Week 4 - Peds lecture Flashcards

1
Q

If a child is ticklish during palpation, use ___ instead.

A

percussion

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2
Q

For wt, infant to 12 months = ___. Older infant = ___ only. Preschooler and older = ___-___ scale. NO ___.

A

nude, diaper, stand-up, shoes

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3
Q

Use a length board and measure for head circumference in infants to ___ months.

A

24

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4
Q

For children over ___ yrs, track BMI.

A

2

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5
Q

In a well baby, fontanel should be soft and ___. Capillary refill should be ___. ___ skin turgor.

A

flat, brisk, normal

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6
Q

In a sick baby, fontanels are ___ or ___, capillary refill is > ___ seconds. Skin turgor is ___.

A

bulging, depressed, 2, tenting

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7
Q

For fontanels, normal posterior is ___. Anterior fontanel closes around age ___.

A

closed, 1

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8
Q

Pull pinna ___ and ___ in pediatrics over age 5.

A

up, out

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9
Q

Want to see ___ ___ when performing an opthalmic exam. May be ___ in dark-skinned children. Should NEVER be ___ - indicative of osteoblastoma.

A

red reflex, darker, white

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10
Q

When palpating the precordium, it should be ___.

A

quiet

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11
Q

W/posture during development, child should go from pot-bellied to ___, lordotic to ___, and bow-legged to ___.

A

normal, straighter, straight

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12
Q

___ is where the head tilts to one side d/t a knot in the sternocleidomastoid muscles of the ___. Work w/PT and usually resolved on own.

A

Torticollis, neck

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13
Q

Knees further than ___-___ inches apart needs a referral for possibility of ___ or other causes of bowing.

A

3-4, ricketts

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14
Q

A common skin finding in children is ___ (atopic dermatitis), and is usually worse on ___ surfaces.

A

eczema, flexor

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15
Q

The Tanner scale is a ___ maturity scale. Peds should be Tanner ___ stage, which is prepubertal.

A

puberty, 1

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16
Q

Cervical lymphadenopathy is ___ in preschoolers. Worry if it is ___ or non-___.

A

common, tender, mobile

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17
Q

An ___ HR is normal bc variations occur in conjunction w/___.

A

irregular, respirations

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18
Q

When auscultating the heart, ___ are ALWAYS abnormal.

A

clicks

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19
Q

Obtain b/p at age ___.

A

3

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20
Q

Vibratory murmurs in peds is ___.

A

common

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21
Q

Unusual findings when assessing musculoskeletal includes: ___ swelling, ___ extremities, bruises NOT on ___ or ___.

A

joint, limp, tibia, forehead

22
Q

___ assessment should be done at every well child visit, along w/physical assessment.

A

Developmental

23
Q

When assessing adolescents, offer for ___ to leave the room.

A

parents

24
Q

ALWAYS have chaperone present when assessing ___ on adolescents.

A

genitalia

25
Q

When seeing dental erosions in adolescents, think either ___ or ___.

A

reflux, bulimia

26
Q

Lymphadenopathy in adolescents is ___ normal.

A

not

27
Q

In adolescents, use ___ ___ to check for mitral valve prolapse.

A

valsalva maneuver

28
Q

Turner’s syndrome occurs in ___ and is a lack of the usual pair of ___ chromosomes, so may lack ___ features.

A

females, X, female

29
Q

Klinefelter’s syndrome occurs in ___ and is where they have an extra ___ chromosome, so may develop ___ features, such as ___.

A

males, X, female, gynecomastia

30
Q

Routine pelvic exams does not occur until ___ yrs of vaginal intercourse, or age ___.

A

3, 21

31
Q

T or F: A female does not have to have a pelvic exam before starting on BC.

A

True

32
Q

Important to educate males to clean underneath ___ if not circumsized.

A

foreskin

33
Q

On male genitalia exam, perform a ___ cancer screening, ___ exam, and check for ___.

A

testicular, hernia, varicoceles

34
Q

Varicoceles is swelling of the veins inside the ___, found along the ___ cord.

A

scrotum, spermatic

35
Q

Important to screen for ___ and ___ in the musculoskeletal exam in adolescents.

A

scoliosis, kyphosis

36
Q

Need to perform a ___-step exam for a physical in adolescents.

A

13

37
Q

Step 1 is: observations of ___ and ___. Instruct pt to stand w/arms at ___.

A

stance, symmetry, side

38
Q

Step 2 is: ___-___ flexibility. Instruct pt to look at ___ (c-spine extension), look at ___ (c-spine flexion), touch both ears to ___ (lateral flexion), and turn head to both sides (rotation).

A

C-spine, ceiling, floor, shoulder

39
Q

Step 3 is: ___ strength. Instruct pt to ___ shoulder while examiner applies pressure against them. Expect ___ bulk and strength.

A

shoulder, shrug, symmetrical

40
Q

Step 4 is: ___/___ strength. Instruct pt to hold arms ___ and lift ___ while examiner applies pressure against them. Expect ___ bulk and strength.

A

arm/shoulder, out, up, symmetrical

41
Q

The first part of step 5 is: ___ external rotation. Instruct pt to hold arms out from ___ w/elbows bent at ___ degrees and raise ___ back as far as they can go.

A

shoulder, side, 90, hands

42
Q

The second part of step 5 is: shoulder ___ rotation. Instruct pt to hold arms to ___, elbows bent at ___ degrees, pull hands downward, palms facing ___.

A

internal, side, 90, backward

43
Q

Step 6 is: ___ ROM. Instruct pt to hold arms out from ___, palms up, straighten ___ completely; ___ completely.

A

elbow, sides, elbows, bend

44
Q

Step 7 is: ___/___/___ assessment. Instruct pt to hold arms ___ at sides w/elbows bent at ___ degrees, supinate ___; pronate ___.

A

elbow/forearm/wrist, down, 90, palms, palms

45
Q

Step 8 is ___/___ assessment. Instruct pt to make a ___; open hand and ___ fingers.

A

hand/finger, fist, spread

46
Q

Step 9 is: ___ screen and assessment of ___ extremity. Observe symmetry of ___, ___, ___, and ___.

A

Scoliosis, lower, shoulders, waist, thigh, calf

47
Q

Step 10 is: forward ___. Instruct pt to bend forward w/head and arms dangling. Observe for ___ across back.

A

bend, symmetry

48
Q

Step 11 is: ___ strength and ___ ___ assessment. Instruct pt to stand on ___ and walk forward, then stand on ___ and walk forward.

A

calf, achilles tendon, heels, toes

49
Q

Step 12 is: ___ flexion/extension. Instruct pt to squat on ___ and duck-walk for ___ steps, then stand up. Expect ___ movement, equal heel to butt distance, equal knee flexion, and to rise straight up.

A

knee, heels, 4, painless

50
Q

Step 13 is: ___ extension. Instruct pt to lean back as far as possible.

A

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