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36 Cards in this Set
- Front
- Back
Weight, height and head circumference should be measure at least until _ yoa
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2 years of age
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Define Failure to Thrive.
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Growth rate of less than expected and is of concern when weight crosses 2 major percentile isobars.
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T/F - A neonate should regain birthweight by 2 weeks.
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True
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Most common ccause of FTT is
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inorganic FTT (disturbed parent child bond that results in inadequate intake)
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T/F - Almost all head growth occurs prenatally and during 1st 2 years of life.
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True
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T/F - Cephalohematoma, subperiosteal hemorrage, crosses suture line on physical exam.
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False - it does not cross suture lines.
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Define Microcephaly.
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Head circumference 2-3 standard deviations below the mean for age.
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Define Craniosynostosis.
1) most common form |
premature closure of 1 or more cranial sutures, often sporadic
1)sagital suture/ dolichocepahly |
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Treatment of Craniosyntosis.
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Surgical Repair
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Define Plagiocephaly.
1) Associated with |
Asymmetry of the infant head shape usually not associated with premature suture closure.
1) Congenital muscular torticollis |
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T/F - Unlike microcephaly, head size in macrocephalic patients does not necessarily reflect brain size.
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True
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In initial evaluation of Macrocephalic patients a _ should be ordered to R/O hydrocephalus.
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Head U/S or CT scan
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Name Live Vaccines (5)
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OPV, MMRV
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What type of vaccine is the Hep B?
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Recombinant
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Which polio vaccine is recommended in the US?
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IPV (2,4months, 6-18mo, 4-yoa)
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What type of vaccine is Hib?
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Conjugate vaccine
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When is the first dose of MMR?
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12-15 months
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The most common cause of viral hepatits in the world
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Hep A
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Most common cause of acute OM and invasive bacterial infections in children younger than 3 yoa.
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Sterp Pneumoniae
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Pneumovax
1) advantage 2) disadvantage |
1) almost all antigens from 23 strains causing bacteremia/meningitis
2) little immunogenicity in children younger than 2 |
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Prevnar
1) advantage 2) disadvantage |
1) immunogenicity and efficacy in children younger than 2 yoa
2) only 7 serotypes |
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T/F - Patients with progressive neurologic disorders, e.g. epilepsy, should not receive the DTaP vaccine unless stabilized.
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True
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Gold standard for audiometric testing in newborn.
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Brainstem auditory evoked response (expensive/most accurate) and Evoked otoacoustic emission (less expensive/less accurate)
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T/F - routine screening of cholesterol and lipid panels is recommended in children.
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False - only in children > 2yoa if FH of hypercholesterolemia, hyperlipidemia, or early MI (<55)
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Risk Factors for Iron Deficiency Anemia (5)
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prematurity, low birth weight, early intro of cow's milke (<9 moa, insufficient intake of iron, poor
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When is universal screening of hemoglobin levels recommended? (2)
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Between 9 and 15 months and between 4 and 6 yoa.
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Risk Factors for Plumbism(5).
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ingestion of paint from house prior to '78, water from lead pipes, lead smelters, lead glazed pottery, or folk remedies
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T/F - Circumscion is not recommended by the AAP
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True - even though UTIs are 10x more common in uncircumscized males.
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An inability to retract the foreskin, which can lead to urination retention.
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phimosis
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Contraindications to circumscision (3)
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penile abnormalites (hypospadias), prematurity, bleeding diathesis
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The range of initial tooth eruption is between _
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3-18 months, average 5 months
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when should tooth brushing begin?
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when teeth erupt
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T/F - early dental eruption is associated with hyperthyroidism
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True.
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T/F - Effects of excess flouride are cosmetic only and the greatest risk is between 2-4 yoa.
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True - supplement breastfed children beyond 6 moa
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Most common bacterial agent leading to dental caries.
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Streptococcus mutans
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Rear facing seat until _ and _. No honey, egg whites, fish, citrus, chocolate, nuts, wheat until _.Initiate toliet training from _ to _.
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1 year and 20 pounds for car seat. These food not until 1 yoa. Toliet trainng from 18-24 months, do not push.
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