Toddler

Question 1

both directions back to back 6 months

Answer 1

Rolls

Question 2

peek a boo, patty cake, and (cruise) walks by holding onto furniture by 9
months

Answer 2

Plays

Question 3

at 2 understood by family

Answer 3

Speech

Question 4

at 3 understood by strangers

Answer 4

Speech

Question 5

tricycle at 3, bicycle at 6

Answer 5

Ride

Question 6

Copy a circle

Answer 6

3-year-old

Question 7

can copy a cross

Answer 7

4-year-old

Question 8

child expresses to marry parent of opposite sex

Answer 8

Oedipal stage 3-6

Question 9

Draw stick person with 3 body parts

Answer 9

4 years old

Question 10

Draw tick person with 6 body parts

Answer 10

5 years old

Question 11

painful abdominal (retroperitoneal or hepatic) mass that is fixed firm or irregular and frequently crosses the midline, common site is the adrenal medulla,

Answer 11

Neuroblastoma

Question 12

patient present with Metz disease, weight loss fever, Horner’s syndrome ( miosis, ptosis, anhidrosis) racoon eye, bone pain, HYN, diagnosed in children 1 to 4, elevated urinary catecholamines and anemia,

Answer 12

Neuroblastoma s/s

Question 13

US of the abdomen, refer to nephrologist

Answer 13

Neuroblastoma Dx

Question 14

renal malignancy, crosses midline congenital tumor of kidneys, common in African American girls,

Answer 14

Wilms tumor (Nephroblastoma)

Question 15

asymptomatic abdominal mass extends from the flank toward midline, nontender smooth mass abdominal pain, hematuria, HTN, 2-3 years old, palpate with rupturing mass
Dx - US abdomen

Answer 15

Wilms tumor s/s

Question 16

acute and rapid onset of high fever chills and toxicity, sever sore throat, drooling, not eat to drink, hot potato voice and anxiety, sitting posture with hyper extended neck, open mouth breathing stridor, tachypnea/cardia, 2 to 6 years old,
Dx - prophylaxis rifampin, reportable disease call 911 rare due to Hib vaccine

Answer 16

Epiglottis

Question 17

common in infants/children- infected bone or joint is red swollen, warm and tender to touch, febrile and irritable, walks with limp, infection in hip, knee or leg, results in growth stunting of the affected limb,
Tx - refer to hospitalization for high dose Abx

Answer 17

Osteomyelitis

Question 18

abrupt onset of deep eye pain high fever, chills, aggravated by eye movements, bulging eye, abnormal extraocular exam movements due to infection of the ocular fat pads and muscles. Ethmoid sinusitis is cause, can be life threatening, serious complication of rhinosinusitis, acute otitis media, or dental infections
Tx - refer to ER CT or MRI scan in ED

Answer 18

Orbital cellulitis

Question 19

infection of anterior portion of the eyelid does not involve orbit or globe of eye, rarely causes complications, red swollen eye pain, eye movements are normal
Tx - refer to ED

Answer 19

Pretectal cellulitis (periorbital cellulitis)

Question 20

1. Parents
2. daycare staff and unmarried partners,
3. Relatives
   PDR

Answer 20

Child abuse - PDR

Question 21

1. accidents
2. unintentional injuries,
3. congenital anomalies,
4. assault

Answer 21

Death 1 to 4 - AUCA

Question 22

1. leukemia (acute lymphocytic leukemia ALL),
2. Brain and
   nervous system tumor,
3. Neuroblastoma

Answer 22

Cancer in children - LBN

Question 23

ready by 2, mastered by 3 to 4, abnormal if not done by 5

Answer 23

Toilet training

Question 24

40 lbs. can sit facing forward

Answer 24

Car safety

Question 25

developmental disorder of development social skills and communication
skills, signs begins at 18 months

Answer 25

Autism

Question 26

• not point wave or grasp by 2,
• no babbling or coo in 1 year - no single word by 2,
• not say two word on own by 2,
• loss of language or social skills by 2,
• does not gesture wave, grasp or point by 2,

Answer 26

Autism s/s

Question 27

refer to psychiatrist for testing, intense rehab OT/PT, Medications Risperdal (antipsychotic)

Answer 27

Autism Tx