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Step III

Step III - Peds 4

QuestionAnswer
Baby lifts head in prone position, coo, alert to sound, smile 2mos
Mastoiditis most commonly occurs following cases of untreated cases of otitis media
A full-term newborn is cyanotic with little to no respirations, pulse 80 bpm, and an Apgar score of 5 at one minute following birth. The most important next step in management of this patient is Positive pressure ventilation 30s >> chest compressions if HR <60 then EPI if no improvement after 30s
During the first 30-60s after birth what are things that need to be done in order to resuscitate/evaluate the baby Warmth, suction airway, stimulate
children are expected to begin to say “dada/mama” and understand the meaning of “no” at what age 9 mos
what age do babies “babble” 6mos
age at which one step commands are followed 12mos
points to body parts when asked 18mos
tetanic muscle contractions, heart defects, absence of thymic shadow, recurrent infections Di George’s
neurological symptoms + cerebral edema + iron deficiency anemia + vomiting. Ingestion of Lead
Rx tx for lead toxicity Succimer / EDTA / dimercaprol
fever, nausea/vomiting, cough, diarrhea, fatigue, neuropathy, and dehydration. Ingestion of ZINC
what does phocomelia mean Flipper deformities of extremities
loss of appetite and weight, irritability, oversensitivity and crying spells, headaches, abdominal pain, Insomnia, TICS. Side effects of what drug Methylphenidate
areola and papilla form a secondary mound on the breast is tanner stage 4
pubic hair in groin, coarse, but absent on thighs and elsewhere is tanner stage 4
average age for tanner 4 13yo
dark, coarse pubic hair that is sparse in distribution Tanner 3
enlargement of the breast but with no separation of contour Tanner 3
MC complication of measles/rubeola OM > interstitial pneumonitis >> SSPE
When should toilet training begin 18-24 mos
At what month should baby be able to sleep through night and exhibit stranger anxiety 6mos
Bed wetting is normal until what age 6yrs
What type of diagnostic evaluation is indicated in ALL cases of suspected child abuse Bone scan
concentric “onion-skin” layering of the periosteum seen in LE on XR Ewing sarcoma
what is the genetics of Ewing sarcoma Translocation (11;22)
classic X-ray finding showing elevation of the periosteum due to underlying tumor growth is called what and related to what dz Codman’s triangle; osteosarcoma
Childhood dz that increases risk for osteosarcoma Retinoblastoma
“soap bubble” XR d/t lytic lesions is found in cystic degeneration
Regurgitationafter meals, failure to thrive, no projectile vomiting = GERD
Tx sequence for GERD in neonate Thicken formula/change in feeding technique >> H2 blocker (ranitidine) > omeprazole / surgical funduplication
excessive oral secretions, inability to feed, respiratory distress and gagging with meals TEF +/- esophageal atresia
painless rectal bleeding in the form of melena, followed by intestinal obstruction from volvulus or intussusception, may mimick appendicitis Meckel’s
Created by: DrINFJ on 2010-10-22



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