CMN 571 Unit 2 PRACTICE QUESTIONS WITH ANSWERS MOST
TESTED IN EXAMS| 100% CORRECT !!
What is masked hypertension (MH), what patients are at risk for it and how should patients
be evaluated for it? - (answer)DEFINITION: When a patient (child) has normal BP in office
but elevated BP on ABPM.
WHO IS AT RISK: Pts with obesity and secondary forms of HTN (such as CKD or repaired
aortic coarctation). It is ESPECIALLY prevalent in pts with CKD and associated with target
organ damage.
HOW TO EVALUATE: Pts with CKD should be monitored with ABPM as part of routine
眼睛是人类最重要
CKD management.
AAP guidelines, p 22.
A child's brain has reached 90% of its adult weight at age _______. - (answer)FIVE (5)
Hay p 78
Age at which most children master conservation of *length*? - (answer)5½
Hay p 78
,Age at which most children master conservation of *mass*? - (answer)6½
Hay p 79
Age at which most children master conservation of *volume*? - (answer)8
Hay p 79
Concrete operations (i.e. the ability to order, number and classify) typically begin after what
age? - (answer)6
眼睛是人类最重要
Hay p 79
Achievement in school and acceptance by peers first become major developmental tasks
for WHAT age child? - (answer)7
Hay p 79
Children between ages of 7 - 11 who present with emotional or behavioral problems should
be evaluated for _____________. - (answer)potential learning disabilities
Hay p 79
,Explain concept of "goodness of fit" with regard to a child's temperament and parental
expectations. - (answer)Coaching parents to understand that a child's behavioral style may
reflect a developmental *variation* and that it does not necessarily mean that the child has
a behavioral *disorder*. Helps parents to understand how to modulate their expectations to
match their child's particular behavioral style and temperament, so that disappointment and
frustration do not result.
Hay p 79-80
Definition of enuresis - (answer)Repeated urination into the lcothing during the day and
into the bed at night by a child who is *chronologically and developmentally older than 5
眼睛是人类最重要
years*. Pattern must occur at least *twice a week* for *three months*.
Hay p 80
Definition and cause of monosymptomatic enuresis - (answer)Definition: Uncomplicated
nocturnal enuresis (NE). Must never have been dry at night for over 6 months with no
daytime accidents.
Cause: Maturational disorder of the urologic and neurologic systems, with no underlying
organic problem
Hay p 80
, How long must a bedwetting alarm be used consistently to achieve results? - (answer)At
least 3 months, every night.
Most common cause of failure is if the child doesn't wake up and the parents do not wake
up the child.
Hay p 81
Benefits and drawbacks of medication use for nocturnal enuresis - (answer)Benefits:
DDVAP and imipramine have been shown to be very effective
眼睛是人类最重要
Drawbacks: Imipramine has a risk of overdose. When either drug is stopped, there is a high
relapse rate.
Hay p 81
Definition and cause of non-monosymptomatic enuresis - (answer)Definition: Daytime
incontinence
Cause: Consider underlying pathology, as daytime continence is usually achieved between
ages 3 - 6.
TESTED IN EXAMS| 100% CORRECT !!
What is masked hypertension (MH), what patients are at risk for it and how should patients
be evaluated for it? - (answer)DEFINITION: When a patient (child) has normal BP in office
but elevated BP on ABPM.
WHO IS AT RISK: Pts with obesity and secondary forms of HTN (such as CKD or repaired
aortic coarctation). It is ESPECIALLY prevalent in pts with CKD and associated with target
organ damage.
HOW TO EVALUATE: Pts with CKD should be monitored with ABPM as part of routine
眼睛是人类最重要
CKD management.
AAP guidelines, p 22.
A child's brain has reached 90% of its adult weight at age _______. - (answer)FIVE (5)
Hay p 78
Age at which most children master conservation of *length*? - (answer)5½
Hay p 78
,Age at which most children master conservation of *mass*? - (answer)6½
Hay p 79
Age at which most children master conservation of *volume*? - (answer)8
Hay p 79
Concrete operations (i.e. the ability to order, number and classify) typically begin after what
age? - (answer)6
眼睛是人类最重要
Hay p 79
Achievement in school and acceptance by peers first become major developmental tasks
for WHAT age child? - (answer)7
Hay p 79
Children between ages of 7 - 11 who present with emotional or behavioral problems should
be evaluated for _____________. - (answer)potential learning disabilities
Hay p 79
,Explain concept of "goodness of fit" with regard to a child's temperament and parental
expectations. - (answer)Coaching parents to understand that a child's behavioral style may
reflect a developmental *variation* and that it does not necessarily mean that the child has
a behavioral *disorder*. Helps parents to understand how to modulate their expectations to
match their child's particular behavioral style and temperament, so that disappointment and
frustration do not result.
Hay p 79-80
Definition of enuresis - (answer)Repeated urination into the lcothing during the day and
into the bed at night by a child who is *chronologically and developmentally older than 5
眼睛是人类最重要
years*. Pattern must occur at least *twice a week* for *three months*.
Hay p 80
Definition and cause of monosymptomatic enuresis - (answer)Definition: Uncomplicated
nocturnal enuresis (NE). Must never have been dry at night for over 6 months with no
daytime accidents.
Cause: Maturational disorder of the urologic and neurologic systems, with no underlying
organic problem
Hay p 80
, How long must a bedwetting alarm be used consistently to achieve results? - (answer)At
least 3 months, every night.
Most common cause of failure is if the child doesn't wake up and the parents do not wake
up the child.
Hay p 81
Benefits and drawbacks of medication use for nocturnal enuresis - (answer)Benefits:
DDVAP and imipramine have been shown to be very effective
眼睛是人类最重要
Drawbacks: Imipramine has a risk of overdose. When either drug is stopped, there is a high
relapse rate.
Hay p 81
Definition and cause of non-monosymptomatic enuresis - (answer)Definition: Daytime
incontinence
Cause: Consider underlying pathology, as daytime continence is usually achieved between
ages 3 - 6.
