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MAG > Quiz 2 > Flashcards

Quiz 2 Flashcards

1
Q

What are the 2 major killers of kids

A

infectious disease and malnutrition

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2
Q

What are the 2 major killers of kids

A

infectious disease and malnutrition

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3
Q

What is the #1 killer in the US?

A

accidents

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4
Q

Name some factors responsible for decline in child mortality

A

improved SES, improved public health services (water treatment), improved housing, vaccinations

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5
Q

What % of US pop is children (0-17 yo)?

A

24%

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6
Q

By 2020, about ____ of the American pop ages 0-17 is projected to be composed of children who are Hispanic, Asian, or of 2 or more races (mixed).

A

half

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7
Q

What are the injury related deaths by age?

A
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8
Q

1 in ___ children under 19 years old will be seen in ED for a non-fatal unintentional injury.

A

1 in 9

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9
Q

Children up to age ___ or ___ pounds must be properly restrained in a car safety seat.

A

Age 6 or 60 lbs

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10
Q

___% of 4th graders not proficient in reading.

A

66% - same number of 8th graders not proficient in math!

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11
Q

___% of 4th graders not proficient in reading.

A

66% - same number of 8th graders not proficient in math!

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12
Q

What is the #1 killer in the US?

A

accidents

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13
Q

Name some factors responsible for decline in child mortality

A

improved SES, improved public health services (water treatment), improved housing, vaccinations

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14
Q

What % of US pop is children (0-17 yo)?

A

24%

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15
Q

Contraindications for getting a vaccine

A
  • severe anaphylaxis
  • no live viral vaccines (MMR) for immunodeficient
  • no pertussis containing vac for someone who dev encephalopathy within 7 days receiving pertussis containing vac
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16
Q

What are the injury related deaths by age?

A
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17
Q

1 in ___ children under 19 years old will be seen in ED for a non-fatal unintentional injury.

A

1 in 9

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18
Q

Children up to age ___ or ___ pounds must be properly restrained in a car safety seat.

A

Age 6 or 60 lbs

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19
Q

___% of kids in poverty.

A

23%

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20
Q

___% of 4th graders not proficient in reading.

A

66% - same number of 8th graders not proficient in math!

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21
Q

__% of kids in single parent families.

A

35%

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22
Q

___% of US kids have at least 1 of the 20 chronic health conditions,

A

43%

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23
Q

___% of overweight, obese and at risk for developmental delays.

A

54%

24
Q

What is FOC?

A

basically head circumference

fronto-occipital circumference

25
Q

Contraindications for getting a vaccine

A
  • severe anaphylaxis
  • no live viral vaccines (MMR) for immunodeficient
  • no pertussis containing vac for someone who dev encephalopathy within 7 days receiving pertussis containing vac
26
Q

Incidence of anaphylaxis to vaccine

A
  1. 65 cases per 1 million doses

* more likely to have anaphylaxis in response to PCN dose (1-5 per 10,000)

27
Q

What illness?

Fever, cough, coryza, conjunctivitis, Koplik spots, rash starts on face then moves downward to rest of body

A

Measles!

highly contagious - 4 days before and after rash

28
Q

complications of measles

A 
ear infections --> permanent hearing loss
diarrhea
pneumonia
encephalitis 
death

SSPE (sub-sclerosing panencephalitis, 7 -10 years after)

29
Q

When was the 2nd dose of the MMR vac started?

A

1990s

30
Q

When do girls start going through puberty?

A

around 7.5 - 8 years old (breast and pubic hair development)

mean 10 - 11 yrs

31
Q

When do boys start going through puberty?

A

8.5 years old

mean = 11- 12 years

32
Q

hypothesis for earlier age of onset (puberty)?

A

better nutrition (more protein calories)

Critical mass theory - bigger people go through puberty earlier (childhood obesity)

33
Q

What is the primary determinant of head size?

A

brain growth

85% of all pot-natal head growth happens in the first 18 months of life!

34
Q

What is FOC?

A

basically head circumference

fronto-occipital circumference

35
Q

What theory of mind category are 3-6 year olds in?

A

Appearance-reality distinction = do not understand the difference between how something appears to be and how it really is (cat in dog mask is now dog)

36
Q

Height is an example of ___ inheritance.

