clin med B1 except STDS and Male reproductive since they are only 5
questions each
What is the minimum SBP value for a newborn to 1 month old? - correct answer >60 mmHg
What is the minimum SBP value for 1 month to 1 year old? - correct answer >70 mmHg
What is the minimum SBP for > 1 year old? - correct answer Age x 2 + 70 mmHg
What is the rate of occurrence of neonatal jaundice in the 1st week of life? - correct answer
60%
What are the red flags for neonatal jaundice (patho)? - correct answer Present at birth, Persist
beyond two weeks, Below nipple line
What are the pathological integumentary diseases? - correct answer Acrocyanosis - after 4
months of life, Faun Tail Nevus, Café Au Lait Spots
What is acrocyanosis a clue of? - correct answer Cardiac problems
When do the anterior fontanelles close? - correct answer 9-24 months (13 average)
What are red flags with the fontanelles? - correct answer Bulging, Sunken (dehydration)
Common characteristics of Down's syndrome? - correct answer Almond eyes, Small head
circumference, Low set ears, Large protruding tongue
What are the differentials for a positive red reflex test? - correct answer Retinoblastoma,
Retinal detachment
What is strabismus? - correct answer Malalignment of the optic axis
A potential complication of strabismus where the eye cannot recognize familiar objects? -
correct answer Amblyopia
What is the most important strabismus screening test? - correct answer Cover test
What does the cover test detect? - correct answer Manifest strabismus
What does manifest strabismus put you at higher risk for? - correct answer Amblyopia
development
What is the exam technique for pediatrics? - correct answer Down & back <5 y/o
Where should the babies ear be aligned at? - correct answer Top of the ear with lateral of
canthus
What age should sound be localized? - correct answer 4 months
,DOC for otitis media? - correct answer Amoxicillin, Septra
What is choanal atresia? - correct answer Obstructed nasal passage (congenital)
What is the management for natal teeth? - correct answer Removal
Medication for gingival hyperplasia - correct answer Dilantin
Oral contraceptives
Gapping between the teeth and notching appearance of tooth structure? - correct answer
Hutchinson's teeth
What are stomas and Hutchinson's teeth a sign of? - correct answer Syphilis
Signs of viral pharyngitis? - correct answer Associated Coryza, Posterior cervical adenopathy,
Mono
Signs of bacterial pharyngitis? - correct answer Coryza absent, Anterior cervical adenopathy,
GABHS
A viral illness primarily affecting children with primary involvement of the parotid glands? -
correct answer Mumps
Potential complications of Mumps? - correct answer Orchitis (male), Oophoritis (female),
Pancreatitis, Aseptic meningitis, Potential hearing loss
What is breast hyperplasia? - correct answer Residual estrogen affect, Resolves in 2 weeks
What is the most common congenital disorder? - correct answer Congenital heart disease
Clinical presentation of congenital heart disease? - correct answer Cyanosis, Irritability,
Sweating, Decreased activity
Where is the PMI for children under 7 years old? - correct answer 4th intercostal space, Lateral
to midclavicular line
What intervals of apnea are OK in a child? - correct answer 15-20 seconds
Septal defects with congenital heart disease - correct answer Atrial septal
Ventricular septal
Are color changes and bradycardia OK in a child? - correct answer No
What is paradoxical breathing? - correct answer Independent movement of the abdomen and
chest wall (normal)
What should be considered if a newborn fails to pass meconium stool in the first 48 hours? -
correct answer Aganglionic Colon
,Feeding intolerance or bilious vomiting and sudden onset of abdominal pain? - correct answer
Volvulus
Bowel telescoping in on itself? - correct answer Intussusception
Symptom of Intussusception? - correct answer currant jelly stool
What is the most common cause of painless rectal bleeding in a child? - correct answer
Meckle's Diverticulum
Management for labial adhesion - correct answer Estrogen cream application
Medical indications for pediatric circumcision issues - correct answer Paraphimosis, recurrent
balanitis, religious beliefs
Scrotal mass that is transluminal but irreducible? - correct answer Hydrocele
Scrotal mass that is Not transluminal but is reducible? - correct answer Hernia
What age should referral be made if both testis have not dropped (chryptorchism)? - correct
answer 13 months
Pediatric growth and development factors - correct answer Weight gain parameters
Primitive reflex testing
Developmental milestones
Pediatric weight gain parameters? - correct answer Regain by 2 weeks, Double birth weight by
6 months, Triple birth weight by 1 year
Stroking the plantar surface of the foot? - correct answer Babinski reflex
Triggered with loud noise or "drop test" and disappears at 2 months of age? - correct answer
Moro "startle" reflex
Skin stroke alongside of back; infant swings towards that side? - correct answer Galant reflex
Head turn towards touch of cheek or mouth? - correct answer Root reflex
Turning head to one side results in limb straightening on that side and flexion of opposite side?
