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Question
Answer
What is the next step in the evaluation of penetrating injuries to different zones of the neck?   Zone 1 (clavicle to cric cart): 4 vessel CT angio + triple endoscopy. Zone 2 (cric cart to angle of mandible): surgical exploration. Zone 3 (angle of mandible to base of skull): 4 vessel CT angio  
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What are the cardinal movements of labor?   Engagement, Descent, flexion, internal rotation, extension, external rotation, expulsion  
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An IV drug user has JVD and a holosyst murmur at the L sternal border. What is the dx? What is the tx?   Dx: tricuspid regurg 2/2 staph epidermidis. Tx with empiric vanc. Also tx heart failure and eventually replace the valve.  
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When do children first exhibit stranger anxiety?   6-9mos  
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How would you expect weight to increase in teh first 2 years of life?   Double by 4mos, triple by 12mos, and quadruple by 24mos  
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When can children begin to eat solid foods?   4-6mo  
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What is the first solid foot parents should give their child?   Iron-fortified cereal  
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How many total doses of DTap vaccine should a 6yo have received?   5  
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At what age is the meningococcal vaccine indicated?   After 11yo  
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When can a child swithch to a front-facing car seat?   >2yo and grown out of rear-facing  
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When can a child swithch to a booster seat?   Until seat belt fits correctly, usually 4'9' tall or 8-12yo. Should be sitting in back seat  
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At what age can you sit in the front seat   13yo +  
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Why should cow's milk not be given before 1 year of age?   Can cause allergy, GI bleed, Fe deficiency anemia, and IQ loss  
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What is the expected height and weight gain for a pt from 2yo to adolescence?   2" and 5lbs a year  
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At what age does a child develop separation anxiety?   9-15mos  
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At what age can a baby use a pincer grasp and make a tower of 2 blocks?   12mos  
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At what age can a child draw a circle and make a tower of 9 blocks?   3yo  
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At what age can a child hop on 1 foot?   4yo  
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At what age can a child skip and distinguish fantasy from reality?   6yo  
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At what age can a baby lift their head 45 degrees and follow an object to the midline with their eyes?   2mos  
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At what age can a baby make a tower of 4 blocks, make 2 word sentences, and engage in parallel play?   18mos  
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At what age can a child draw a line image like a cross?   4yo  
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At what age can a child lift head 90 degrees and follow objects past the midline?   4mos  
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Which comes first? Babbling or cooing?   Cooing is first at 2mos. Babbling comes later at 6mos.  
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At what age can a child speak 3 word sentences?   2yo  
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The absence or persistence of infantile reflexes beyond _______ may suggest CNS pathology.   6mos  
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How many Hib vaccines should a child receive?   4  
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How many pneumococcal vaccines should a child receive?   4  
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Which vaccine is given shortly after birth?   Hep B (receive 3 total)  
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What vaccines are given at 2mos?   Hep B #2, Rota, DTap, Hib, PCV, IPV  
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What vaccines are given at 4mos?   Rota #2, DTap #2, Hib #2, PCV #2, PIV #2  
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What vaccines are given at 6mos?   Rota #3, DTap #3, Hib #3, and PCV  
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