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General Peds Flashcards

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1
Q

Birth weight of newborn usually regained at what age?

A

10-14 days

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2
Q

Birth weight doubles at what age?

A

4 months

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3
Q

Birth weight triples at what age?

A

1 year

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4
Q

How much is birth length increase by 1 year of age?

A

50%

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5
Q

Normal weight gain after 2 years of age per year?

A

2-3 kg/year

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6
Q

Body mass index (BMI) should be used starting at what age?

A

2 years

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7
Q

Birth length doubles at what age?

A

4 years

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8
Q

What is the average growth length per year after 2 years of age?

A

5 cm/years

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9
Q

How much does the head circumference increase per month in the first year?

A

1 cm/month

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10
Q

When does the head grow the fastest?

A

First 60 days of life (0.5 cm/week)

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11
Q

Head circumference should be measured in each well visit until what age?

A

2 years

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12
Q

What is the study of choice for a baby who presents with macrocephaly?

A

Head ultrasound

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13
Q

What is the study of choice for a baby who presents with absolute
microcephaly?

A

Head CT scan or MRI

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14
Q

A child with enlarged head >98th percentile, similar to the father, no symptoms
and normal cognitive function, head imaging study showed prominent
subarachnoid space specially in the frontal region

A

Benign familial macrocephaly

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15
Q

Anterior displacement of the occiput on one side and the frontal region on
the ipsilateral side and the ear is more anterior on the side of occipital flattening.
(parallelogram)

A

Positional plagiocephaly

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16
Q

Anterior displacement of the occiput on one side and frontal bossing on the
contralateral side and the ear is displaced more posteriorly. (trapezoid)

A

Posterior plagiocephaly (Craniosynostosis)

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17
Q

Most common type of craniosynostosis

A

Long narrow head (scaphocephaly) which is early closure of the sagittal sutures

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18
Q

How much will 10 ml/kg of packed red blood cells raise the hemoglobin?

A

2.5–3 g/dL

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19
Q

Rotavirus, measles, mumps, rubella (MMR), oral poliovirus vaccine
(OPV), and varicella are?

A

Live attenuated virus vaccine

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20
Q

How are MMR, varicella, and inactivated polio (IPV) given?

A

Subcutaneously (IPV can be given either IM

or SC)

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21
Q

What is the maximum age you can give DTaP?

A

7 years

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22
Q

When can Tdap or Td be given?

A

> 7 years

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23
Q

Can you give MMR and PPD together?

A

yes

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24
Q

If you give only, MMR how long should you wait to do PPD test?

A

4–6 weeks

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25
When is Haemophilus influenzae type b vaccination do not need to be given?
> 5 years
26
Which condition can you give Haemophilus influenzae type b vaccination at > 5 years of age?
Functional or anatomical asplenia
27
Child who received MMR vaccine two weeks ago is now having pain in the hip joints. Which component of the vaccine is responsible for this reaction?
Rubella
28
Which pneumococcal vaccine should be given to high risk children 6 years and older, e.g., HIV, sickle cell disease, asplenia, cochlear implant?
Pneumococcal conjugate vaccine (PCV13)
29
Which vaccines are contraindicated to be given to immunocompromised children?
Live vaccines, e.g., MMR, varicella, and rotavirus
30
Children younger than 9 years of age; never been vaccinated for influenza before, how many doses should they receive during the first instance of influenza vaccination?
Two doses 1 month apart
31
A child has a severe egg allergy (anaphylaxis). Can he or she take the MMR vaccine?
yes
32
A child is allergic to eggs (only hives). Can he or she take the influenza vaccine today?
yes
33
A child has severe egg allergy (anaphylaxis). Can he or she take the influenza vaccine today?
No
34
A 4-year-old boy has a 104F fever and ear infection, can he be vaccinated today?
yes
35
An unimmunized 4 months old child came for catch up vaccination. Can he or she receive the rotavirus vaccine?
No
36
A Child is on oral steroids 2 mg/kg/day. Can he or she receive MMR vaccine or other live virus vaccine?
No; should be < 2 mg/kg/day if 10 kg or less
37
Adolescent is taking oral steroid for severe asthma 30 mg per day. Can he or she receive live virus vaccines?
No, should be < 20 mg per day if > 10kg
38
If a household member is immunocompromised e.g., HIV, Leukemia, or SCID can you give his 4 months old sister oral poliovirus vaccine (OPV)
No
39
At what age do most infants lose the Moro reflex?
3–4 months
40
At what age are most infants able roll from front to back?
4–5 months
41
At what age are most infants able to roll from back to front?
5–6 months
42
At what age are most infants able to sit without support?
7 months
43
At what age do most infants experience no head lag when pulled to sit?
4 months
44
At what age are most children able to copy a circle?
3 years
45
At what age are most children able to copy a cross?
3–4 years
46
At what age are most children able to copy a square?
4 years
47
At what age are most children able to copy a triangle?
5 years
48
At what age are most children able to copy a diamond?
7 years
49
At what age are most toddlers able to use a cup well?
15–18 months
50
A 2-year-old uses only five words. What is the best test to order?
Hearing test
51
AAP recommends universal hearing screening of all infant to occur by what age?
3 months
52
AAP recommends hemoglobin/hematocrit screening at what age?
12 months and 2 years
53
AAP recommends Autism screening at what age?
18 months
54
AAP recommends the latest age a child see a dentist is?
3 years
55
AAP dentistry recommends that all children need to see a dentist at what age?
12 months
56
AAP recommended age you should discuss drugs and sex with children?
10 years
57
Baby is exclusively breastfed. At what age should you recommend daily Vitamin D supplementation (400 IU)? “1 liter of formula has 406 IU of vitamin D”
First few days of life
58
Baby is exclusively breastfed. At what age should you recommend daily iron (1 mg/kg/day)?
4 months
59
What is the age when infants can drink cow’s milk?
12 months
60
At what age can a child be given low fat milk?
> 2 years
61
What are the first teeth that usually erupt?
Lower anterior incisors
62
The latest age for first tooth eruption
18 months (after that, dental consult)
63
At what temperature should you set the water heater at home?
120 F or less
64
What is the best solution to keep knocked out tooth until the child sees the dentist, if cannot be manually reimplanted
Cold milk
65
When should the knocked out tooth be implanted?
Immediate treatment is essential

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