biostats, miscellaneous general principles

Question 1

routine adolescent screening includes
mental health
sexual health
substance use
dislipidemia - lipid panel once between 17-21
safety - bullying, helmet use

Question 2

duchenne muscular dystrophy is diagnosed via?

Answer 2

molecular genetic testing!!!

not repetitive nerve stimulation - which is used for things like lambert eaton syndrome and myasthenia gravis

Question 3

1 day old girl, bilateral pitting edema of hands and feet up to ankles and elbows

short neck with loose skin
dysplastic nails

Answer 3

blood chromosomal analyisis!!!

for turners syndrome - which causes congenital lymphedema!!!

also causes cystic hygroma and hydrops fetalis

Question 4

68, 95, 99.7!!!! !! LEARN

= rules for standard deviations from the mean 1,2, and 3 SDs

so if mean is 25 and standard deviation is 3.2 and patients bmi is 31.4

one standard deviation is = 28.2
2 SDs = 31.2

so there was a study that you can only participate if <84 and <95 percentile

and patient cant participate as BMI is above 95th percentile

Question 5

amenorrheic patient with turners is at increased risk of what complication?

Answer 5

osteoporosis!!!!!

no estrogen

Question 6

iris colombo, heart murmur/defects, ear lobe abnormality or hearing loss,

choanal atresia (cyanosis at rest and improvement with crying, inability to pass catheter beyond proximal nares), cryptorchidism

most likely diagnosis?

Answer 6

CHARGE syndrome

Question 7

APGAR scoring
1. Appearance
2. Pulse
3. Grimace/reflex irritability
4. Activity or muscle tone
5. Respiratory effort

Each category is given 0,1 or 2 points

So in a newborn with peripheral cyanosis, decreased muscle tone, and decreased reflex activity. Pulse 80min and respirations irregular. most likely apagar score?
4-6!!!

Question 8

7 yo boy brought into Gp in the fall. Most appropriate vaccine to administer?

Answer 8

Influenza!!!
Administer yearly each fall