Peds

Question 1

Car Seat

Infant/Toddler

Answer 1

Rear Facing

Rear Seat

Question 2

Car Seat

Preschool

Answer 2

Rear Seat
Forward facing
Harness

Question 3

Car Seat

School Age

Answer 3

Rear Seat
Booster seat
until 4’9” (145cm) and >8yo

Question 4

Car Seat

Front Seat

Answer 4

13 yo

Question 5

Development

1 month

Answer 5

Looks at face
Responds to voice
Moves extremities equally
Lifts head

Question 6

Development

2 months

Answer 6

Vocalizes
Smiles
Follows TO midline
Responds to sounds

Question 7

Development

4 months

Answer 7

Holds head at 90 degress
Laughs
Follows PAST midline
NO persistent fist clenching

Question 8

Development

6 months

Answer 8

No head lag
Bears weight on legs
Rolls over
Turns towards voice
Transfers hand to hand

Question 9

Development

9 months

Answer 9

Sits w/o support
Stands holding on
Cruises
Imitates speech/single syllables
Thumb finger grasp
Dada, Mama
Peek-a-boo

Question 10

Develpment

1 year

Answer 10

Stands alone
Walks w/ help
Babbles
Specific dada, mama
Responds to no
Pincer grasp
Waves bye-bye
Bangs 2 blocks together

Question 11

Development

18 months

Answer 11

Walks backwards
Knows 1 body part
Drinks from cup
Imitates household chores
Speaks 3-6 words
Scribbles
Stacks 2 blocks
Understands simple commands

Question 12

Development

2 years

Answer 12

Kicks ball
Takes off clothes
2 words together
Speaks 50 words
Understands 2 part command
Uses own name
Stacks 4 blocks
Knows 6 body parts

Question 13

Development

3 years

Answer 13

Washes hands
Draws vertical line
Names 4 pictures
Throws ball
Tricycle
"why?"

Question 14

Development

4 years

Answer 14

Dresses self
Play games
Understandable speech
4 colours
First and last name
Stairs with alternating feet
Balance on each foot
Draws circle

Question 15

Autism screening

Answer 15

18 and 24mo visits
+family hx
MCHAT
Interventions = improve outcomes

Question 16

Fluoride

Answer 16

6 mo supplement if deficient water supply

Apply at tooth eruption to 5yo

Question 17

Refer to peds ophtlamology if:

Answer 17

<20/50 age 3 or <20/30 age 5
Asymmetry
Stabismus >3-6 months
Abnormal red reflex

Amblyopia 2/2 strabismus leading cause of monocular vision loss in children

Question 18

Childhood Obesity

Answer 18

Screen >6 yo
Overwheight BMI 85th-94th percentile
Obese BMI > 95th percentile
Class II obesity BMI > 35 or >120% 95th percentile
Class III BMI > 40 or >140% 95th percentile

Question 19

Lead screening

Answer 19

Ages 1-5yo

Question 20

Iron screening/supplementation

Answer 20

6-12 months

Question 21

Peds Microcytic Anemia

Answer 21

Likely Iron def

Treat presumptively and confirm with +1 Hg after 1month of therapy

Question 22

Parental Guidance

2-4 weeks

Answer 22

Sleep position, feeding, crying, growth

Safety: car seat, smoke exposure, shaking

Question 23

Parental Guidance

2 months

Answer 23

sleep position, feeding, growth

Burns, sun expo, car seats, smoking, shake

Question 24

Parental Guidance

4 months

Answer 24

Introducing solid food, sleep, talking to baby

Falls, car seat

Question 25

Parental Guidance | 6 months

Answer 25

Introduce solid foods | Child proofing, posions, car seats

Question 26

Parental Guidance | 9 months

Answer 26

Introduce table food, cup use, teeth care | Drowning, burns, car seat

Question 27

Parental Guidance | 12 months

Answer 27

Weaning, brushing teeth | Child proofing, choking, car seat, drowning

Question 28

Parental Guidance | 15mo

Answer 28

feeding self, nutrition

Question 29

Parental Guidance | 18 months

Answer 29

TV, toilet training, language | Traffic, guns, drowning, poison

Question 30

Parental Guidance | 2 years

Answer 30

toilet training, TV

Question 31

Parental Guidance | 3 years

Answer 31

hand washing, TV, stranger danger, dentist | Helmets

Question 32

Discipline

Answer 32

Positive reinforcement Ignore bad behavior Time out Written contracts NO: spanking

Question 33

Screen time

Answer 33

none <18mo 18-24mo High quality 2-5 years <1hr, high wuality >6 yo consistent limits

Question 34

Toilet training

Answer 34

when able to pull clothes up/down can follow 2 step commands ~2-3yo when express interest

Question 35

Enuresis

Answer 35

>5yo M>F usually self resolves Tx: alarms, desmopressin (short term)

Question 36

Encopresis

Answer 36

M>F MC of constipation Reward system

Question 37

Peds Constipation

Answer 37

Functional Miralax -0.3 to 1.5g/kg/day No effect from fiber supplementation

Question 38

Adolescent Screening

Answer 38

``` BiHEADS Body image Home/health Education/Employment Activities Drugs/Depression Safety/Sexuality ```

Question 39

Adolescent Vaccinations

Answer 39

11-12 yo: HPV, Tdap, Meningococcal (MCV4) #1 | 16-18 yo : MCV4 #2, meningitis type B, Influenza (even with egg allergy)

Question 40

BP Ages 1-13yo

Answer 40

Normal < 90th percentile Elevated BP > 90th to 95th percentile, or > 120/80 Stage 1 HTN >90th to 95th percentile +12 mm or 130/80 to 139/89 Stage 2 HTN > 95th percentile +12mm hg or > 140/90

Question 41

BP >13 yo

Answer 41

Normal < 120/<80 Elevated BP 120/<80 to 129/<80 Stage 1 HTN 130/80 - 139/89 Stage 2 HTN > 140/90

Question 42

Peds HTN general

Answer 42

MCC Primary HTN Confirm 3times Tests all: b/l UE and LE, UA and BMP, Lipids, UDS, Ambulatory BP

Question 43

Peds HTN | Obese

Answer 43

Test TSH, A1C, LFTs, ?sleep study

Question 44

HTN <6yo

Answer 44

Renal u/s (1st choice imaging) Reasons: renal parenchymal disease, glomerulonephritis, congenital, reflux nephropathy If tx: do ECHO

Question 45

Peds HTN Tx

Answer 45

Stage 1 lifestyle changes, 2-3wk f/u Stage 1 + end organ damage or persistence or Stage 2: Thiazide/ACE-I/ARB/CCB - give adolescent contraception

Question 46

No parental consent needed for:

Answer 46

Contraception, STI, rape, pregnancy Drug/etoh, mental health Emergency

Question 47

Unintentional death adolescents

Answer 47

``` 73% all death MVA Homicide 13% Suicide 11% Cancer 6% Heart dz 3% ```