
-don’t confuse with mono or CMV – ALL more likely to have hepatomegaly, PALLOR, ecchymoses & back pain(bone pain)

Question 3

Achondroplasia

sx seen in peds? dx?

Answer 3

• Large anterior fontanelle*(mcc of this), macrocephaly, prominent forehead, low nasal bridge, short extremities, TRIDENT deformity of the hands
  dx: genetics showing mut of FGFR3

Question 4

Tx of Pinworms?

Answer 4

OTC Pyrantel Pamoate 11 mg/kg PO once or Albendazole 400 mg or Mebendazole 100 mg

then REPEAT DOSE IN 2 WEEKS*

Question 5

Formal screening for developmental probs should be done at which WCC?

Answer 5

9, 18, 24 & 30 months

Question 6

Who needs a third dose of MMR vaccine?

Answer 6

those aready vaccinated exposed/at increased risk during outbreak

Question 7

At what WCC should you specifically screen for Autism Spectrum Disorder(ASD)?

Answer 7

18 & 24

Question 8

Parents should limit TV to no more than…

Answer 8

2hrs

Question 9

Failure to take —— during pregnancy is linked to an increased risk of autism.

Answer 9

Folic acid

Question 10

AAP screening for anemia at age…

Answer 10

12 months

Question 11

AAP screening for lead at what age?

Answer 11

12 & 24 months

Question 12

AAP screening for dyslipidemia at ages…

Answer 12

10 & 20 yoa

Question 13

Breastfeeding is recommended for AT LEAST…

Answer 13

6 months

Question 14

Which water soluble vitamin do you to supplement in babys who are breastfeeding? How much?

Answer 14

400 U/day of vitamin D

Question 15

Parents who bottle feed should avoid using —- milk due to the risk of —-.

Answer 15

Cows milk, anemia

Question 16

Solid foods such as cereals or puréed Baby foods are introduced at —- age. Delayed introduction appears to limit incidence of——.

Answer 16

4-6 months, food allergies

Question 17

What age should you stop BOTTLE FEEDING? Why? What should you introduce at this time?

Answer 17

Around 12-14 months. Stop bottle feeding to protect teeth. After weaning can give whole or 2% cows milk to promote CNS development

Question 18

Infants with eczema should be started on puréed peanuts as early as —-.

Answer 18

4-6 months

Question 19

How often do babys poop? (Breastfed vs bottle)

Answer 19

Breastfed: after each feeding or at least 2x a day

Bottle: poop less. A minimum of 1 stool q2-3 days

Question 20

Newborn sleep cycle?

Answer 20

Cycle q3-4hrs. Average 18-20hrs a day.

Question 21

All kids should idealy visit a dentist by —- yoa.

Answer 21

3

Question 22

What is the age range for fluoride supplementation?

Answer 22

6 months to 16 yoa

Question 23

What is colic? What age does it peak? Cause? When does it resolve? TX?

Answer 23

Infant who is difficult to manage or fussy despite being otherwise healthy. Defined as three or more hours of uncontrollable crying or fussing at least three times a week for at least three weeks. May show signs of pain or discomfort. Gassy.

• peaks 3-4 weeks of age
• possible causes: immature digestive system sensitive to certain food proteins, immature nervous system, mismatch of the infants temperament with those of the caregivers.
• usually resolves around 3-4 months
• TX: support! Can try simethicone, Aceta medicine drops or switching to a hypoallergenic/soy formula.

Question 24

What age are Temper tantrums most common? What should You instruct parents to do?

Answer 24

1 - 3 years of age. Acknowledge the child’s ones during a temper tantrum and act calmly when handling negative Haviar‘s to avoid reinforcement. It’s important to ignore attention seeking tantrums and not give into demands. Predictable home environment and consistent routines and rules will help prevent these.

Question 25

At what age should parents start thinking about toilet training?

Answer 25

18 - 30 months of age.