Block 5; Week 3 Peds Quiz

Question 1

What are 2 absolute contraindications to sports release?

Answer 1

carditis

fever

Question 2

What is atlantoaxial instability? Why is this dangerous w/ sports participation?

Answer 2

this is where the jt b/w the atlas & axis is excessively mobile & there is risk of subluxation & spinal cord compression

Question 3

What are the symptoms & signs of subluxation @ the atlantoaxial jt?

Answer 3

neck pain
increased weakness
loss of bladder control
increased deep tendon reflexes
positive Babinski sign
ankle clonus

Question 4

Which patients are more at risk for atlantoaxial instability?

Answer 4

Down’s Syndrome Patients

Severe Rheumatoid Arthritis Patients

Question 5

Which 3 factors go into diagnosing hypertension in an adolescent?

Answer 5

child’s age
child’s height
child’s gender

Question 6

What signifies Stage 1 HTN in an adolescent? What should be done about this?

Answer 6

> 120/80 mmHg or >95 but <99%

**take 2 more BP readings in the next few weeks, if consistently elevated then assess for end organ damage

Question 7

What signifies Stage 2 HTN in an adolescent? What should be done about this?

Answer 7

BP>99%

• *immediate management necessary
• *avoid weight lifting & body building type sports

Question 8

What are some special things you need to check on in medical hx of a PPE pt?

Answer 8

hx of heat illness or muscle cramps?
current viral illness?
sickle cell trait?
unpaired organs?
allergies-resp compromise?