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Pediatrics > Week 2 Lectures > Flashcards

Week 2 Lectures Flashcards

1
Q

Add cow’s milk to diet

A

Cow’s milk safe to add at 12 mo

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2
Q

Roll F –> B

A

Roll F –> B (comes before B –> F)

-4 mo

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3
Q

Rash described as “a dew drop on a rose petal”

A

Varicella (chicken pox)

Blisters (dew drop) w/ surrounding erythema (on rose petal) that crusts over => pustules

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4
Q

What reflex indicates baby will start crawling soon

A

Protective reflexes (ex: extend arm to side when pushed to protect from fall) indicates baby will crawl soon

-protective reflex develops at 6 mo –> crawl at 8-10 mo

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5
Q

Vaccines due at age 12

A
  • Tdap booster
  • menigococcal vaccine
  • HPV
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6
Q

Head off table

A

Head off table: 4 mo

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7
Q

JAb- joint attention behaviors

A

Joint attention behaviors- important for autism

-18-24 mo

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8
Q

Potential complications of Coxsackie viral disease

A

Coxsackie = Hand Foot Mouth disease

Potential complications

  • myocarditis
  • aseptic meningitis
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9
Q

Whitlow

A

= finger herpes infxn

Ex: baby w/ oral HSV lesion sucks on finger

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10
Q

Social smile

A

Social smile present at birth - 2 mo

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11
Q

Diaper rash + diarrhea + frequent infections + failure to thrive

A

Zinc deficiency

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12
Q

What reflex indicates baby will start walking soon

A

Parachute reflex indicates baby will be walking soon

-parachute reflex develops 8-10 mo –> walk at 12-15 mo

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13
Q

Phrases

A

Phrases at 18-24 mo

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14
Q

Roll back –> front

A

Roll back –> front at 6 mo

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15
Q

Immunizations due at 2,4,6 mo

A
  • Hep B
  • Rota
  • Dtap
  • HiB
  • PCV
  • IPV
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16
Q

Parachute reflex

A

Parachute reflex: arms sprawl out when dropped, around 8-10 mo

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17
Q

Wave “bye-bye”

A

Wave “bye-bye” 12-15 mo

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18
Q

Sore throat, fever, petechiae on back of throat

A

6+ petechiae on oral mucosa is almost pathognomonic for strep pharyngitis

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19
Q

Peek-a-Boo

A

Peek-a-Boo at 8-10 mo

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20
Q

Breast milk vs. formula

(a) which has more lactose
(b) LCFA leevel
(c) cow’s milk exposure
(d) Fe accessibility

A

Breast milk vs. formula

(a) Breast milk has more lactose
(b) Breast milk has more LCFA
(c) Formula is made w/ cow milk base
(d) Breast milk has less Fe but it is better absorbed

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21
Q

Eye contact

A

Eye contact present at newborn

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22
Q

Pincer grasp

A

Pincer grasp: 8-10 mo

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23
Q

Transfer between hands

A

Transfer btwn hands 6 mo

-when they can use their hands separately

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24
Q

Contraindications to the flu vaccine

A

Certain types of egg allergy

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25
Q

Coo-ing

A

Coo-ing = first bit of language

-newborn - 2 mo

26
Q

At what age should the following continences be attained by

(a) Urinary
(b) Fecal

A

(a) Urinary continence by age 5

(b) Fecal continence by 4

27
Q

Describe the type of lymphadenpathy found in Rubella

A

German Measles- rash, fever, lymphadenopathy

-but not lymphadenopathy in normal areas such as anterior neck, more in unusual places such as behind the neck

28
Q

Contraindications to breast feeding

A

Contraindications to breast feeding

  • IEM: galactosemia, PKU
  • HIV, HSV on the breast
  • Mom on chem, Li, drinking alcohol
29
Q

Vaccine- starts at 6 mo then yearly

A

Influenza

30
Q

Jargoning w/ intent

A

Jargoning w/ intent at 8-10 moa

31
Q

When is the HepA vaccine given?

A

1st done- 12 mo

2nd dose- at least 6 mo after the first, before age 2

32
Q

Spoon feed self

A

Spoon feed self at 12-15 mo

33
Q

Scribble

A

Scribble 18-24 mo

-obv after mature pincher develops (12-15 mo)

34
Q

Radial rake

A

Radial rake = early/immature pincher grasp

-6 mo

35
Q

3 vaccines due at 12 mo

A
  • MMR
  • varicella
  • HepA
36
Q

Immunizations due at birth

A

Hep B

-give HepBIG if mom is HbsAg+

37
Q

No head lag => ventral suspension

A

Start getting tone allowing for no head lag at 4 mo

38
Q

180 tracking

A

180 tracking at 4 mo

follow things past midline

39
Q

Turn to name

A

Turn to name at 12-15 mo

40
Q

1-3 words

A

1-3 words at 12-15 mo

41
Q

Pincer grasp

A

Pincer grasp- 12-15 mo

42
Q

Intense itching worse at night

A

Scabies

-characteristically worse at night

43
Q

Direction of development

A

Development occurs proximal to distal and top to bottom

44
Q

4 vaccines to be given before kindergarden

A
  • last IPV
  • DTap
  • MMR
  • varicella
45
Q

Tx of enuresis

(a) first line
(b) second line

A

Tx of enuresis

(a) behavioral- reward system, pee before bed, bell-alarm pad
(b) pharmacologic- DDAVP or imipramine

46
Q

Blueberry muffin baby

(a) Signs
(b) Cause

A

Blueberry muffin baby = congenital rubella syndrome

-petechiae + jaundice

47
Q

Key to diagnosing tinea corpus

A

Ring worm- key is raised edge

48
Q

Possible neurological complication of varicella

A

Cerebellar ataxia

-will self resolve

49
Q

2 complications of Fifth Disease during pregnancy

A

Fifth’s disease (Parovirus B19) during pregnancy

  • aplastic crisis
  • hydrops fetalis
50
Q

Babbling

A

Babbling at 6 mo

-comes after coo-ing –> open vowels –> babbling

51
Q

walk upstairs w/ alternating feet

A

30 mo

52
Q

Stranger anxiety

A

Stranger anxiety at 8-10 mo

53
Q

Imitation

A

Imitation at 12-15 mo

54
Q

Explain why newborns lose weight after birth

(a) How much weight loss is expected

A

Diuresis of extravascular fluid

(a) Lose 10% of birth weight in 1st week

55
Q

Differentiate gross vs. fine motor skills

A

Gross motor skills- required large muscle group mov’t

Fine motor skills- mov’t of small muscle groups

56
Q

Tx for lice

A

Give the shampoo for the eggs, but you also have to pick out ALL OF THE KNITS (aka the expression knit picky) out b/c the shampoo can’t penetrate one of the larval phases

If you don’t pick out all of the knits then it’ll just come back

57
Q

Jump

A

Jump (both feet off floor) 18-24 mo

58
Q

copy cross and square

A

48 mo

59
Q

How long is the chicken pox contagious for?

A

Chicken pox contagious until every single lesion is crusted over
-no more blisters

60
Q

Walk

A

Walk 12-15 mo

61
Q

Laughing

A

Laughing at 4 mo

62
Q

50 single words (spontaneously)

A

50 spontaneous single words 18-24 mo

Pediatrics (10 decks)

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