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Quiz 2 Flashcards

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1
Q

What are the 2 major killers of kids

A

infectious disease and malnutrition

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2
Q

What are the 2 major killers of kids

A

infectious disease and malnutrition

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3
Q

What is the #1 killer in the US?

A

accidents

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4
Q

Name some factors responsible for decline in child mortality

A

improved SES, improved public health services (water treatment), improved housing, vaccinations

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5
Q

What % of US pop is children (0-17 yo)?

A

24%

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6
Q

By 2020, about ____ of the American pop ages 0-17 is projected to be composed of children who are Hispanic, Asian, or of 2 or more races (mixed).

A

half

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7
Q

What are the injury related deaths by age?

A
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8
Q

1 in ___ children under 19 years old will be seen in ED for a non-fatal unintentional injury.

A

1 in 9

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9
Q

Children up to age ___ or ___ pounds must be properly restrained in a car safety seat.

A

Age 6 or 60 lbs

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10
Q

___% of 4th graders not proficient in reading.

A

66% - same number of 8th graders not proficient in math!

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11
Q

___% of 4th graders not proficient in reading.

A

66% - same number of 8th graders not proficient in math!

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12
Q

What is the #1 killer in the US?

A

accidents

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13
Q

Name some factors responsible for decline in child mortality

A

improved SES, improved public health services (water treatment), improved housing, vaccinations

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14
Q

What % of US pop is children (0-17 yo)?

A

24%

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15
Q

Contraindications for getting a vaccine

A
  • severe anaphylaxis
  • no live viral vaccines (MMR) for immunodeficient
  • no pertussis containing vac for someone who dev encephalopathy within 7 days receiving pertussis containing vac
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16
Q

What are the injury related deaths by age?

A
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17
Q

1 in ___ children under 19 years old will be seen in ED for a non-fatal unintentional injury.

A

1 in 9

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18
Q

Children up to age ___ or ___ pounds must be properly restrained in a car safety seat.

A

Age 6 or 60 lbs

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19
Q

___% of kids in poverty.

A

23%

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20
Q

___% of 4th graders not proficient in reading.

A

66% - same number of 8th graders not proficient in math!

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21
Q

__% of kids in single parent families.

A

35%

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22
Q

___% of US kids have at least 1 of the 20 chronic health conditions,

A

43%

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23
Q

___% of overweight, obese and at risk for developmental delays.

24
Q

What is FOC?

