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Flashcards in Pediatrics/Growth and Development Deck (113)
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1

Hep B schedule

#1 - Birth
#2 - 1-2 months - at least one month after first dose
#3 - Age 6 months - but at least 2 months after 2nd dose

2

Tdap for adolescents

Tdap booster Age 11-12

3

Hib vaccine - when do you no longer give?

after 5 years of age

4

When is it okay to give live vaccines?

after 1 year of age

5

When do you give the MCV4 booster

Age 16

6

What is appropriate spacing for vaccines?

4 days prior is okay, any earlier is invalid and must be repeated.

7

ADHD characterized by

Hyperactivity
Impulsivity
Inattention

8

What is a common assessment scale for ADHD

Connors' - Long and short form

9

Asthma tx in 0-4 year olds

Use Nebulizer!
Inhaled corticosteroids (only one approved for young children is budesonide)
SABA - albuterol
leukotrine receprot agonist - montelukast

10

Asthma tx in 5-11 year olds

Can use inhaler as appropriate
Inhaled corticosteroids (fluticasone, budesonide)
SABA - albuterol
leukotrine receprot agonist - montelukast

11

What type of pneumonia is common in children under 5?

viral, treat empirically

12

What is the most sensitive sign of pneumonia in children?

Increased resp

13

Sx RSV

URI 1-3 days which progresses to lower resp tract infection
Paroxysmal wheezing
Increased RR 40-60
Fever
Cough
Thick purulent nasal secretions

14

What is the most common organism for croup?

Parainfluenza types 1,2,3
Adenovirus
Influenza virus

15

Westley Croup score

Mild disease (can keep with PCP) - barking cough, hoarse cry, no stridor at rest
Moderate (ER) - Stridor at rest, mild retractions, sx resp distress
Severe (ER) - Significant stridor at rest, retractions are severe.

16

Tx mild croup

Hydration, cool mist, antipyretics
Single dose of dexamethasone

17

Organism with epiglottitis

Hib

18

Cystic fibrosis

Mutation of chromosome 7

19

Enlarged nodes "rules"

10mm is enlarged unless...
Epitrochlear - >5mm
Inguinal - > 15mm
Cervical - > 20mm

20

Criteria for febrile seizures

Temp >38C
Age < 6yo
Absence of CNS infection
No metabolic abnormality
No hx of febrile seizures

21

Pyloric stenosis sx

3-6 week old male with projectile vomiting
Olive like mass better palpated after vomiting

22

GER

frequent regergitation in the absence of pathology
Resolves before 1 year of age
Place supine to sleep

23

Red flags with reflux in infants

GI bleeding
Refusal to feed
Forceful vomiting
Constipation/Diarrhea
Abd tenderness
Fever

24

Intussusception

Vast majoity under 2 yo
Sausage like mass
Classing child crys and pulls legs up to chest

25

Dx Intussusception

KUB, Abd US

26

Intussusception classic triad

Intermittant colicky abd pain, vomit, bloody mucus stool (currant jelly)

27

Encopresis

Involuntary stooling over 4 yo. More common in males. Constipation often underlying problem.

28

Replacement mild dehydration

5 tsp per pound over 4 hours

29

Replacement moderate dehydration

10 tsp per pound over 4 hours

30

Cryptorchifism

testes not in scrotum and can't be manupulated there (usually found in infants)