Peds SM

Question 1

sits up unassisted

Answer 1

6 months

Question 2

hold a spoon

Answer 2

15-18 months old

Question 3

stand

Answer 3

9 months

Question 4

mama and dada with meaning

Answer 4

12 months

Question 5

walk

Answer 5

12 months old to 17 months

Question 6

copy a circle, throw a ball, ride a tricycle

Answer 6

3 years

Question 7

draw a cross

Answer 7

4 years

Question 8

ride a bicycle

Answer 8

5-6 years

Question 9

separation anxiety

Answer 9

8 - 9 months

Question 10

Palmer grasp goes away

Answer 10

5-6 months

Question 11

Anterior fontanelle closure? Posterior?

Answer 11

A: 12-18 months
P: 2-3 months

Question 12

When should strabismus go away?

Answer 12

4-6 months

Question 13

Genu varum disappears by age? Genu vargum?

Answer 13

rum: 2 years
gum: 7 years

Question 14

What supplement with an infant need if exclusively breastfed?

Answer 14

effective = 6-8 wet diapers, gaining weight

vitamin D

Question 15

Premature infants catch up by what age?

Answer 15

by 2 years old

Question 16

A bilirubin level >___ indicates a need for phototherapy in the newborn

Answer 16

> 15

Question 17

A white pupillary reflex on fundoscopic exam indicates what? What term is used to describe “white pupillary reflex”

Answer 17

leukocoria is white reflex

retinoblastoma or congenital cataract

Question 18

When is a common time to see a regression in children?

Answer 18

life changes

Question 19

Breast budding

Answer 19

tanner stage 2

Question 20

breasts are one mound

Answer 20

tanner stage 3

Question 21

Start of period

Answer 21

tanner stage 4

Question 22

breasts are 2 mounds

Answer 22

tanner stage 4

Question 23

growth spurt in boys

Answer 23

tanner stage 3

Question 24

increase in penis length

Answer 24

tanner stage 3

Question 25

scrotum reddening

Answer 25

tanner stage 2

Question 26

What age is too early for puberty?

Answer 26

girls age 8 | boys age 9

Question 27

How many years will a girl start her period after the start of puberty?

Answer 27

2-3 years

Question 28

At what age should the NP become concerned when a female has not had a period?

Answer 28

age 15

Question 29

long term effects of anorexia

Answer 29

osteoporosis | heart disease

Question 30

long term effects of bulemia

Answer 30

dental erosion

Question 31

What are Salter Harris fractures? Why is this a big deal?

Answer 31

fx along growth plate - long bones | will stunt growth if not reated

Question 32

A past medical history of cryptorchidism may increase the risk of? What is this?

Answer 32

increase testicular cancer | undescended testicle

Question 33

When will Mongolian spots resolve?

Answer 33

age 5 years

Question 34

Describe AOM. Treatment?

Answer 34

bulging, inflamed TM | Amoxicillin

Question 35

Swimmer's ear or otitis externa, describe, caused by, and treatment

Answer 35

foul smelling ear, red | pseudomonas = otofloxcin drops and analgesic drops

Question 36

An ear that was painful until drainage

Answer 36

ruptured TM

Question 37

Cholesteatoma

Answer 37

cauliflower like growth in the ear | ENT for surgery

Question 38

How is otitis media with effusion treated?

Answer 38

can be caused by allergies or after AOM | watch and wait

Question 39

Coarctation of the aorta

Answer 39

decreased femoral pulses, elevated BP in UE over LE

Question 40

Vesicoureteral reflux, grade 1 - 5. When should you refer? What anticipatory care should be taught?

Answer 40

1 (mild) - 5 (severe) refer by stage 3 - may resolve on its own needs a voiding cystourethrogram to confirm

Question 41

A child with a thin upper lip, smooth philtrum, and low nasal bridge. What do you suspect?

Answer 41

Fetal alcohol syndrome

Question 42

Causes of acne in adolescents? Three step approach?

Answer 42

genetics and androgens | OTC topicals like benzoyl > topical antibiotics > oral antibiotics > refer

Question 43

Short stature and webbed neck

Answer 43

Turner's syndrome | delayed puberty and infertility

Question 44

pain over anterior tibial tubercle near tendon insertion site, what is this? What is the treatment?

Answer 44

Osgood-Schlatter disease | NSAIDs, ice, patient will outgrow this once bones stop growing

Question 45

A child complaining of nasal pain and his mother reports drainage from the right nare. What is going on?

Answer 45

possible foreign body

Question 46

what is a keloid?

Answer 46

overgrowth site of incision or injury

Question 47

what is a hypertrophic scar?

Answer 47

heal over time, might be painful and stays within borders of scar

Question 48

What is a hydrocele? When should we be concerned?

Answer 48

abnormal accumulation of fluid around testes | infant: resolves on own

Question 49

A 6 year old with fever for 5 days, a strawberry tongue, and peeling rash. What do you suspect? What is the treatment?

Answer 49

Kawasaki's disease | tx: high dose aspirin, IVIG

Question 50

Pyloric stenosis

Answer 50

projectile vomiting olive-shaped mass ultrasound!

Question 51

Intussusception

Answer 51

jelly like stools sausage shaped mass ultrasound!

Question 52

Trust vs Mistrust

Answer 52

0-18 months hope depend on primary care giver

Question 53

Autonomy vs Shame

Answer 53

18 months- 3 years will controlling functions, walking, talking, bathroom

Question 54

Initiative vs Guilt

Answer 54

3-5 years purpose interaction, interpersonal skills, games, questions

Question 55

Industry vs Inferiority

Answer 55

5-12 years competency hard-working, read, write, math, win recognition

Question 56

Identity vs Role confusion

Answer 56

12-18 years fidelity self identity, values, beliefs, goals, career, relationships