Peds Flashcards
“further enlargement of the breast and areola into one mound” is what Tanner stage?
Tanner stage 3
14 yo boy c/o of bony mass and pain on anterior tibial tubercle (knee)
Osgood-Schlatter
A cephalohematoma can cause what in newborns?
hyperbilirubinemia
Least likely sign of child abuse:
A) bruise on buttocks
b) retinal hemorrhage
c) bruises on shin
C) bruises on the shin
1st line treatment for ADHD
- methylphenidate (Ritalin)
- amphetamines (Adderall)
systolic BP and pulses on lower extremities lower and weaker than upper extremities
coarctation of aorta
leading cause of death in children
motor vehicle accidents
If you have a both parents with a genetic defect what is the percentage the child will have it?
25%
A peds patient has a sausage like mass in the abdomen with projectile vomiting and jelly-like stools
intussusception
absent or white red reflex
may be retinoblastoma
when are ADHD symptoms present by?
12 y.o.
When to screen for autism?
9, 18, 24, and 30 months
at what age can you start singulair for asthma?
two years old
treatment for pediatric pneumonia?
amoxicillin 90/mg/kg/day
when can you give the PCV13 (PNA) vaccine?
at two months old
what is associated with a (+) sweat test?
how many positive tests do you need to get a further evaluation?
cystic fibrosis, 2
what diagnosis is associated with persistent cough with thick mucus, frequent URIs, weight loss, and greasy stools?
cystic fibrosis
what antibiotic is given for daily prophylaxis for sickle cell?
penicillin
A peds patient presents with anorexia, bruising, long bone pain, weight loss, and hepatosplenomegaly. What could this be?
Leukemia
at what age can you start topamax for migraines?
12 years
when is high bilirubin a concern in a newborn?
if it peaks within 24 hours
usual peak is 3-4 days
how is pyloric stenosis diagnosed?
ultrasound
what is encopresis?
involuntary soiling of stool in child 4 yrs or older, underlying problem is constipation.
treatment for encopresis?
laxatives, fiber, fluids
treatment for otitis media?
amoxicillin or augmentin
how much time do you allow for an undescended testes to drop before surgical intervention?
one year
a collection of fluid in the scrotum visible by transillumination
hydrocele
when to start screening BP in children?
HLD?
3 years old
2 years old
unequal gluteal folds is a sign of what?
hip dysplasia
scoliosis is defined as a curve greater than ___ degrees.
10
treatment fo Osgood Schlatter Dx?
ice, analgesics, activity as tolerated
occurs during growth spurt
Does the following describe Legg-Calve Perthes or slipped capital femoral epiphysis? occurs during adolescents (10-15) overweight hip or knee pain with a limp needs surgery to fix
slipped capital femoral epiphysis
Does the following describe Legg-Calve Perthes or slipped capital femoral epiphysis?
ages 3-12
-avascular necrosis of the hip bone that eventually regrows new bone
-hip or knee pain with a limp
-positive pelvic tilt test
Legg-Calve Perthes
Is measles also called rubeola or roseola?
Rubeola
when does the anterior fontanelle close?
9-18 months
when does the posterior fontanelle close by?
3 months
what is caput succedaneum
edema over the presenting part of the head, benign and resolves in a few days
when to screen for hearing?
one month old
an infant doubles birth weight by ____ months and triples by ____ months.
6, 12
supplement breastmilk with vitamin ___ drops.
D
T/F, you can give cow’s milk in the first year of life,
false- causes GI bleeding
can start solid foods at?
4-6 months, start with rice cereal w/ iron
complete set of primary teeth by??
2.5 years
is the epispadias or hypospadias located on the ventral side of the penis?
hypospadias
epispadias is on the dorsal side
does caput succedaneum or cephalohematoma cross the midline/suture lines?
caput succedaneum (cephalohematoma does not cross midline)
when do the moro and rooting reflexes disappear?
3-4 months
what is neonatal icterus?
jaundice
fever, chills, muffled/hot potato voice is a sign of??
epiglottitis
what is the most common cancer in children?
leukemia
at what age is most of speech understood by strangers?
3 yrs
testes begin to enlarge and increased rugation of scrotum is what tanner stage?
2
penis elongates is what Tanner stage?
3
Penis widens is what Tanner stage?
4
breast buds form is what Tanner stage?
2
areola and nipples separate and start to form a secondary mound is which tanner stage?
4
