Peds Midterm pt2

Question 1

Minimum age to dx Enuresis/Encopresis?

Answer 1

5 yrs

Question 2

Enuresis must occur how often to dx?

Tx?

Answer 2

at least 2x/week for 3 months

DDAVP (desmopressin) tablets or nasal spray - shuts off brain’s pathway telling body to urinate.

Question 3

90% of Encopresis is due to:

Answer 3

constipation

Question 4

Criteria to dx Encopresis (2)

Answer 4

1 encopresis episode/week.

Question 5

What must you do when assessing Encopresis?

Answer 5

Abd x-ray to evaluate severity, r/o obstruction

Question 6

Mothers freq stop nursing at what baby age?

Solid foods often introduced at __ mo to reduce chance of developing food allergy.

Answer 6

12 months

6 months

Question 7

Most true allergies are IgE mediated.

2 level ranges to know:

Answer 7

igE is 1-2: retest next year

3-5: sent to allergist.

Question 8

How is taenia capitus transmitted?

Answer 8

due to CONTACT. pets, barbars, other kids, fomites, animal fur.

Question 9

Who is affected by t. capitus? (2)

Answer 9

kids 3-7 yrs, black >white

Question 10

Large, round hyperkeratotic plaque of alopecia due to breaking off of hair shafts close to surface. Mowed wheat field on scalp.

Answer 10

Gray Patch of taenia capitus

Question 11

Dx (2) & Tx of Taenia capitus

Answer 11

Dx: KOH prep, Woods lamp
Tx: Griseofulvin - take w/ fatty meal

Question 12

Development by age:

Cephalocaudel motor movements (6)

Answer 12

3 mo: lifts head
6 mo: sits independently
9 mo: crawls
12 mo: walks (wide based gait)
18-24 mo: arms swinging walk
18 mo: runs

Question 13

Development by age:

Fine motor movements (4)

Answer 13

3-4 mo: Grasp using raking motion
5 mo: thumb added to grasp
9 mo: near pincer grasp
18-30 mo: become righty/lefty

Question 14

Development by age:
speaking Language (6)

Answer 14

2 mo: cooing
6-10 mo: babbling (coo'ing + consenants)
12 mo: single words, pointing/gesturing
12-18 mo: 5-10 words
12-24: expressive vocab
24 mo: 2-3 word phrases

Question 15

Development by age:
Receptive language (2) - begins, milestone age

Answer 15

begins at 9 months

13 mo: understands 20-100 words

Question 16

Development by age:

Play-child’s work (4)

Answer 16

6-12 mo: peek a boo, symbolic play
up to 2 yrs: play solitary
2-3 yrs: parallel play
3-4 collaborative play

Question 17

Development by age:

toilet training

Answer 17

18 mo

Question 18

Development by age:

Magical thinking

Answer 18

2-4: trying to sort reality from fantasy
3-5: Magical thinking
1st grade (7 yrs): magical thinking diminishes