- correct answer Tonic neck reflex
Development milestones? - correct answer Smile -1 month, Roll front to back -4 months, Roll
back to front -6 months, Sit -7 months, Stand-alone -10-12 months, Pincher grasp -12 months,
Walking -13 months, Hand preference -18 months
Caloric and energy deficit with associated protein deficiency? - correct answer Kwashiorkor
Caloric and energy deficit with an overall starvation state? - correct answer Marasmus
, What is the normal temperature rectally? - correct answer 99.6
fever in neonates - correct answer rectal temp of 100.4 F
Fever in older children - correct answer >100.4 (oral)
Fever in young infants - correct answer > 101 (rectal)
What is the "rule" for treating a pediatric fever? - correct answer Treat the cause
General measures for pediatric fever? - correct answer Tylenol or ibuprofen, Tepid (lukewarm)
baths
What is a febrile seizure classified as? - correct answer Tonic and clonic
What ages are most common for febrile seizures - correct answer Six months to five years
Management for a febrile seizure? - correct answer Protect from injury, Antipyresis, Airway &
Oxygen, Pharmaceutical management if > 15 minutes
What medication can you use for febrile seizure? - correct answer Benzodiazepines
How long should a febrile seizure last? - correct answer < 15min
What is the most common complication of coryza (common cold)? - correct answer Otitis
media
What are DOC for otitis media? - correct answer Amoxicillin, Septra
Signs of Croup? - correct answer Low grade fever, Coryza symptoms, Barking cough, stridor,
hoarseness
What is the most common etiology of croup? - correct answer Viral
Diphtheria primarily involves the - correct answer Upper respiratory tract
Management for diphtheria? - correct answer Erythromycin, Parental Penicillin G, Isolation
status
Referral guideline for pediatric UTI - correct answer Recurrent events
Patient presents with recurrent respiratory infection, pallor/amemia, glucose intolerance,
pancreatitis and recurrent diarrhea? - correct answer Cystic fibrosis
All asthmatic patients receive what - correct answer Albuterol
Patient presents with coryzal prodrome, rash (6 days), photophobia, koplick spots and
desquamation? - correct answer Rubeola
What are small spots with white/blue-ish centers on the buccal mucosa? - correct answer
Koplick spots which are described as "grains of salt on a red base"
questions each
What is the minimum SBP value for a newborn to 1 month old? - correct answer >60 mmHg
What is the minimum SBP value for 1 month to 1 year old? - correct answer >70 mmHg
What is the minimum SBP for > 1 year old? - correct answer Age x 2 + 70 mmHg
What is the rate of occurrence of neonatal jaundice in the 1st week of life? - correct answer
60%
What are the red flags for neonatal jaundice (patho)? - correct answer Present at birth, Persist
beyond two weeks, Below nipple line
What are the pathological integumentary diseases? - correct answer Acrocyanosis - after 4
months of life, Faun Tail Nevus, Café Au Lait Spots
What is acrocyanosis a clue of? - correct answer Cardiac problems
When do the anterior fontanelles close? - correct answer 9-24 months (13 average)
What are red flags with the fontanelles? - correct answer Bulging, Sunken (dehydration)
Common characteristics of Down's syndrome? - correct answer Almond eyes, Small head
circumference, Low set ears, Large protruding tongue
What are the differentials for a positive red reflex test? - correct answer Retinoblastoma,
Retinal detachment
What is strabismus? - correct answer Malalignment of the optic axis
A potential complication of strabismus where the eye cannot recognize familiar objects? -
correct answer Amblyopia
What is the most important strabismus screening test? - correct answer Cover test
What does the cover test detect? - correct answer Manifest strabismus
What does manifest strabismus put you at higher risk for? - correct answer Amblyopia
development
What is the exam technique for pediatrics? - correct answer Down & back <5 y/o
Where should the babies ear be aligned at? - correct answer Top of the ear with lateral of
canthus
What age should sound be localized? - correct answer 4 months
,DOC for otitis media? - correct answer Amoxicillin, Septra
What is choanal atresia? - correct answer Obstructed nasal passage (congenital)
