Questions and Actual Verified Answers
(2025) Update.
Resolved retinopathy of prematurity follow up - Answer initial and follow-up ophthalmologic
examinations within 2 weeks after discharge. y a specialist experienced with this
- monitor for late sequelae or ROP progression
- early interventions
- annual ophthalmologic F/U needing treatment
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
,- 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,
, -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
adaptability, self-regulation
be aware of early behavioral concerns
how to evaluate pain in a 3 year old - Answer - may be able to quantify pain or use visual
representation
- may confuse fear with pain
- may over/under estimate pain
-FLACC typical scale
- QUEST T(queston, use pain scale, secure parent's involvement, take cause of pain, take action)
- PAINED
estimating menarche - Answer 2.5 years after thelarche. dependent on ethnic, socioeconomic,
and nutritional factors.
relationship between early sexual maturation and sexual activity - Answer Middle adolescence