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Duplicate of Pediatric Health Supervision Flashcards | StudBud
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Duplicate of Pediatric Health Supervision
Duplicate of Pediatric Health Supervision
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1
Short stature with normal weight may indicate
chromosomal abnormalities
teratogenic exposure
endocrine disease
chronic malnutrition
2
Anyone else feel like this test is just memorizing a bunch of numbers????
yes
yes
3
You should discuss "back to sleep" through at least 4 months of age
False
True
4
At what age should you start asking about academic performace and behavior at school?
5
6
4
7
5
When can you start feeding children semisolid foods?
3 mo
4 mo
6 mo
12 mo
6
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
7
Circadian rhythm disorders are more common in
children 5-12
infants
teenagers
young children
8
Which of these would be a red flag for risk of hearing loss?
multiple apneic episodes
congenital hearing loss in 1st cousin or closer
5-min APGAR <5
birth weight >4000g
9
Which of these can cause failure to thrive?
inadequate nutritional intake
increased metabolic demands
excessive nutritional intake
malabsorption
10
It is normal for a childs head circumpherence to grow 2cm/month the first 3 months, and then slower from then on.
False
True
11
The best initial treatment for enuresis is...
imipramine
diuretics
punish the child each time it happens
enuresis alarm
12
At what age should a child double their birth length/height or reach 40"?
2 y/o
5 y/o
3 y/o
4 y/o
13
Use fluoride varnish every ____ between ____
6-12 months
9 months- 5 years
3-6 months
1 year- 10 years
14
What is the purpose of a well child visit?
monitor growth and development
Improve morbidity and mortality and quality of life for child/family
Help each child achieve their individual potential
Diagnose and treat severe and chronic illness
15
Toilet training usually starts around 2 y/o, and ends around 3 y/o.
True
False
16
The 2 recommended screening tools for FTT are:
NFTAT - National Failure to Thrive Assessment Tool
ICCIC - International Child Calorie Intake Calculator
SGNA - Subjective Global nutritional Assessment
SOFTT - Semi-Objective Failure to Thrive
17
You're doing the M-CHAT-R screen on a 20-month old child. He scored a 3. What do you do next?
move to interview algorithm
immediate referral
none, he is in the normal range
inform the parent their kid has an autism spectrum disorder
18
How sensitive and specific are behavioral/developmental screenings for normal development vs problematic development?
70-80%
60-70%
80-90%
50-60%
19
At what age might you discuss bicycle safety and water/pool safety?
2 years
4 years
1 year
5 years
20
Which of these should be instituted first for constipation?
toilet sitting once per day
enemas
oral laxatives
toilet sitting 4 times per day
21
Which of these falls first when caloric deficts?
height
head circumference
weight
22
A kiddo comes in who was previously 50th %ile for both height and weight. She is now 70th % weight, 20% height. Why?
hyperthyroidism
hypothyroidism
failure to thrive
growth spurt
23
Which of these is "use of standardized screening tests to identify children who require further diagnostic assessment"?
developmental surveillance
developmental screening
24
At what age do well child visits start occurring annually?
7 y/o
4 y/o
3 y/o
2 y/o
25
You should re-feed slowly due to the risk of dangerous electrolyte fluctuations
True
False
26
BMI below ___ is considered underweight
10%ile
2%ile
5%ile
27
Well child visits from 12-30 months occur when?
30 months
20 months
15 months
28 months
18 months
24 months
28
Well child visits up to 1 year occur at what ages?
9 months
4 months
12 months
2 months
1 month
6 months
29
It is normal for a childs head circumpherence to grow 1cm/month the first year
True
False
30
Hearing and vision starts at 3 years of age
False
True
31
Which of these are a normal variant?
human technical measurement error
familial short stature
constitutional short stature
failure to thrive
32
Psychosocial short stature includes the following elements:
s/x: polyphagia, polydipsia, hoarding, food stealing, gorging and vomiting
prognosis depends on the childs age at diagnosis and age of removal
treatment is to remove the child from the environment
s/x: depression, social withdrawal, endocrine dysfunction
children living in psychosocial deprivation
may include failure to thrive or not
33
What ages are appropriate for a newborn visit to occur? (2)
48-72 hours after birth
3-5 days after birth
1-2 weeks after birth
5-7 days after birth
34
Which of these is an expected skill for a 2 year old?
dresses without help
knows body parts
skips
understands opposites
35
Cholesterol screening before age 9 is done for all children
True
False
36
Lead screening is done at
12 months
4 months
6 months
24 months
37
At what age is speech defined as "routine use of sentence sequences, conversational give-and-take"?
6
5
3
4
38
Anemia screening is done at
4 months
12 months
birth
6 months
39
The wide array of medications and home remedies for colic are often effective.
True
False
40
Which of these statements regarding developmental disorders is true?
behavioral screening instruments have a 90-95% sensitivity & specificity
it is the job of the school to screen kids, not the primary care provider
thirty percent of children screened may be over-referred
fifty percent of children screened may have an undetected disorder
41
Which of these are ok for children to drink regularly?
toddler milks
watered down juice
flavored milk
plant milks
42
Multidisciplinary treatment of adolescent obesity includes?
develop healthy eating and moderating caloric intake
medical management is for adolescents unable to make lifestyle changes.
balance food intake with physical activity appropriate to health and age
Orlistat for HTN
Metformin for HTN
behavioral modification
43
BMI above the 95th percentile for age and gender is considered
normal
overweight
obesity
extreme obesity
44
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
45
Which of these are potential complications of childhood obesity?
pseudotumor cerebri
hypertension, type 2 diabetes
peer teasing
obstructive sleep apnea
46
Urinary incontinence in a child who has been dry for at least 6 months is
secondary enuresis
secondary encopresis
primary encopresis
primary enuresis
47
When do growth charts switch from length/head circumference to stature and BMI?
age 2
age 3
age 5
age 1
48
Which tools are used to identify children that may need further diagnostic assessment for developmental surveillance?
PEDS: Patient's Evaluation of Developmental Status
M-CHAT-R: Modified Checklist for Autism in Toddler - Revised
ACEs - Adverse Childhood Experiences
ASQ: Ages and Stages Questionairre
49
As if we need more newborn questions... what screening is done for newborns?
hemoglobin electrophoresis
hearing evaluation
metabolic screening
critical congenital heart disease screening
50
Which of these are definitions of failure to thrive?
weight less than 80% of the median weight for height of the child
decreasing weight across 2 %ile lines
weight <3-5th %ile
short stature
51
Colic ____
medical diagnosis
sometimes presents as afternoon & evening clustering
a diagnosis of exclusion
52
Preadolescent or adolescent that starts puberty later than others is...
failure to thrive
familiar short stature
always due to malnourishment
constitutional short stature
53
If stuttering is severe/accompanied by tics/posturing present after age 4 the child should undergo further evaluation
True
False
54
TB screening is done annually after 12 months of age
False
True
