Peds

Question 1

When can a child sit up unassisted?

Answer 1

6m

Question 2

When can they hold a spoon?

Answer 2

15-18m

Question 3

When can they stand?

Answer 3

9m

Question 4

When does separation anxiety occur?

Answer 4

9m

Question 5

When can they say mama/dada?

Answer 5

12m

Question 6

When can they walk?

Answer 6

12-17m

Question 7

When can they copy a circle/ throw a ball/ ride a tricycle?

Answer 7

3yr

Question 8

When can they draw a cross?

Answer 8

4yr (cross has 4 points)

Question 9

When can they ride an actual bike?

Answer 9

5-6 years

Question 10

When does the palmar grasp go away?

Answer 10

5-6 m

Question 11

When does the anterior fontanelle close?

Answer 11

12-18m

Question 12

When does the posterior fontanelle close?

Answer 12

2-3 m

Question 13

When should strabismus clear?

Answer 13

4-6 m

Question 14

At what age will a premature baby catch up on milestones?

Answer 14

2 yr

Question 15

How many diapers indicate that breastfeeding is effective?

Answer 15

6-8 wet diapers/day

Question 16

In newborns, a bilirubin of what indicates a need for phototherapy?

Answer 16

15

Question 17

This is a white reflex on fundoscopic exam?

Answer 17

Leukocoria

Question 18

Why would leukocoria occur?

Answer 18

Retinoblastoma or congenital cataracts

Question 19

At what ages would precocious puberty be the diagnosis?

Answer 19

Puberty happening before 8yr in girls and 9yr in boys- refer to endo

Question 20

If no period by when would there be a need for further investigation?

Answer 20

15

Question 21

Females reach max height by:

Answer 21

Period

Question 22

What are the risks associated with anorexia?

Answer 22

Bone loss and heart disease

Question 23

What are the risks associated with bulimia?

Answer 23

Dental erosion and esophageal damage

Question 24

This is a fracture along a growth plate and if not corrected may stunt growth?

Answer 24

Salter-Harris fracture

Question 25

This is an undescended test in a child?

Answer 25

Cryptorchidism

Question 26

What do we worry about in the future with cryptorchidism?

Answer 26

Testicular cancer

Question 27

When do Mongolian spots typically resolve?

Answer 27

By age 5

Question 28

This is a bulging, inflamed TM?

Answer 28

Otitis media

Question 29

Treatment for otitis media:

Answer 29

2-3 days of watch and wait and then amoxicillin first line 2nd line augmentin PCN allergy- macrolide- azithro

Question 30

What are we worried about in a child with chronic otitis media?

Answer 30

Hearing loss

Question 31

Do we treat otitis media with effusion?

Answer 31

No, it is common with allergies, best to watch and wait

Question 32

When do we refer for VUG (vesicoureteral reflux)?

Answer 32

Grade 3 (Grade 1 is mild and grade 5 is severe) Usually resolves on its own

Question 33

Diagnosis for VUG?

Answer 33

Voiding cystourethrogram

Question 34

Child with thin upper lip, smooth philtrum, and low nasal bridge?

Answer 34

Fetal alcohol syndrome

Question 35

This is a nephroblastoma, unilateral, and does not cross midline. Patient may present with flank pain and hematuria.

Answer 35

Wilm's tumor

Question 36

Acne treatment:

Answer 36

1. Benzoyl peroxide 2. Topical antibiotics 3. Oral antibiotics If nothing works- refer to derm

Question 37

A female with a short stature and webbed neck?

Answer 37

Turner syndrome

Question 38

Anticipatory guidance for a patient with Turner's syndrome?

Answer 38

Delayed period and possible infertility

Question 39

Pain over anterior tibial tubercle near tendon insertion site.

Answer 39

Osgood-schlatter syndrome

Question 40

Treatment of Osgod-schlatter syndrome?

Answer 40

NSAIDs, ice, and will stop once finished growing

Question 41

Child complaining of nasal pain and drainage from one nare?

Answer 41

Foreign body

Question 42

Scar that grows over incision or injury that is difficult to get rid of?

Answer 42

Keloid

Question 43

Abnormal fluid accumulation around the testes. Most resolve on their own but need to monitor until a year and then treat because it can lead to infertility.

Answer 43

Hydrocele

Question 44

Fever for days, strawberry tongue, and a peeling rash.

Answer 44

Kawasakis

Question 45

Treatment for Kawasakis?

Answer 45

High dose ASA (benefit outweighs risk) and IVIG

Question 46

Child with projectile vomiting and olive shaped mass?

Answer 46

Pyloric stenosis

Question 47

How do we diagnose pyloric stenosis?

Answer 47

US

Question 48

Stomach pain with jelly like stools, sausage shaped mass

Answer 48

Intussusception

Question 49

How do we diagnosis intussusception?

Answer 49

US