Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

EOR pediatrics > pysch ad development > Flashcards

pysch ad development Flashcards

1
Q

describe what you should see with motor, language and social for a 24 month old

A

motor- runs
language- 2-word sentences, several hundred word vocabulary
social- follows 2-step commands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the vaccine time line for rotavirus?

A

first at 2 months, second at 4 months, 3rd at 6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

a child exhibits short staring spells at school, which are sometimes accompanied by loss of postural tone. Episodes last less than a minute. Electroencephalography reveals bilateral 3-Hz spike-and-wave pattern.

What is the likely Dx?

A

absence seizure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the vaccine time line for Tdap?

A 
First- 2 months 
second- 4 months 
third- 6 months 
fourth- 15-18 months
fifth- 4-6 years

Booster starting at 11 years old

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

describe the kernig sign?

A

knee extension illicit pain in the neck

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What other comorbities is DS associated with?

A

ALL (acute lymphocytic leukemia)
early onset alzheimer disease
atlantoaxial instability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the vaccine time line for Hep B

A

first shot within 24 hours of birth
second shot 1-2 months later
3rd shot 6-18 months of age

In HBsAg-positive mothers, the infant should receive the hepatitis B vaccine and hepatitis B immune globulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

If a mother is having an ultrasound and it shows nuchal translucency around week 11-14 what is this a sign of?

A

Down syndrome can also see hypoplastic nasal bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the name for the group of viruses that commonly cause meningitis?

A

enteroviruses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

a 6-month old girl is brought by her father for a scheduled check-up. The patient’s father says they recently started feeding her mushy cereal, which she seems to like but occasionally spits up. He also reports that she has started teething and sometimes becomes “fussy.” Vital signs are within normal limits. You note a happy appearing child with an “open mouth look” and drooling.

likely Dx?

A

she be teething

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

low anti-mullerian lab indicates what?

A

turner syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the vaccine time line for PCV-13

A

first 2 months
second 4
third 6
fourth 12-15 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which other viruses can cause meningitis?

A

herpes simplex virus, HIV, mumps, West Nile virus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

A quadruple screen looks at what and is used to Dx what?

A

this test looks at B-hcg, AFP, estriol and inhibin A

and test for down syndrome

it will show increased B-Hcg and inhibin A
and decreases AFP and estriol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Tx for status epilepticus seizure?

A

first a benzo then phenytoin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What common organism cause meningitis in immunocompromised pts?

A

Cryptococcus neoformans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Both the Chorionic villus sampling/amniocentesis test are indicted in what age of the mother?

A

greater than 35

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

neonate age is from?

A

0-3 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

a 10-day-old infant boy is brought to the office for an evaluation. Physical examination shows epicanthal folds, a broad nasal bridge, a large tongue, small ears, hypertelorism, Brushfield spots, a single palmar crease on each hand, and a harsh holosystolic murmur.

What is the likely Dx?

A

down syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

when does teething generally occur?

A

6-24 months of age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

is there a mental status change in meningitis?

A

nope just in encephalitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

describe what you should see with motor, language and social for a 12 month old?

A

motor- stands
language- mama/dada
social- picture book

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

describe what you should see with motor, language and social for a 18 month?

A

motor- walks upstairs, throws ball
language- names objects
social- toilet training begins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

If a child has a febrile seizure and you are suspicious of meningitis what test should you preform?

A

Lumbar puncture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

what is the vaccine time line for Hep A

A

first 12-24 months

second dose at least 6 months after first

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What is a risk factor for increasing odds of having a child with down syndrome?

A

pregnancy later in life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

what are some of the most common signs someone has turner syndrome?

A

streak ovaries, short stature, lymphedema, neck webbing, and congenital heart and renal defects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

what is the Tx for focal, tonic-clonic seizures?

A

phenytoin, and carbamazepine are drugs of choice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What is the vaccine time line for poliovirus

A

first 2 months
second 4 months
3rd 6-18 months
fourth 4-6 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

a 3-year-old boy is brought to the emergency department due to a generalized tonic-clonic seizure. The seizure lasted about 3 minutes. His temperature was measured to be 103.2°F. He has no prior history of seizures.

what is the likely Dx?

A

febrile seizure

31
Q

When should pts get the HPV shot?

A

Two doses at 9-14 years of age
in patients between the ages of 9-14, the 2 dose are administered 6-12 months after the first dose

Three doses at ≥ 15 years of age

given at 0, 1-2, and 6 months

32
Q

For pts greater than 18 when should zoster be given

A

Two doses given 2-6 months apart at ≥ 50 years of age

33
Q

At what week of pregnancy can a chorionic villus sample be preformed?

A

10-12 weeks

34
Q

When would an amniotic fluid sample be ok to perform? what week of gestation?

A

week 15

35
Q

What might be present on physical exam of a patient with turner syndrome?

A
  1. amenorrhea with a present uterus
  2. coarctation of the aorta may be evident on auscultation
  3. low hairline in back
  4. low-set ears
  5. extremity edema
  6. hypertension
  7. signs of thyroid dysfunction
  8. stool guaiac may identify GI bleeding
36
Q

describe what you should see with motor, language and social for a 6 month infant?

A

motor- sits up right
language- babbles
social- stranger anxiety

37
Q

What are the CSF finding on lumbar puncture for meningtisi?

A

Bacterial: increased Protein decreased Glucose (bacteria love to eat glucose)

38
Q

describe a status epilepticus seizure?

