BURNS PEDIATRIC PRIMARY CARE 7TH EDITION
COMPLETE STUDY GUIDE WITH SOLVED
QUESTIONS
◉ How should diabetics monitor their glucose with physical
activity?
Answer: before, q30min during, and 15 min after exercise & Before
bedtime
◉ What should the Physical exam include?
Answer: The musculoskeletal Examination
General Head to toe (generalized focus on Cardiac and Neuro)
◉ What is the 90-second musculoskeletal exam?
Answer: +Standing Posture & shoulder - acromioclavicular
alignment
+ Cervical ROM
+ Shoulder Shrug/strength
+ Elbow ROM/strength
+ supination/pronation ROM & Hand clench test
+ Stand & bend at knee to chest
+ Squat test
,+ Lumbar ROM/Scoliosis
+ Tip/Toe Calf Symmetry
◉ What cardiovascular examinations should be done for sports
physical? (4)
Answer: Auscultate for heart murmur (sitting/lying/standing)
Femoral Pulses
Marfan's Sx's
Bilateral blood pressure
◉ How is Exercise induced Asthma typically manifested?
Answer: occurs during or minutes after vigorous activity, Reaches
peak 5-10min after activity
◉ How is Exercise Induced Asthma managed?
Answer: perform warm-up drills and cool downs
+ short acting beta-2 agonists 15 to 30 min before sports activity
(*Duration lasts up to 6 hours*)
◉ Why would a squat to stand Cardiac auscultation show a murmur?
Answer: Increases venous return to the heart, thus increasing left
ventricular size and stroke volume.
,◉ What would be indicated if patient has Softer murmur with
squatting and *Louder with Standing and Valsalva Maneuver*?
Answer: Hypertrophic cardiomyopathy or mitral valve prolapse
must be ruled out
◉ What occurs with people WITHOUT diabetes when they exercise?
Answer: exercise leads to decreased plasma insulin levels and
increased glucagon that triggers hepatic glucose production.
◉ What happens with Type 1 diabetics when they exercise?
Pathophys?
Answer: diabetic individuals who have too little insulin in their
system exercise can trigger release of high levels of glucose and
Keytone bodies, leading to hyperglycemia and eventually DKA
◉ What is the most concerning clinical issue with infectious
mononucleosis?
Answer: Splenomegaly
◉ How long should nothing stay out for sports if they are diagnosed
with infectious mononucleosis?
Answer: Three weeks
◉ About 15% of children with down syndrome can have what?
, Answer: Atlantoaxial or anlanto-occipital instability
*anomaly of the Cervical vertebrae at the space between C-1 and C-2
◉ How are asymptomatic cases of Atlantoaxial Instability screen?
Answer: by obtaining lateral radiographic views of the C-spine
◉ What does the female athlete triad consist of?
Answer: 1. Disordered eating patterns
2. Menstrual dysfunction (amenorrhea or oligomenorrhea)
3. Osteopenia or osteoporosis
◉ Why is co-sleeping discouraged?
Answer: Risk of SIDS
◉ What is the best sleeping position for infants?
Answer: Supine
◉ At 6 months, infants are able to go how long with out eating over
the night?
Answer: 6 to 12 hours
COMPLETE STUDY GUIDE WITH SOLVED
QUESTIONS
◉ How should diabetics monitor their glucose with physical
activity?
Answer: before, q30min during, and 15 min after exercise & Before
bedtime
◉ What should the Physical exam include?
Answer: The musculoskeletal Examination
General Head to toe (generalized focus on Cardiac and Neuro)
◉ What is the 90-second musculoskeletal exam?
Answer: +Standing Posture & shoulder - acromioclavicular
alignment
+ Cervical ROM
+ Shoulder Shrug/strength
+ Elbow ROM/strength
+ supination/pronation ROM & Hand clench test
+ Stand & bend at knee to chest
+ Squat test
,+ Lumbar ROM/Scoliosis
+ Tip/Toe Calf Symmetry
◉ What cardiovascular examinations should be done for sports
physical? (4)
Answer: Auscultate for heart murmur (sitting/lying/standing)
Femoral Pulses
Marfan's Sx's
Bilateral blood pressure
◉ How is Exercise induced Asthma typically manifested?
Answer: occurs during or minutes after vigorous activity, Reaches
peak 5-10min after activity
◉ How is Exercise Induced Asthma managed?
Answer: perform warm-up drills and cool downs
+ short acting beta-2 agonists 15 to 30 min before sports activity
(*Duration lasts up to 6 hours*)
◉ Why would a squat to stand Cardiac auscultation show a murmur?
Answer: Increases venous return to the heart, thus increasing left
ventricular size and stroke volume.
,◉ What would be indicated if patient has Softer murmur with
squatting and *Louder with Standing and Valsalva Maneuver*?
Answer: Hypertrophic cardiomyopathy or mitral valve prolapse
must be ruled out
◉ What occurs with people WITHOUT diabetes when they exercise?
Answer: exercise leads to decreased plasma insulin levels and
increased glucagon that triggers hepatic glucose production.
◉ What happens with Type 1 diabetics when they exercise?
Pathophys?
Answer: diabetic individuals who have too little insulin in their
system exercise can trigger release of high levels of glucose and
Keytone bodies, leading to hyperglycemia and eventually DKA
◉ What is the most concerning clinical issue with infectious
mononucleosis?
Answer: Splenomegaly
◉ How long should nothing stay out for sports if they are diagnosed
with infectious mononucleosis?
Answer: Three weeks
◉ About 15% of children with down syndrome can have what?
, Answer: Atlantoaxial or anlanto-occipital instability
*anomaly of the Cervical vertebrae at the space between C-1 and C-2
◉ How are asymptomatic cases of Atlantoaxial Instability screen?
Answer: by obtaining lateral radiographic views of the C-spine
◉ What does the female athlete triad consist of?
Answer: 1. Disordered eating patterns
2. Menstrual dysfunction (amenorrhea or oligomenorrhea)
3. Osteopenia or osteoporosis
◉ Why is co-sleeping discouraged?
Answer: Risk of SIDS
◉ What is the best sleeping position for infants?
Answer: Supine
◉ At 6 months, infants are able to go how long with out eating over
the night?
Answer: 6 to 12 hours
