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Pediatrics > BRS- Health Supervision > Flashcards

Flashcards in BRS- Health Supervision Deck (67):
1

What screening tests are done at 4 years of age?

BP
Hearing & Vision

2

Until what age should height/weight/head circumference be measures?

2 years

3

When is FTT a major health concern?

When crossing 2 major percentile isobars on NHS charts

4

What measurement is most effected by FTT?

Weight more than height/ head circumference

5

When should babies regain, double, and triple birth weights?

regain: by two weeks
double: 4-6 months
triple: 12 months

6

How much weight per year should kids gain from age 2 through adolescence?

2.3 kg/year ~ 5 pounds

7

When should babies increase birth height by 50%, double, and triple?

50%: 12 months
double: 4 years
triple: 13 years

8

MCC failure to thrive?

inorganic: disturbed parent child bond --> poor caloric intake

9

When is head/ brain growth complete?

75% by age 1, complete by age 2
*Brain growth 90% by age 2, 100% by age 5

10

Define cephalohematoma

subperiosteal hemorrhage after traumatic delivery

11

Expected head growth during first two months of life?

0.5 cm per week

12

Expected head growth between 2-6 months of life:

0.25 cm per week

13

Expected head growth by 12 months of age

12 cm since birth

14

When is "acquired" microcephaly acquired?

third trimester, perinatal period, year 1 of life
(therefore third trimester infection does not = CONGENITAL microcephaly cause, would be "acquired".)

15

What are potential effects of microcephaly?

-CP
-seziures

16

What are risk factors for craniosynostosis?

intrauterine crowding
hyperthyroid
hypothyroid

17

GI causes of FTT: (8)

-craniofacial
-TE fistula
-GERD
-obstruction
-diarrhea
-IBD
-Celiac
-CF

18

2 Pulmonary related causes of FTT?
2 Heme Onc?

-CF, BPD
-malignancy, anemia

19

4 renal related causes of FTT?

-recurrent UTI
-RTA
-Chronic RF
-Fanconi

20

Congenital causes of FTT?

FAS
Metabolic Syndromes

21

3 Neuro Causes of FTT

-Tumors, hydrocephalus, decreased tone/ weakness

22

Immune/ ID Causes of FTT (4):

TB, HIV, Hepatitis, Immunocompromised states

23

2 Endocrine Causes of FTT:
1 Toxin related Cause of FTT:

-Hypothyroid, Ricketts
-Lead

24

What head shape is assc with premature closure of each of the following sutures?
-sagittal
-coronal
-metopic

-saggital: scaphocepahly
-coronal: brachycehpaly
-metopic: trigonocephaly

25

Management of craniosynostosis

surgical

26

Define plagiocehpaly:
+ possible assc condition

abnormal head shape not caused by premature suture closure
-may be assc with torticollis

27

Potential causes of macrocephaly (6):

-familial
-overgrowth syndromes
-metabolic d/o
-NF
-achondroplasia
-hydrocephalus/ tumors

28

List (live) vaccines that may be given to children

Live MOVIs
-MMR
-OPV
-Varicella
-Influenza

29

List three examples of passive immunization

-preformed antibodies
(VZIG, HBIG, HAIG)

30

Hep B:
-vaccine type
-when given

-recombinant
-three shots in first year of life

31

DTaP:
-vaccine type
-when given

-purified, acellular
-2,4,6 months, boosters at 12-18 mo's and 4-6 years
(5 total vaccines)

32

dT:
-vaccine type
-when given

-toxoid, 1/10th dose in DTaP
11-12 then every 10 years

33

Advantage to live OPV vaccine

induces secondary immunity, by can cause vaccine related polio

*Not given in US

34

When is IPV given? (inactivated polio vaccine)

2, 4 months plus 2 boosters at 6-18 mos and 4-6 mos

(4 total vaccines)

35

HiB vaccine type + timing

-conjugate ( to diphtheria or tetanus toxoid)
-2,4,6/12 months + 12-15 mo booster if at 6 months
(3-4 total vaccine)

36

MMR:
-vaccine type
-timing

live
-12-15 months plus booster at 4-6 or 11-12 years

37

Measles, Mumps, Rubella sequelae:

measles: pneumonia
mumps: parotitis, meningoencephalitis, orchitis
rubella: birth defects

38

Varicella:
-vaccine type
-timing

-live
-one at 12-18 months

39

Hep A vaccine type + timing

inactivated
2+ years of age if at risk

40

Contrast Pneumovax and Prevnar

Pneumoax: 23 subtypes, not safe before 2 years
Prevnar: 7 subtypes, sage before 2 years

41

When is prevnar given to babies?

2,4,6 months + booster at 12-5 (4)

42

Which vaccines are given a total of:
-1 time
-2 times
-3-4 times
-4 times
-5 times

-1: varicella
-2: MMR
-3-4: HiB
-4: prevnar, IPV
-5: DTaP

43

Which vaccine has been noted to cause seizures in case of severe reaction?

DTaP

44

What two tests are used to screen newborn hearing?

BAER: brainstem auditory evoked response
EOE: Evoked otoacoustic emission

45

What metabolic conditions are tested for in most states?

PKU, hypothyroid, galactosemia

46

What is peak timing of IDA?
What specific dietary risk is assc with IDA?

9-15 months, high risk with introduction of cows milk before 12 months

47

When is Hb screened, universally?

9-15 months, 4-6 years

48

What age group is most susceptible to lead poisoning?

less than 6 years

49

In what areas should all children be screened for lead poisoning?

In areas where prevalence is 12+%

50

What term describes inability to retract foreskin? Return foreskin?

phimosis, paraphimosis

51

Define balantitis? What bugs are commonly indicated?

infection of glans
candidiasis, gram negative

52

Range of time for initial tooth eruption + most commonly seen first tooth?

3-16 months (average 6)
lower central incisor

53

Causes of delayed tooth eruption beyond 16 months

familial
hypothyroid/ pituitary
downs
ectodermal dysplasia

54

Effects of excess fluoride?

cosmetic, white streaks/ grey staining esp between ages 2-4

55

Management of natal/ neonatal teeth

only remove if hypermobile to decrease aspiration risk

56

#1 risk for dental caries in babies/ toddler + most common assc bug

sleeping with nipple in mouth
strep mutans q

57

How to preserve avulsed tooth

store in milk

58

How many x/day should newborns be fed?

8-12

59

When is honey safe for baby?

after age 1, same for whole milk

60

When do babies usually sleep through night + become able to eat solids?

6 months

61

What foods should be avoided before age 1?

egg whites
fish
citrus
chocolate
nuts
wheat

62

When should baby drink from cup?

9 months

63

When should separation anxiety begin?

9 months

64

When should toilet training begin?

18 months

65

When are night terrors common?

18-24 months

66

When are the following expected?
-sharing
-parallel play
-imagination
-gender roles

-sharing: 3
-parallel: 2 years
-imagination, gender: 4

67

How much sleep is needed by a 5 year old?

10-12 hours