Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Royal College Studying > Community > Flashcards

Community Flashcards

1
Q

Tic treatment

A

guanfacine
clonidine
non-pharm behaivoral therpay and counseling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

is a comorbid tic disorder contraindication to treatment

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

how much does head circumference grow at age 3mo, 4-6 mo and after 6mo

A

2cm/mo for first 3mo
1cm/mo 4-6mo
0.5cm/mo after 6mo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

factors that increase risk for deformational plagiocephaly

A

male
first born
prematurity
liited passive neck ROM (torticollis)
Dev delay
sleep position is suprine at birth and at 6 week
bottle feeding only
tumme time < 3 times per day
lower activity level
sleeping wtih head to same side, positional preference

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

which type of cranio is most similar to plagiocephaly

A

lamdoidal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are features of plagiocephaly

A

normal round head shape at birth
paralleologram shaped head
ipsilateral ear anteriorly displaced
no palpable bony ridges or open fontanels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is suggested amount of tummy time

A

10-15 minutes at least 3 times epr day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

when and how long helmet therapy

A

started at 4-8 months of age and continued for 7-8 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

characterized by profuse, repetitive vomiting often accompnaied by pallor adn lethargy typically occurring 1-4h after ingestion of food

A

FPIES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

lab findings in FPIES

A

can have leukocytsis, neutorphilia, thrombocytosis, methemoglobinemia, metabolci acidosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

common foods to trigger FPIES

A

milk, sy, grians, egg, meta/fish/vegetables, fruits peanuts/tree nuts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

rate of resolutoin FPIES with age

A

35% by age 2, 70% by age 3, 85% by age 5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

when to do an oral food challenge and how for FPIES

A

consider 12-18months after the most recentreaction, should be done in medical setting with access to IV fluids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what to eliminate for CMPA

A

milk/soy first
if that not working then egg and corn can be eliminated as well

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

when does CMPA usually resolve

A

1 year of age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

most common chronic childhood disease

A

tooth decay

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

when should kids go to dentist

A

within 6 mo of their first tooth appearing and no later than one year of age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is formal milk sharing screened for

A

Hep B. C, HIV, HTLV and syphilis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

signs of cannabis withdrawal

A

2 of:
irritability, anger or aggression
nervousness, anxiety
sleep difficulty
decreased appetite/weight loss
restlessness
depressed mood
abdo discomfort, fever, chills, headache (1 of)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

when do cannabis withdrawal symptoms start and for how long

A

start 24-72h after last use and persst for 1- weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

age of consent for sexual activity in canada

A

16
12 to 13 can consent with partner 2 years older
14 or 15 can consent with partner 5 years older

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

do you need internal speculum exam or digital rectal exam post sexual abuse

A

very rarely

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

when to collect forensic kit

A

within 72h, highest yield 24h after

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

do you give prohpylaxis for STIs post sexual abuse

A

not for NG and CT especially if they can return for full STI testing in a follow-up clinic
HIV PEP if suspected offended is HIV positive, signfifcant exposure suc as oral, vaginal or anal penetration, should be started ASAP and within 72h
consider hep B immunization adn HBIG depending on immune status
? HPV in some places