A

single epileptic seizure lasting more than five minutes or two or more seizures within a five-minute period without the person returning to normal between them

39
Q

What is the diagnostic test of choice?

A

Karotyping

40
Q

What is the tx for absence or petit mal seizure?

A

ethosuximide or valproic acid (depakote)

41
Q

What is a chorionic villus sampling?

A

placental tissue sample is retrieved through the cervix and vagina

42
Q

which teeth are first to appear then followed by what other teeth?

A

The two bottom front teeth (lower central incisors) are usually the first to appear, followed by the two top front teeth (upper central incisors).

43
Q

describe what you should see with motor, language and social for a 9 month infant

A

motor- crawls, pull-to-stand, pincer grasp, eats with fingers
Language- mama/dada nonspecific
social- waves bye bye, responds to name

44
Q

How do you Tx meningitis?

A

Dexamethasone + Empiric IV antibiotics (Cephalosporin, Vancomycin, Penicillins)

Household contacts: treat with rifampin, Cipro, Levaquin, azithromycin, ceftriaxone

45
Q

what type of chromosome is missing in turner syndrome?

A

a missing X in females 45XO

46
Q

a 16-year-old female presents for evaluation of delayed onset of menstruation. She is concerned as her friends have all had their first menese. She denies any additional significant PMHx. On physical exam, her temperature is 98.8°F, blood pressure is 114/64 mmHg, pulse is 73/min, and respirations are 13/min. The patient is short statured, has a short neck and wide torso. You note webbing skin between the neck and shoulders. She has Tanner stage I breast development and pubic hair with normal external female genitalia. On bimanual exam, the vagina is of normal length and the cervix is palpable.

Likely Dx?

A

turner syndrome

47
Q

How do you treat turner syndrome?

A

growth hormone therapy and sex hormone replacement therapy.

48
Q

What is the vaccine time line for flu?

A

annually once older than 6 months

49
Q

When should adolescents get the meningococcal vaccine?

A

first at 11-12 years

second at 16

50
Q

at what age should honey be introduced to an infant?

A

1 year old

51
Q

what age range do febrile seizures usually occur?

A

6 months to 5 years

52
Q

What is the Tx for meningitis caused by a virus? or HSV?

A

symptomatic or IV acyclovir for HSV

53
Q

describe brudzinki sign?

A

leg raises when neck is flexed

54
Q

What is the vaccine time line for MMR?

A

First dose at 12-15 months

Second dose at 4-6 years of age

55
Q

what is the classic triad of meningitis?

A

Headache, fever and nuchal rigidity

56
Q

What are some of the biggest risk factors a pt with DS has? like future medical problems

A

Septal defects between atria
Duodenal atresia
Increased risk for acute lymphoblastic leukemia
Mental retardation and an increased risk for Alzheimer disease
Sterility in males

57
Q

What are some risk factors to having a febrile seizure?

A

Age – potentially due to developing nervous system being vulnerable to fever

Viral infection (i.e., HHV-6, Influenza virus)

Family history – potential genetic component

Recent immunizations – the absolute risk is small

58
Q

What are two prenatal lab test/exams can you do to diagnose down syndrome?

A

Chorionic villus sampling/amniocentesis

59
Q

a 10-month-old boy presents to the ED for several days of irritability and poor feeding. The patient has no significant past medical history and has received all routine preventative care. His temperature is 102.5°F, blood pressure is 57/40 mmHg, pulse is 172/min, respirations are 34/min, and oxygen saturation is 98% on room air. During the exam the infant is irritable and is crying. Musculoskeletal exam reveals that the patient’s knee can not be extended while the patient’s hip is in a flexed position without significant patient irritation. The rest of the exam is within normal limits.

what is the likely Dx?

A

meningitis

60
Q

describe what you should see with motor, language and social for a 4 month infant

A

Motor- rolls from prone to supine, grasps objects
Language- orients to voice, colic resolves in most
social- laughs

61
Q

describe what you should see with motor, language and social for a infant 3 months

A

3 months- lifts head and neck. Moro reflex goes away

62
Q

Endoscopy of someone with turner syndrome might find what?

A

may identify GI telangiectasias causing lower GI bleeding

63
Q

What vaccine should be given in pregnant women every time they are prego and around weeks 27-36

A

Tdap

64
Q

what common organisms cause meningitis in most people?

A

S. pneumoniae (gram-positive diplococci), N. meningitidis (gram-negative diplococci)

65
Q

What is the vaccine time line for H. influenzae type b conjugate

A

First dose at 2 months

Second dose at 4 months

Third dose at 12-15 months

66
Q

what is postictal state?

A

confusion and loss of memory

67
Q

how do you Dx meningitis?

A

spinal tab!!!

68
Q

If the febrile seizure lasts for longer than 5 minutes what can you use to treat it?

A

benzodiazepine

69
Q

What common organisms cause meningitis in neonate

A

E. coli (gram-negative rods) and S. agalactiae (Group B Streptococcus)

70
Q

What will a focal seizure with loss of awareness present with that makes it different than absence seizure?

A

postictal state

71
Q

can most patients with turner syndrome have kids?

A

no, most are infertile

72
Q

describe what you should see with motor, language and social for a neonate?

A

Motor- Moro and grasp reflex, visual tracking
Language- crying
social- minimal

73
Q

describe what you should see with motor, language and social for a 15 month old

A

motor- walks uses cups
language- several words
social- temper tantrums

EOR pediatrics (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions