Peds Counselling

Question 1

Toothpaste

Answer 1

less than 3: smear/grain of rice

3-6: pea sized amount

Question 2

Use a booster seat until age….

Answer 2

12

Question 3

Age to copy a circle

Answer 3

age 3

Question 4

when do children stop thumb sucking

Answer 4

age 4-5

Question 5

male puberty

Answer 5

9-14 years of age

testicular enlargement –> pubarche –> growth velocity –> spermarche

Question 6

Primary Ammenorrhea

Answer 6

absence of menses by 15 years of age or within 5 years of breast development (if occurring before age 10)

Question 7

Milestones - one month

Answer 7

follow a face

startle to sounds

Question 8

Milestones - social smile

Answer 8

Around 6 weeks of age

Question 9

Milestones- vowels

Answer 9

2 months

Question 10

Milestones- laughing

Answer 10

3-4 months

Question 11

Milestones - turning head to sounds

Answer 11

4 months

Question 12

Disconjugate Gaze

Answer 12

should resolve by 6 months

Question 13

Peds Epidermal Cyst

Answer 13

• not present at birth
• usually older (teens)
• can have a central punctum

Question 14

Dermoid Cyst

Answer 14

present at birth, but continue to grow
firm, non compressible
often face / forehead

Question 15

Midparental height for girls

Answer 15

mother’s height + father’s height - 5 inches (13 cm)]/2

Question 16

Midparental height for boys

Answer 16

mother’s height + father’s height + 5 inches (13 cm)]/2

Question 17

Testing for Premature Adrenarche

Answer 17

• testosterone
• DHEAs
• 17HP

Question 18

Pedal a tricycle at age

Answer 18

3

Question 19

Weight, doubles at ___ and triples at __, quadraples at ____

Answer 19

doubles at 4 months
triples at 1 year
4x at 24 months

Question 20

Length increases by 50% at _____, doubles by, and triples by _____

Answer 20

increase 50% by 1 year
doubles by 4 years
triples by 13

Question 21

Precocious Puberty

Answer 21

less than 7-8 for white girls, less than 6 for black girls

less than 9 for boys

Question 22

Progression of Puberty

Answer 22

thelarche or testicle enlargement
pubarche/andrenarche
growth spurt
menarche/gonadarche/spermarche

Question 23

Abnormal if no secondary sexual characteristics by age

Answer 23

13

Question 24

Peds Universal Lipid Screening

Answer 24

9-11 and 7-21

Question 25

Peds Lipid Screening at increased risk

Answer 25

2-8 and 12-16

two lipid panels averaged

Question 26

Paradise Criteria for Tonsillectomy

Answer 26

7 in one year (episodes of sore throat)
5 in one year x 2
3 in one year x 3
+ clinical features (+GAS, fever, etc)

Question 27

copy a triangle

Answer 27

age 5

Question 28

Moro is absent by

Answer 28

3-4 months

Question 29

Roll front to back at ____

Roll back to front at____

Answer 29

4-5 months

5-6 months

Question 30

draws a cross

Answer 30

4 years

Question 31

draws a square

Answer 31

4 years

Question 32

draws a diamond

Answer 32

6 years

Question 33

can tell fantasy from reality

Answer 33

5 years

Question 34

separation anxiety

Answer 34

6-12 months