Study These Flashcards
A

basically head circumference

fronto-occipital circumference

25
Contraindications for getting a vaccine
- severe anaphylaxis - no live viral vaccines (MMR) for immunodeficient - no pertussis containing vac for someone who dev encephalopathy within 7 days receiving pertussis containing vac
26
Incidence of anaphylaxis to vaccine
0. 65 cases per 1 million doses | * more likely to have anaphylaxis in response to PCN dose (1-5 per 10,000)
27
What illness? | Fever, cough, coryza, conjunctivitis, Koplik spots, rash starts on face then moves downward to rest of body
Measles! highly contagious - 4 days before and after rash
28
complications of measles
``` ear infections --> permanent hearing loss diarrhea pneumonia encephalitis death ``` SSPE (sub-sclerosing panencephalitis, 7 -10 years after)
29
When was the 2nd dose of the MMR vac started?
1990s
30
When do girls start going through puberty?
around 7.5 - 8 years old (breast and pubic hair development) mean 10 - 11 yrs
31
When do boys start going through puberty?
8.5 years old | mean = 11- 12 years
32
hypothesis for earlier age of onset (puberty)?
better nutrition (more protein calories) Critical mass theory - bigger people go through puberty earlier (childhood obesity)
33
What is the primary determinant of head size?
brain growth 85% of all pot-natal head growth happens in the first 18 months of life!
34
What is FOC?
basically head circumference | fronto-occipital circumference
35
What theory of mind category are 3-6 year olds in?
Appearance-reality distinction = do not understand the difference between how something appears to be and how it really is (cat in dog mask is now dog)
36
Height is an example of ___ inheritance.
polygenic * quantitative traits = polygenic (additive)
37
Achondroplasia is due to mutation in _____.
FGFR-3 Gly380Arg change (Hypochondroplasia = Asn540Glu, Tyr kinase)
38
Whats the difference between dwarfism and midget?
dwarf = disproportionate short stature Midget = proportionate
39
Social status categories
Popular - most liked - friendly, cooperative, joins groups easily Rejected - most disliked - Aggressive subtype = physically, verbally or relationally aggressive - Withdrawn subtype = do not participate or cooperate, annoying Controversial - very liked and very disliked Average - moderately liked and disliked Neglected - forgotten, ignored
40
causes of failure to thrive
reduced caloric intake | chronic illness
41
Define primordial short stature
normal weight to height/BMI
42
preoperational thought + 4 components
Ages 2-7 - children use mental representations for objects and events 4 components: 1. Intuitive thought = reasoning based on personal experience 2. Egocentrism = unable to take someone else's perspective 3. Animism = inanimate objects have feelings 4. Artificialism = natural events are under people's control
43
short acting insulin
lispo/aspart
44
Kohlberg's moral understanding
Ages 3 -6 = Level 1, stage 1 or 2 Level 1 = preconventional moral reasoning Stage 1 = punishment and obedience orientation Stage 2 = individualism, instrumental purpose, and exchange (e.g. follow the rules when it serves their own needs/interests, aware that other people have interests that may conflict w/ their own)
45
What theory of mind category are 3-6 year olds in?
Appearance-reality distinction = do not understand the difference between how something appears to be and how it really is (cat in dog mask is now dog)
46
Benefits of organized sports
``` Physical = strength, balance, coordination Social = teamwork, cooperation, sportsmanship Emotional = self-esteem, school success, positive body image ```
47
Positive outcomes of divorce
reduced conflict at home closer relationships with parents social responsibility, competence, and empathy
48
Negative outcomes of divorce
Behavioral = acting out Psychological = parentification Sleeper effect = some effects may not be evident until children are older (i.e. less likely to marry, more likley to divorce) financial struggle decline in quality and quantity of parenting frequent moves
49
Social status categories
Popular - most liked - friendly, cooperative, joins groups easily Rejected - most disliked - Aggressive subtype = physically, verbally or relationally aggressive - Withdrawn subtype = do not participate or cooperate, annoying Controversial - very liked and very disliked Average - moderately liked and disliked Neglected - forgotten, ignored
50
criteria for dx of diabetes
A1C > 6.5% Fasting Glu > 126 2-h OGGT > 200 random glu > 200
51
HLA predisposing to diabetes | and protecive
predisposing = DR4-DQ8 and DR3-DQ2 protective = DR15-DQ6
52
long lasting insulin
glargine
53
sibling risk for DM-1
Risk is 6% if proband (index case) is less than 10 y/o, 3% if > 10. Identical twins, 30-50%.
54
philadelphia chromosome
BCR-ABL t(9;22) Chronic myelogenous leukemia (CML) tx - Imatinib (targets Tyr kinase)
55
Formal operational thought
adolescence - hypothetico-deductive reasoning - pendulum problem - abstract thought - separation of reality from possibility - combinational logic - reflective thinking
56
Identity status
2 components of identity development = crisis and commitment 4 combinations: 1. Achievement = crisis, commitment on own terms 2. foreclosure = very little crisis, commitment (others ideas) 3. moratorium = currently in crisis, vague commitments, struggling to commit 4. diffusion = no crisis, lack of commitment, not concerned
57
Stage of homosexual identity
1. sensitization = notice you're different than other girls/boys your age 2. identity confusion 3. identity assumption 4. commitment = dating someone of same sex and coming out of the closet

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