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54 Cards in this Set
- Front
- Back
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Developmental milestones at 6 months?
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-Head lag disappears
-sits without support -turns to sound -rolls over -reaches for objects -babbles -pincer grasp starts, objects in mouth |
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When should cows milk be introduced?
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12 months
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When does teething start?
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6 months
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What screeenings are performed at birth?
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PKU
congen hypothyroidism galactosemia sickle cell |
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What meds/tx given to newborns at birth?
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Erythromycin or silver nitrate eye drops
Vit K IM First Hep B vaccine |
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Breastfed babies require what supplementation?
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Flouride
Vit D |
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What is dose of tylenol that is given for fever?
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10-15 mg/kg q 4-6 hrs
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Developmental milestones at 4 months?
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-reaches for and grasps items
-no head lag, good head control -squeals/laughs, starts turning towards noise -responds to bright objects and familiar people -can start eating cereals, vegies, fruits |
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When does anterior fontanel close?
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starts at 6 months, should be closed by 18 months
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Developmental milestones at 9 months?
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-child starts to cruise
-can sit without support -secure thumb-finger grasp -transfers block hand to hand, feeds self -babbles, mama/dada -plays peek a boo -makes strange |
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How much weight should infant gain?
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1 oz per day (some as much as 2-3)
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What is term for flattening of infants skull?
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plagiocephaly
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What dose of motrin is used to tx fever?
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5-10 mg/kg q 6-8 hrs
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Milia located on the oral mucosa are called what?
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Epstein pearls
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Milia located on the palate are called what?
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bohn nodules
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What are the diagnostic criteria for kawasaki disease?
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Fever >5 days +
-bilat nonpurulent conjunctivitis -pharyngeal injection, strawberry tongue, fissured lips -edema of hands/feet -rash (truncal) -cervical LA |
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Treatment of kawasaki disease?
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-admission
-IVIG -high dose aspirin |
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Sx of croup?
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-prodrome: coryza, cough, pharyngitis
-inspiratory stridor -tachypnea -barking cough -"steeple sign" on xray |
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Cause of croup?
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parainfluenza virus
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When is Hep B vaccine offered?
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1. Birth
2. 1-2 months 3. 6-18 months |
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When is rotavirus vaccine offered?
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1. 2 mo
2. 4 mo 3. 6 mo |
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When is DTap vaccine offered?
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1. 2 mo
2. 4 mo 3. 6 mo 4. 15-18 mo |
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When is HIB vaccine offered?
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1. 2 mo
2. 4 mo 3. 6 mo 4. 12-15 mo |
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When is pneumococcal (PCV) vaccine offered?
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1. 2 mo
2. 4 mo 3. 6 mo 4. 12-15 mo |
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When is the polio vaccine offered?
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1. 2 mo
2. 4 mo 3. 6-18 mo |
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When is influenza vaccine offered?
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Yearly starting at 6 mo
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When is MMR vaccine offered?
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1. 12-15 mo
2. 4-6 yrs |
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WHen is varicella vaccine offered?
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1. 12-15 mo
2. 4-6 yrs |
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WHen is hep A vaccine offered?
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2 doses at 12-23 mo at least 6 months apart
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What vaccines are live attenuated?
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rotavirus
MMR varicella flu mist |
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Developmental milestones at 2 months?
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-smiling, cooing, gurgling
-follows objects with eyes -raises head from prone |
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What virus causes mumps?
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paromyxovirus
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Clinical findings in mumps?
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-parotitis
-orchitis -meningoencephalitis |
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What transport abnormality is present in cystic fibrosis?
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-abnormality in chloride transport protein
-decreased secretion of chloride, increased reabsorption of sodium and water = decreased hydration of mucous |
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What small spots are seen on buccal mucosa in measles?
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koplik spots
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Where does rash begin and spread to in measles?
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begins on face and neck, spreads to extremities
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Two organisms commonly involved with impetigo?
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Staph aureus
GABHS |
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What virus causes roseola infantum?
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herpes virus 6
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Presentation of roseola infantum?
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9-12 months old
-abrubt onset of fever -sometimes febrile seizure -small pink papules/macules that appear after defervescence -no URI sx |
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What organism causes fifths disease?
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parvovirus B19
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Four C's of measles?
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cough
coryza conjunctivitis Koplik spots |
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Rash in fifths disease (erythema infectiosum)?
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1. Slapped cheek appearance
(spares nasal and perioral folds) 2. macular/morbiliform rash on extremities (after facial rash) 3. extremity rash fades to lacy |
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Moro reflex?
When disappears? |
The legs and head extend while the arms jerk up and out with the palms up and thumbs flexed. Shortly afterward the arms are brought together and the hands clench into fists, and the infant cries loudly.
gone by 2 months |
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Walking/stepping reflex?
When disappears? |
will try to walk when feet touch flat surface
gone by 6 wks |
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Tonic neck reflex?
When disappears? |
When head turned to side, that arm straightens and opposite arm bends
gone by 4 months |
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When does palmar grasp disappear?
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5-6 months
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When does babinski reflex disappear?
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1 yr
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Tx for cutaneous and systemic tinea infections?
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cutaneous: clotrimazole
systemic/scalp: griseofulvin |
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What are the 3 fetal shunts in the heart?
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1. ductus arteriosus: connects pulmonary artery with aortic arch
2. ductus venosus: shunts umbilical vein to inferior vena cava 3. foramen ovale: shunts left atrium to right atrium |
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Tx of coarctation of aorta?
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-Prostaglandin E1 to open ductus arteriosus
-antihypertensives |
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What conditions make up the tetralogy of fallot?
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-pulmonary stenosis
-overriding aorta -ventricular septal defect -RVH |
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Presentation of hirschprungs?
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-no passage of meconium
-constipation since birth -xray with barium enema: transition zone |
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Developmental milestones at 1 year?
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FM: pincer grasp, throws
GM: stands without support Social: has some words, imitates, comes when called, plays pat-a-cake, points to things they want |
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Devel milestones at 15-18 months?
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FM: feeds self, waves bye bye
GM: walks, squats Social: 10 words, scribbles |