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
testing post sexual abuse
NG and CT (can do NAAT) HIV testing and fu at 6/12/24 weeks Hep c and fy 12 and 24 weeks Hep B
26
what has been associated with positive otucomes for SA victims
having a cergiver who believes and protects the child
27
Main factors that impact childs well being after divorce
quality of parenting, quality of parent child interaction, conflict intensity
28
red flags to investigate spinal dimple
midling tuft of hair, sacral dimple or sinus tract above gluteal cleft, hemangioma., dermal appendage and or subctuaneous lump
29
imaging indicated for spinal dimple
subcutaneous las sor lipoma hair patch dermal sinus or cyst atypical dimples (deep > 5mm or > 25mm from anal verge vascular lesion ie. hemangioma or telangectasia skin appendages or polypois lesions sar like lesions
30
STI screening for youths under 25y
NAAT for CT nad nG with frist catch urine, or swabs anal swab is anal receptive intercourse syphilis serology, HIV serology consider hep B, A and C with uncertain vaccination history, oral/anal contact or IVDU
31
characterisitics that increase change of quitting smoking
male, older, teen pregnancy/parenthood, scholastic success, team sport participation, peer and family support for cesssations, CYP 2A^ mslow emtabolizer
32
Less likely to quit smoking
nicotine addiction, mental health conditions including ADHD, drug or alcohol use, chronic illness, family stress, peer and family tobacco use, overweight or weight preoccupation, developmental drie to experiement, fear of peer rejection, perceived lack of autonomy and privacy
33
side effects of nicotin replacement
increased HR, higher BP mouth adn skin irritation
34
contraindications to bupropion
eating disorder seizure
35
Who should get RSV pophylaxis
< 30 week prems whoa re <6mo at onset of or during RSV season <24mo with CLD on oxygen within 6mo preceding RSV < 12mo with hemodynamically significant CHD <36 and <6mo in inuit communities who would require air trnasport for hospital May be considered in 30-32 weeks and age < 3mo whoa re high risk for exposure (sibs) 12-24mo awaiting heart transplant or received heart transplant <24mo immunodeficiency
36
what does rsv vaccination do
prevent 40-80% of hospitalizations, depending on age
37
is egg allergy CI to flu vaccine
no
38
who should not get live flu vaccine
immunocompromised < 24 mo on ASA severe asthma (currently on oral or high dose steroids, or medically attended wheezing within 7 days of proposed vaccination) pregnant people can be given during bf
39
vit D recommendations
400u daily for infantsand children under 2 who are partially or fully breastfed 800 units for inuit infants during winter breastfeed and 400 whoa re formula fed
40
what vit D levels increase ricket chance
25 Oh Vit D < 30
41
goal weight gain for preterm, term infants, 3-6mo and 6-12mo
15-20, 20-30, 15-25, 10
42
when is weight loss surgery recommended
BMI > 35 and type 2 DM pseudotumor cerebri severe NASH OSA BMI > 40
43
protein requirement for prem
4g/kg/day
44
caloric needs for preterm infant
90-120kcal/kg/day
45
What is human donor milk screened for
hep B, C HIV, HTLV and syphilis
46
Cannabis withdrawal criteria
2 out of five psychological symptoms: irritability, anxiety, depressed mood, sleep, appetite changes and 1/6 physical symptoms: abdo pain, shaking, fever, chills, headache, diaphoresis
47
Heavy cannabis use
daily or near daily for a few months
48
Normal variant findings on GU exam
hymenal notches and bumps, intravaginal ridge, failure of midline fusion, partial dilatation of external anal sphincter
49
Main factors that impact child's well being during divorce
quality of parenting, quality of parent child interaction, conflict intensity
50
red flags for investigating a sacral dimple
midline tuft of hair, sacral dimple or sinus tract above the gluteal cleft, hemangioma, dermal appendage and or subcutaneous lump
51
IMaging indcated for sacral dimple with
subcutaenous mass or lipoma tuft of hair above gluteal cleft > 2.5 cm from anal verge > 5mm deep vascular lesion dermal sinus or cyst scar like lesions
52
condoms to use if latex allergy
polyurethan or polyisoprene condoms
53
More likely to quite smoking factors
older teenager, male, teen pregnancy and parenthood, scholastic success, team sport participation, peer and family support for cessation, CYP2A6 slow metabolizer
54
less likely to quit smoking
nicotine addiction, mental health conditions including ADHD, drug or alcohol use, chronic illness, family stress, peer and family tobacco use, overweight or weight preoccupation, developmental drive to experiment, fear of peer rejection, perceived lack of privacy and autonomy
55
What is associated with adverse health impacts re: marijuana use
use before age 14 and at leas monthyl use
56
Who qualifies for RSV proph
< 30 weeks of gestation who are < 6 months of age at onset of or during RSV season - < 24months with chronic lung disease of prematurity who require ongoing oxygen therapy within the 6 months preceding or during the RSV seasons - Infants < 12mo with hemodynamically significant CHD Infants born < 36 weeks and < 6 months living in remote northern inuit communities who would require air transport for hospitalization
57
dose rsv proph
15mg/kg by injection q monthly
58
Management of sleep onset association disorder
establishment of a set sleep schedule and bedtime routine and implementation of a behavioral program
59
low risk BRUE criteria
e > 60 days, gestational age > 32 weeks and corrected > 45 weeks, first BRUE (nor previous event), duration < 1 minute, no CPR required by medical provider, no red flags, no concerning physical exam findings
60
principal side effect of vigabatrin
retinal toxicity
61
West syndrome
Triad of spasms, arrest of psychomotor development and hypsarrhythmia
62
Who should get HPV vaccine
all kids 9-13 years old
63
who can get ondans
infants > 6mo

Royal College Studying (22 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions