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Pediatric Health Supervision Flashcards | StudBud
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Pediatric Health Supervision
Pediatric Health Supervision
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Questions
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Answers
1
As if we need more newborn questions... what screening is done for newborns?
hemoglobin electrophoresis
metabolic screening
hearing evaluation
critical congenital heart disease screening
2
Which of these is an expected skill for a 2 year old?
skips
understands opposites
knows body parts
dresses without help
3
There's a wide array of medications and home remedies for excessive crying
True
False
4
Which of these are potential complications of childhood obesity?
peer teasing
obstructive sleep apnea
hypertension, type 2 diabetes
pseudotumor cerebri
5
Which of these is "use of standardized screening tests to identify children who require further diagnostic assessment"?
developmental surveillance
developmental screening
6
At what age is speech defined as "routine use of sentence sequences, conversational give-and-take"?
4
5
3
6
7
A kiddo comes in who was previously 50th %ile for both height and weight. She is now 70th % weight, 20% height. Why?
failure to thrive
hyperthyroidism
growth spurt
hypothyroidism
8
When can you start feeding children semisolid foods?
12 mo
4 mo
6 mo
3 mo
9
Hearing and vision starts at 3 years of age
False
True
10
Preadolescent or adolescent that starts puberty later than others is...
failure to thrive
familiar short stature
constitutional short stature
always due to malnourishment
11
You're doing the M-CHAT-R screen on a 20-month old child. He scored a 3. What do you do next?
none, he is in the normal range
move to interview algorithm
inform the parent their kid has an autism spectrum disorder
immediate referral
12
Which of these should be instituted first for constipation?
toilet sitting once per day
enemas
toilet sitting 4 times per day
oral laxatives
13
BMI below ___ is considered underweight
5%ile
2%ile
10%ile
14
Which of these falls first when caloric deficts?
height
head circumference
weight
15
Lead screening is done at
6 months
4 months
12 months
24 months
16
You should re-feed slowly due to the risk of dangerous electrolyte fluctuations
False
True
17
Which of these are definitions of failure to thrive?
weight <3-5th %ile
weight less than 80% of the median weight for height of the child
decreasing weight across 2 %ile lines
short stature
18
When do growth charts switch from length/head circumference to stature and BMI?
age 3
age 2
age 5
age 1
19
If stuttering is severe/accompanied by tics/posturing present after age 4 the child should undergo further evaluation
True
False
20
Which of these statements regarding developmental disorders is true?
fifty percent of children screened may have an undetected disorder
it is the job of the school to screen kids, not the primary care provider
thirty percent of children screened may be over-referred
behavioral screening instruments have a 90-95% sensitivity & specificity
21
Which of these growth chart scenarios is more concerning?
A child remaining in the 5th percentile for their entire childhood
A child who was previously in the 70th percentile now in the 15th
22
The best initial treatment for enuresis is...
enuresis alarm
imipramine
punish the child each time it happens
diuretics
23
Which of these traits is
inappropriate
(behind) for a 9 month old?
social: waves bye-bye
language: searches for sound with eyes
fine motor: bangs two blocks together
gross motor: pulls to stand
24
Anyone else feel like this test is just memorizing a bunch of numbers????
yes
yes
25
Anemia screening is done at
4 months
12 months
6 months
birth
26
At what age might you discuss bicycle safety and water/pool safety?
1 year
4 years
5 years
2 years
27
Short stature with normal weight may indicate
chronic malnutrition
chromosomal abnormalities
endocrine disease
teratogenic exposure
28
Which of these are ok for children to drink regularly?
flavored milk
toddler milks
plant milks
watered down juice
29
You should discuss "back to sleep" through at least 4 months of age
False
True
30
Which of these are a normal variant?
human technical measurement error
constitutional short stature
failure to thrive
familial short stature
31
Use fluoride varnish every ____ between ____
1 year- 10 years
3-6 months
6-12 months
9 months- 5 years
32
TB screening is done annually after 12 months of age
True
False
33
Which of these can cause failure to thrive?
inadequate nutritional intake
excessive nutritional intake
malabsorption
increased metabolic demands
34
Toilet training should be hurried and should take 3 months or less
False
True
35
Circadian rhythm disorders are more common in
teenagers
children 5-12
young children
infants
36
BMI above the 95th percentile for age, gender is
overweight
extreme obesity
obesity
37
Cholesterol screening before age 9 is done for all children
False
True
38
Which of these would be a red flag for risk of hearing loss?
congenital hearing loss in 1st cousin or closer
birth weight >4000g
multiple apneic episodes
5-min APGAR <5
39
Colic is a...
sometimes presents as afternoon & evening clustering
medical diagnosis
diagnosis of exclusion
40
Urinary incontinence in a child who has been dry for at least 6 months is
secondary encopresis
primary encopresis
secondary enuresis
primary enuresis
