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Pediatric Board Review > Primary care > Flashcards

Primary care Flashcards

1
Q

National Collegiate Athletic Association routine screening for all collegiate athletes

A

Sickle cell test (EKG, lipid, UDS are NOT broadly recommended)

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2
Q

Age to start cows milk

A

12 months (to prevent milk protein induced colitis)

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3
Q

Screening recommendations for dyslipidemia

A

Universal screening at 9-11 years, and again at 17-21 years of age (NOT selective or risk factor based screening)

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4
Q

Age to discuss toilet training (both urine and stool)

A

18 months old

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5
Q

Steroids and live-vaccines

A

If < 2 mg/kg/day, then can give live vaccine during treatment. If >2 mg/kg/day but <2 weeks treatment, can give live vaccine after treatment. If >2 mg/kg/day AND >2 weeks treatment, then must wait 4 weeks (1 month) after discontinuation to give live vaccine.

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6
Q

When does moro reflex disappear?

A

3 to 6 months

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7
Q

When does tonic neck response disappear?

A

Tonic neck response aka fencing reflex = disappear at 6 months

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8
Q

AAP recommendation for iron supplement at what time?

A

At 4 months old for full term breast fed, and 1 month for premature infants

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9
Q

AAP recommendation for iron supplement at what time?

A

At 4 months old for full term breast fed, and 1 month for premature infants

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10
Q

2 week old, umbilical stump fell of but has soft, dull-red granular lesion with mild, mucopurulent drainage and minimal erythema around umbilical rim (dz and tx?)

A

Umbilical granuloma, tx with silver nitrate (verses umbilical polyp - more fibrous in appearance, requires excision)

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11
Q

Normal testes volume

A

Mean 18 mL after completion of puberty (remember BIG testes = FRAGILE XXXXX; small testes = kleinfelter (xxy) and kallman syndrome.

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12
Q

Vaccine and egg allergy

A

Yellow fever vaccine (if hx severe egg allergy, skin test recommended) => NOT influenza (which is made in eggs btu well tolerated

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13
Q

Vaccine with generalized macular rash and arthralgia and thrombocytopenia

A

MMR

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14
Q

Vaccine with local vesicular rash at injection site

A

Varicella

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15
Q

Blood pressure cuff correct use

A

Length at least 2/3 of arm length, and bladder encircle at least 3/4 of arm circumference. Routine screen at 3 years old.

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16
Q

Numerous pale, blushish, 0.5 to 1 cm macules on abdomen, proximal thighs, and butt with pruritis

A

maculae ceruleae (lice)

17
Q

When to evaluate short stature

A

If linear growth rate/velocity < 4-5 cm/year pre-peak growth; if peak linear does not occur by 16 yo in males and 14 yo in females

18
Q

Early adolescent characteristics

A

Age 11 to 14 => preoccupation with self, unhappy with appearance, focus on peers, test authority, no like parents, impulsive, mostly concrete thinking, focus on present

19
Q

Middle adolescence characteristics

A

Age 15 to 17 => peer pressure is HUGE; extreme concern with appearance, HATE parents, feels omnipotent and immortal, cognition and creativity begin to mature

20
Q

Birth weight doubles and triples at what age?

A

6 months old and 1 year old

21
Q

Normal weight gain after 2 years old

A

2-3 kg/year

22
Q

How much birth length increase at 1 year old?

A

50%

23
Q

Birth length doubles at what age?

A

3-4 years (vs. weight doubles at 6 months)

24
Q

Average length/height growth velocity after 2 years old?

A

~5 cm/year

25
Q

Peak puberty height growth velocity for boys and girls?

A

Boys = 7-12 cm/year; Girls = 6-10 cm/year

26
Q

Head circumference growth in 1st year of life?

A

1 cm/MONTH

27
Q

AAP recommendation for universal hearing screen at what age?

A

Hearing loss should be identified BY 3 months old, and interventions started BY 6 months old

28
Q

AAP recommendation for autism screening what age?

A

18 months and 24 months old

29
Q

AAP recommendation for discussing drug use at what age?

A

11 years old

30
Q

USPSTF recommend age to screen HIV

A

15 to 18 years old (younger if risk factors)

31
Q

How much formula does an infant need to drink so he/she does not need vitamin D supplementation?

A

> 1 liter (1 liter = 406 IU of vitamin D)

32
Q

AAP recommendation for age of initial dental visit

A

1 year old

33
Q

Latest age for 1st tooth eruption

A

18 months old (if none, refer to dental)

34
Q

When should children use rear-facing car seat?

A

Birth to 2-4 years old, or as long as possible until seat allows

35
Q

When should children use front-facing car seat?

A

At least 5 years old, or until seat allows

36
Q

Onset of menarche after puberty

A

2 to 2.5 years later

37
Q

Tics in ADHD (tx)

A

Clonidine or guanfacine

Pediatric Board Review (28 decks)

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