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Step III
Step III - Peds 4
| Question | Answer |
|---|---|
| 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
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