MN 580 FINAL EXAM FULLY SOLVED
STUDY GUIDE WITH VERIFIED ANSWERS
AND EXPLANATIONS
⩥ Phantom limb pain and when to refer. Answer: Referral to pain clinic
if uncontrolled
⩥ Pros and cons of being a bilingual child. Answer: Pro: greater mental
flexibility, enhanced employment, lifestyle opportunities
Cons: mild delay in speech, may mix languages,
⩥ Treatment for lichen simplex complex. Answer: 1) Occlusion
2) high-potency steroids for 3 weeks for thicker plaques
3) topical emollients
4) abx with infection
5) antihistamines adjunct
6) Phototherapy
7) psychotherapy
8) Botox
9) cryosurgery
10) surgery
,⩥ Impetigo treatment. Answer: localized - mupirocin
widespread with constitutional symptoms and deep skin involvement -
cephalexin 40 7-10 days; augmentin 50-90 "; clindamycin 10-25
⩥ Hydrating skin with bathing. Answer: apply emollients/moisturizers
immediately after the bath.
⩥ Neurofibromatosis signs. Answer: - macrocephaly
- short
- cafe-au-alit spots, plexiform neurofibromas on trunk/face/extremities,
axillary/inguinal freckling, dermal neurofibromas
- learning disabilities (poor spacial/fine motor)
- ophthalmology (glioma, lisch nodules)
- precocious puberty
hypertension, stenosis, pheochromocytoma
- hypotonia, affected gait
- sunscreen after 6m (cafe-au-lait)
⩥ Hirschberg test. Answer: corneal light reflex evaluates ocular
alignment. A small light is placed on the cornea. Normal reveals small
white dot on the same spot of each eye. will check with
covering/uncovering/alternation. movement of eye indicates
misalignment.
,⩥ typical play for a 3 year old. Answer: make-believe
parallel play
cheating is common
⩥ Toilet training. Answer: -2.5-3.5. done by 4
- introduce topic at 18m appointment
- assess expectations
- don't ask child if they need to go. help establish routine
- voluntary sphincter control
- stays dry for 2h; wakes up naps dry
-able to follow directions
- please parent, curious, wants to be clean
- parents recognize and are prepared
⩥ Functional abdominal pain. Answer: Def: recurrent abd pain. no
etiology
Dx: 4x/m for 2m, not related to certain patterns, no other diagoses likely
red flags: localized, emesis, younger than 4y, weight loss,
organiomegaly, perirectal abnormalilites, hernias, joint swelling.
Labs: CBC, ESR, CRP, Ua, Ucx, CMP, OP stool, breath hydrogen,
h.pylori testing. ABD US, 3 day lactose free diet,
tx: CAM approaches, bland diet, avoid fructose/sorbitol, ID triggers and
avoid, CBT, discuss re flags, regular follow up
, ⩥ Importance of child's access to age-appropriate books. Answer:
ReachOutAndRead (resource)
-10 children's books is associated with adequate household literacy. -
most impactful child's intervention
- provides them with tools to be more informed and capable consumers
in adulthood
⩥ Typical friendships for a 10-year old and correlation to later
relationships. Answer: - depends on social cognitive development
- interpret social cues
- friends are chosen because of shared skills, interests, personality, and
loyalty
- social acceptance
- special friend phase (deep friendship, sleepovers)
⩥ Peer pressure in a 12 year old. Answer: - reduced thinking to
emotionally charged topics
⩥ 6 year old school readiness. Answer: ability to perform self-care,
interact with new people, responsibility, and ability to emotionally
separate from the family and home
STUDY GUIDE WITH VERIFIED ANSWERS
AND EXPLANATIONS
⩥ Phantom limb pain and when to refer. Answer: Referral to pain clinic
if uncontrolled
⩥ Pros and cons of being a bilingual child. Answer: Pro: greater mental
flexibility, enhanced employment, lifestyle opportunities
Cons: mild delay in speech, may mix languages,
⩥ Treatment for lichen simplex complex. Answer: 1) Occlusion
2) high-potency steroids for 3 weeks for thicker plaques
3) topical emollients
4) abx with infection
5) antihistamines adjunct
6) Phototherapy
7) psychotherapy
8) Botox
9) cryosurgery
10) surgery
,⩥ Impetigo treatment. Answer: localized - mupirocin
widespread with constitutional symptoms and deep skin involvement -
cephalexin 40 7-10 days; augmentin 50-90 "; clindamycin 10-25
⩥ Hydrating skin with bathing. Answer: apply emollients/moisturizers
immediately after the bath.
⩥ Neurofibromatosis signs. Answer: - macrocephaly
- short
- cafe-au-alit spots, plexiform neurofibromas on trunk/face/extremities,
axillary/inguinal freckling, dermal neurofibromas
- learning disabilities (poor spacial/fine motor)
- ophthalmology (glioma, lisch nodules)
- precocious puberty
hypertension, stenosis, pheochromocytoma
- hypotonia, affected gait
- sunscreen after 6m (cafe-au-lait)
⩥ Hirschberg test. Answer: corneal light reflex evaluates ocular
alignment. A small light is placed on the cornea. Normal reveals small
white dot on the same spot of each eye. will check with
covering/uncovering/alternation. movement of eye indicates
misalignment.
,⩥ typical play for a 3 year old. Answer: make-believe
parallel play
cheating is common
⩥ Toilet training. Answer: -2.5-3.5. done by 4
- introduce topic at 18m appointment
- assess expectations
- don't ask child if they need to go. help establish routine
- voluntary sphincter control
- stays dry for 2h; wakes up naps dry
-able to follow directions
- please parent, curious, wants to be clean
- parents recognize and are prepared
⩥ Functional abdominal pain. Answer: Def: recurrent abd pain. no
etiology
Dx: 4x/m for 2m, not related to certain patterns, no other diagoses likely
red flags: localized, emesis, younger than 4y, weight loss,
organiomegaly, perirectal abnormalilites, hernias, joint swelling.
Labs: CBC, ESR, CRP, Ua, Ucx, CMP, OP stool, breath hydrogen,
h.pylori testing. ABD US, 3 day lactose free diet,
tx: CAM approaches, bland diet, avoid fructose/sorbitol, ID triggers and
avoid, CBT, discuss re flags, regular follow up
, ⩥ Importance of child's access to age-appropriate books. Answer:
ReachOutAndRead (resource)
-10 children's books is associated with adequate household literacy. -
most impactful child's intervention
- provides them with tools to be more informed and capable consumers
in adulthood
⩥ Typical friendships for a 10-year old and correlation to later
relationships. Answer: - depends on social cognitive development
- interpret social cues
- friends are chosen because of shared skills, interests, personality, and
loyalty
- social acceptance
- special friend phase (deep friendship, sleepovers)
⩥ Peer pressure in a 12 year old. Answer: - reduced thinking to
emotionally charged topics
⩥ 6 year old school readiness. Answer: ability to perform self-care,
interact with new people, responsibility, and ability to emotionally
separate from the family and home