A

polygenic

  • quantitative traits = polygenic (additive)
37
Q

Achondroplasia is due to mutation in _____.

A

FGFR-3
Gly380Arg change

(Hypochondroplasia = Asn540Glu, Tyr kinase)

38
Q

Whats the difference between dwarfism and midget?

A

dwarf = disproportionate short stature

Midget = proportionate

39
Q

Social status categories

A

Popular - most liked
- friendly, cooperative, joins groups easily

Rejected - most disliked

  • Aggressive subtype = physically, verbally or relationally aggressive
  • Withdrawn subtype = do not participate or cooperate, annoying

Controversial - very liked and very disliked

Average - moderately liked and disliked

Neglected - forgotten, ignored

40
Q

causes of failure to thrive

A

reduced caloric intake

chronic illness

41
Q

Define primordial short stature

A

normal weight to height/BMI

42
Q

preoperational thought + 4 components

A

Ages 2-7
- children use mental representations for objects and events
4 components:
1. Intuitive thought = reasoning based on personal experience
2. Egocentrism = unable to take someone else’s perspective
3. Animism = inanimate objects have feelings
4. Artificialism = natural events are under people’s control

43
Q

short acting insulin

A

lispo/aspart

44
Q

Kohlberg’s moral understanding

A

Ages 3 -6 = Level 1, stage 1 or 2
Level 1 = preconventional moral reasoning

Stage 1 = punishment and obedience orientation

Stage 2 = individualism, instrumental purpose, and exchange (e.g. follow the rules when it serves their own needs/interests, aware that other people have interests that may conflict w/ their own)

45
Q

What theory of mind category are 3-6 year olds in?

A

Appearance-reality distinction = do not understand the difference between how something appears to be and how it really is (cat in dog mask is now dog)

46
Q

Benefits of organized sports

A 
Physical = strength, balance, coordination
Social = teamwork, cooperation, sportsmanship
Emotional = self-esteem, school success, positive body image
47
Q

Positive outcomes of divorce

A

reduced conflict at home
closer relationships with parents
social responsibility, competence, and empathy

48
Q

Negative outcomes of divorce

A

Behavioral = acting out
Psychological = parentification
Sleeper effect = some effects may not be evident until children are older (i.e. less likely to marry, more likley to divorce)

financial struggle
decline in quality and quantity of parenting
frequent moves

49
Q

Social status categories

A

Popular - most liked
- friendly, cooperative, joins groups easily

Rejected - most disliked

  • Aggressive subtype = physically, verbally or relationally aggressive
  • Withdrawn subtype = do not participate or cooperate, annoying

Controversial - very liked and very disliked

Average - moderately liked and disliked

Neglected - forgotten, ignored

50
Q

criteria for dx of diabetes

A

A1C > 6.5%
Fasting Glu > 126
2-h OGGT > 200
random glu > 200

51
Q

HLA predisposing to diabetes

and protecive

A

predisposing = DR4-DQ8 and DR3-DQ2

protective = DR15-DQ6

52
Q

long lasting insulin

A

glargine

53
Q

sibling risk for DM-1

A

Risk is 6% if proband (index case) is less than 10 y/o,
3% if > 10.
Identical twins, 30-50%.

54
Q

philadelphia chromosome

A

BCR-ABL t(9;22)
Chronic myelogenous leukemia (CML)
tx - Imatinib (targets Tyr kinase)

55
Q

Formal operational thought

A

adolescence

  • hypothetico-deductive reasoning
  • pendulum problem
  • abstract thought
  • separation of reality from possibility
  • combinational logic
  • reflective thinking
56
Q

Identity status

A

2 components of identity development = crisis and commitment

4 combinations:

  1. Achievement = crisis, commitment on own terms
  2. foreclosure = very little crisis, commitment (others ideas)
  3. moratorium = currently in crisis, vague commitments, struggling to commit
  4. diffusion = no crisis, lack of commitment, not concerned
57
Q

Stage of homosexual identity

A
  1. sensitization = notice you’re different than other girls/boys your age
  2. identity confusion
  3. identity assumption
  4. commitment = dating someone of same sex and coming out of the closet

MAG (2 decks)

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