School age

Question 1

extreme fatigue, weakness pale skin easy bruising, petechial bleeding, bleeding gums, nose bleed, bone or joint pain, lymphadenopathy, swelling in abdomen, common type is ALL

Answer 1

Leukemia

Question 2

fast growing cancer of immature lymphocytes, CBC show high WBC >50,000, girls high chance of cure, African /Hispanic low cure rate

Answer 2

Acute lymphocytic leukemia

Question 3

(AML) fast growing cancer in bone marrow affects immature or precursor blood cells myeloblasts (WBC), monoblasts (macrophages) erythroblasts (RBC), megakaryoblasts (PLT), children with down syndrome have better cure rates if < 4 years old

Answer 3

Acute myelogenous leukemia

Question 4

febrile illness chicken pox, influenza, or aspirin salicylate (Pepto bismol) intake, abrupt onset and quick progression, death can occur in hours to days mortality of 52%, disease is rare

Answer 4

Reyes syndrome

Question 5

petit mal seizure, brief episode of child staring, common type of pediatric seizure refers to pediatric neurologist

Answer 5

Absence seizure

Question 6

are localized to one area on one side of the brain, but may spread from there. Motor – A simple partial seizure with motor symptoms will affect muscle activity, causing jerking movements of the foot, face, arm, or another part of the body.

Answer 6

Simple partial seizure

Question 7

benign systolic murmur having vibratory or musical quality, louder in supine position or with fever, minimal radiation grade 1-2 intensity, most common in school age, resolves in adolescence

Answer 7

Still’s murmur

Question 8

(down syndrome) instability of c1 and c2

Answer 8

Atlantoaxial instability

Question 9

aortic aneurism risk, lens eye displacement, joint

hypermobility

Answer 9

Marfan’s syndrome

Question 10

5 to 14- accidents/unintentional injuries, cancers, genetic condition

Answer 10

Autism

Question 11

large head circumference and mental retardation, delayed
physical development milestones such as crawling walking, autism is common, hyperactive behavior, long face with prominent forehead jaw and large ears, large body with flat feet
Tx - refer for genetic testing, refer to psychiatrist

Answer 11

Fragile X syndrome

Question 12

Meningococcal vaccine, HPV, Tdap

Answer 12

Vaccinate 11-12 yrs

Question 13

youngest age is 9 to receive

Answer 13

HPV

Question 14

early abstract thinking stage (Piaget)

Answer 14

11-year-old

Question 15

leading cause are MVA, suffocation, drowning, poisoning, fire and burn

Answer 15

Death small kids