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Step III - Peds 4

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Baby lifts head in prone position, coo, alert to sound, smile   2mos  
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Mastoiditis most commonly occurs following cases of untreated cases of   otitis media  
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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  
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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  
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children are expected to begin to say “dada/mama” and understand the meaning of “no” at what age   9 mos  
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what age do babies “babble”   6mos  
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age at which one step commands are followed   12mos  
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points to body parts when asked   18mos  
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tetanic muscle contractions, heart defects, absence of thymic shadow, recurrent infections   Di George’s  
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neurological symptoms + cerebral edema + iron deficiency anemia + vomiting. Ingestion of   Lead  
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Rx tx for lead toxicity   Succimer / EDTA / dimercaprol  
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fever, nausea/vomiting, cough, diarrhea, fatigue, neuropathy, and dehydration. Ingestion of   ZINC  
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what does phocomelia mean   Flipper deformities of extremities  
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loss of appetite and weight, irritability, oversensitivity and crying spells, headaches, abdominal pain, Insomnia, TICS. Side effects of what drug   Methylphenidate  
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areola and papilla form a secondary mound on the breast is tanner stage   4  
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pubic hair in groin, coarse, but absent on thighs and elsewhere is tanner stage   4  
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average age for tanner 4   13yo  
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dark, coarse pubic hair that is sparse in distribution   Tanner 3  
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enlargement of the breast but with no separation of contour   Tanner 3  
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MC complication of measles/rubeola   OM > interstitial pneumonitis >> SSPE  
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When should toilet training begin   18-24 mos  
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At what month should baby be able to sleep through night and exhibit stranger anxiety   6mos  
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Bed wetting is normal until what age   6yrs  
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What type of diagnostic evaluation is indicated in ALL cases of suspected child abuse   Bone scan  
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concentric “onion-skin” layering of the periosteum seen in LE on XR   Ewing sarcoma  
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what is the genetics of Ewing sarcoma   Translocation (11;22)  
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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  
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Childhood dz that increases risk for osteosarcoma   Retinoblastoma  
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“soap bubble” XR d/t lytic lesions is found in   cystic degeneration  
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Regurgitationafter meals, failure to thrive, no projectile vomiting =   GERD  
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Tx sequence for GERD in neonate   Thicken formula/change in feeding technique >> H2 blocker (ranitidine) > omeprazole / surgical funduplication  
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excessive oral secretions, inability to feed, respiratory distress and gagging with meals   TEF +/- esophageal atresia  
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painless rectal bleeding in the form of melena, followed by intestinal obstruction from volvulus or intussusception, may mimick appendicitis   Meckel’s  
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