Pediatrics Brs Chapter 1

Front 1

Weight, height and head circumference should be measure at least until _ yoa

Back 1

2 years of age

Front 2

Define Failure to Thrive.

Back 2

Growth rate of less than expected and is of concern when weight crosses 2 major percentile isobars.

Front 3

T/F - A neonate should regain birthweight by 2 weeks.

Back 3

True

Front 4

Most common ccause of FTT is

Back 4

inorganic FTT (disturbed parent child bond that results in inadequate intake)

Front 5

T/F - Almost all head growth occurs prenatally and during 1st 2 years of life.

Back 5

True

Front 6

T/F - Cephalohematoma, subperiosteal hemorrage, crosses suture line on physical exam.

Back 6

False - it does not cross suture lines.

Front 7

Define Microcephaly.

Back 7

Head circumference 2-3 standard deviations below the mean for age.

Front 8

Define Craniosynostosis.
1) most common form

Back 8

premature closure of 1 or more cranial sutures, often sporadic
1)sagital suture/ dolichocepahly

Front 9

Treatment of Craniosyntosis.

Back 9

Surgical Repair

Front 10

Define Plagiocephaly.
1) Associated with

Back 10

Asymmetry of the infant head shape usually not associated with premature suture closure.
1) Congenital muscular torticollis

Front 11

T/F - Unlike microcephaly, head size in macrocephalic patients does not necessarily reflect brain size.

Back 11

True

Front 12

In initial evaluation of Macrocephalic patients a _ should be ordered to R/O hydrocephalus.

Back 12

Head U/S or CT scan

Front 13

Name Live Vaccines (5)

Back 13

OPV, MMRV

Front 14

What type of vaccine is the Hep B?

Back 14

Recombinant

Front 15

Which polio vaccine is recommended in the US?

Back 15

IPV (2,4months, 6-18mo, 4-yoa)

Front 16

What type of vaccine is Hib?

Back 16

Conjugate vaccine

Front 17

When is the first dose of MMR?

Back 17

12-15 months

Front 18

The most common cause of viral hepatits in the world

Back 18

Hep A

Front 19

Most common cause of acute OM and invasive bacterial infections in children younger than 3 yoa.

Back 19

Sterp Pneumoniae

Front 20

Pneumovax
1) advantage
2) disadvantage

Back 20

1) almost all antigens from 23 strains causing bacteremia/meningitis
2) little immunogenicity in children younger than 2

Front 21

Prevnar
1) advantage
2) disadvantage

Back 21

1) immunogenicity and efficacy in children younger than 2 yoa
2) only 7 serotypes

Front 22

T/F - Patients with progressive neurologic disorders, e.g. epilepsy, should not receive the DTaP vaccine unless stabilized.

Back 22

True

Front 23

Gold standard for audiometric testing in newborn.

Back 23

Brainstem auditory evoked response (expensive/most accurate) and Evoked otoacoustic emission (less expensive/less accurate)

Front 24

T/F - routine screening of cholesterol and lipid panels is recommended in children.

Back 24

False - only in children > 2yoa if FH of hypercholesterolemia, hyperlipidemia, or early MI (<55)

Front 25

Risk Factors for Iron Deficiency Anemia (5)

Back 25

prematurity, low birth weight, early intro of cow's milke (<9 moa, insufficient intake of iron, poor

Front 26

When is universal screening of hemoglobin levels recommended? (2)

Back 26

Between 9 and 15 months and between 4 and 6 yoa.

Front 27

Risk Factors for Plumbism(5).

Back 27

ingestion of paint from house prior to '78, water from lead pipes, lead smelters, lead glazed pottery, or folk remedies

Front 28

T/F - Circumscion is not recommended by the AAP

Back 28

True - even though UTIs are 10x more common in uncircumscized males.

Front 29

An inability to retract the foreskin, which can lead to urination retention.

Back 29

phimosis

Front 30

Contraindications to circumscision (3)

Back 30

penile abnormalites (hypospadias), prematurity, bleeding diathesis

Front 31

The range of initial tooth eruption is between _

Back 31

3-18 months, average 5 months

Front 32

when should tooth brushing begin?

Back 32

when teeth erupt

Front 33

T/F - early dental eruption is associated with hyperthyroidism

Back 33

True.

Front 34

T/F - Effects of excess flouride are cosmetic only and the greatest risk is between 2-4 yoa.

Back 34

True - supplement breastfed children beyond 6 moa

Front 35

Most common bacterial agent leading to dental caries.

Back 35

Streptococcus mutans

Front 36

Rear facing seat until _ and _. No honey, egg whites, fish, citrus, chocolate, nuts, wheat until _.Initiate toliet training from _ to _.

Back 36

1 year and 20 pounds for car seat. These food not until 1 yoa. Toliet trainng from 18-24 months, do not push.