Peds - Pance Prep Pearls| 108 QUESTIONS| WITH COMPLETE SOLUTIONS

Which closes first - ant or post fontanelle? Correct Answer: Post (1-3 mo) Birth trauma related fluid accum under the scalp that *crosses the midline* Correct Answer: Caput succedaneum Which reflex: newborn will turn head towards anything that strokes its cheek or mouth Correct Answer: Rooting Which reflex: shoulder abd w spreading and extension of fingers followed by the opposite (add and flex) Correct Answer: Moro (starle) A Babinski reflex w/ DF of foot and big toe ext is normal up to what age? Correct Answer: 2 Ortolani or Barlow: Reduces the hip Correct Answer: Ortolani Ortolani or Barlow: Dislocates the hip Correct Answer: Barlow Ortolani or Barlow: Examiner abducts hips while applying anterior force to femur Correct Answer: Ortolani Ortolani or Barlow: Examiner adducts hips while applying post force to femur Correct Answer: Barlow What are the 2 R-->L shunts in fetal circulation that bypass the nonfunctioning fetal lungs? Correct Answer: Foramen ovale (shunts 2/3 blood from RA --> LA) [the remaining 1/3 goes into RV --> into pulm a) Ductus arteriosus (shunts from pulm a --> aorta --> systemic, bypassing fetal lungs) What is given to close PDA? Correct Answer: Indomethacin What is given to keep PDA open? Correct A