Growth and Development

Question 1

T/F: Lymphoid tissue volume increases before puberty and declines until reaching adulthood

Answer 1

True

Question 2

With genetic short stature is bone age consistent with chronological age?

Answer 2

Yes

Question 3

Which type of growth delay is defined as delayed puberty, marked height discrepancy and then followed by catch-up growth once in puberty?

Answer 3

Constitutional growth delay

Question 4

For constitutional growth delay is there bone age delay?

Answer 4

Yes, delayed for chronological age

Question 5

When does the fastest head growth occur and how fast is it per week?

Answer 5

0-2 months, average 0.5cm/week

Question 6

After 2 years of age, what is the average height increase that occurs until adolescence per year?

Answer 6

2 inches per year

Question 7

When does birth length triple by?

Answer 7

13 y/o

Question 8

When does birth weight double?

Answer 8

4 months

Question 9

T/F: IUGR w/ early infant catch up growth is associated with obesity

Answer 9

True

Question 10

What is the definition of metabolic syndrome?

Answer 10

The co-occurrence of metabolic risk factors for both T2DM and atherosclerotic CV disease

Question 11

What condition is characterized by excess brain tissue due to increased size or number of brain cells?

Answer 11

Megalencephaly

Question 12

What is a common cause of benign macrocephaly in otherwise normal infants?

Answer 12

Isolated enlargement of the subarachnoid space

Question 13

When do cranial sutures close completely by?

Answer 13

12-24 months

Question 14

When do cranial sutures ossify by?

Answer 14

8 years of age

Question 15

What is the most common type of craniosynostosis?

Answer 15

Sagittal (Scaphocephaly)

Question 16

The closure of which suture causes anterior plagiocephaly?

Answer 16

Coronal suture

Question 17

Which type of craniosynostosis causes a triangle shaped skull?

Answer 17

Trigonocephaly (closure of metopic suture)

Question 18

What syndrome often reults in bilateral premature closure of coronal sutures? Normal hands and feet

Answer 18

Crouzon syndrome

Question 19

What syndrome causes premature closure of multiple suture? Syndactyly & low IQ.

Answer 19

Apert syndrome

Question 20

Which syndrome includes

• fusion of multiple sutures
• syndactyly
• intellectual disability
• corneal opacities

Answer 20

Carpenter syndrome

Question 21

Which syndrome consists of

• brachycephaly
• midface hypoplasia
• finger/toe abnormalities

Answer 21

Pfeiffer syndrome

Question 22

Which are the primitive reflexes and when do they disappear by?

Answer 22

Moro, rooting, sucking, hand grasp

disappear by 3-4 months of age

Question 23

When does the babinski reflex disappear?

Answer 23

9-12 months

Question 24

What is defined as an intellectual disability?

Answer 24

IQ score of > 2SD below population mean

AND adaptive skill impairment

Question 25

When should MCHAT be done for autism screening?

Answer 25

18 month and 24 month visit or any parental concern

Question 26

Which vaccine can suppress tuberculin reaction on PPD?

Answer 26

Measles | Must wait 4-6 week after vaccine is given, OR do it on the same day as vaccine administration

Question 27

If MMR vaccine is given to a child < 12 months due to post-exposure ppx, when should the next dose be given?

Answer 27

Still at 12-15 months and 4-6 years

Question 28

During what weeks should the TDaP vaccine be given during pregnancy?

Answer 28

27-36 weeks

Question 29

What minimum weight must a baby be to receive the Hep B vaccine?

Answer 29

2kg

Question 30

If mom is Hep B surface Ag positive, what should be done for baby after birth?

Answer 30

Within 12 hours requires the hep B vaccine and immunoglobulin regardless of baby weight

Question 31

Above what age is DTaP not given?

Answer 31

7

Question 32

T/F: Egg allergy is an absolute contraindication to MMR vaccine administration

Answer 32

False

Question 33

By when must be the rotavirus vaccine series be completed?

Answer 33

8 months