What is the management for natal teeth? - correct answer Removal
Medication for gingival hyperplasia - correct answer Dilantin
Oral contraceptives
Gapping between the teeth and notching appearance of tooth structure? - correct answer
Hutchinson's teeth
What are stomas and Hutchinson's teeth a sign of? - correct answer Syphilis
Signs of viral pharyngitis? - correct answer Associated Coryza, Posterior cervical adenopathy,
Mono
Signs of bacterial pharyngitis? - correct answer Coryza absent, Anterior cervical adenopathy,
GABHS
A viral illness primarily affecting children with primary involvement of the parotid glands? -
correct answer Mumps
Potential complications of Mumps? - correct answer Orchitis (male), Oophoritis (female),
Pancreatitis, Aseptic meningitis, Potential hearing loss
What is breast hyperplasia? - correct answer Residual estrogen affect, Resolves in 2 weeks
What is the most common congenital disorder? - correct answer Congenital heart disease
Clinical presentation of congenital heart disease? - correct answer Cyanosis, Irritability,
Sweating, Decreased activity
Where is the PMI for children under 7 years old? - correct answer 4th intercostal space, Lateral
to midclavicular line
What intervals of apnea are OK in a child? - correct answer 15-20 seconds
Septal defects with congenital heart disease - correct answer Atrial septal
Ventricular septal
Are color changes and bradycardia OK in a child? - correct answer No
What is paradoxical breathing? - correct answer Independent movement of the abdomen and
chest wall (normal)
What should be considered if a newborn fails to pass meconium stool in the first 48 hours? -
correct answer Aganglionic Colon
,Feeding intolerance or bilious vomiting and sudden onset of abdominal pain? - correct answer
Volvulus
Bowel telescoping in on itself? - correct answer Intussusception
Symptom of Intussusception? - correct answer currant jelly stool
What is the most common cause of painless rectal bleeding in a child? - correct answer
Meckle's Diverticulum
Management for labial adhesion - correct answer Estrogen cream application
Medical indications for pediatric circumcision issues - correct answer Paraphimosis, recurrent
balanitis, religious beliefs
Scrotal mass that is transluminal but irreducible? - correct answer Hydrocele
Scrotal mass that is Not transluminal but is reducible? - correct answer Hernia
What age should referral be made if both testis have not dropped (chryptorchism)? - correct
answer 13 months
Pediatric growth and development factors - correct answer Weight gain parameters
Primitive reflex testing
Developmental milestones
Pediatric weight gain parameters? - correct answer Regain by 2 weeks, Double birth weight by
6 months, Triple birth weight by 1 year
Stroking the plantar surface of the foot? - correct answer Babinski reflex
Triggered with loud noise or "drop test" and disappears at 2 months of age? - correct answer
Moro "startle" reflex
Skin stroke alongside of back; infant swings towards that side? - correct answer Galant reflex
Head turn towards touch of cheek or mouth? - correct answer Root reflex
Turning head to one side results in limb straightening on that side and flexion of opposite side?
- correct answer Tonic neck reflex
Development milestones? - correct answer Smile -1 month, Roll front to back -4 months, Roll
back to front -6 months, Sit -7 months, Stand-alone -10-12 months, Pincher grasp -12 months,
Walking -13 months, Hand preference -18 months
Caloric and energy deficit with associated protein deficiency? - correct answer Kwashiorkor
Caloric and energy deficit with an overall starvation state? - correct answer Marasmus
, What is the normal temperature rectally? - correct answer 99.6
fever in neonates - correct answer rectal temp of 100.4 F
Fever in older children - correct answer >100.4 (oral)
Fever in young infants - correct answer > 101 (rectal)
What is the "rule" for treating a pediatric fever? - correct answer Treat the cause
General measures for pediatric fever? - correct answer Tylenol or ibuprofen, Tepid (lukewarm)
baths
What is a febrile seizure classified as? - correct answer Tonic and clonic
What ages are most common for febrile seizures - correct answer Six months to five years
Management for a febrile seizure? - correct answer Protect from injury, Antipyresis, Airway &
Oxygen, Pharmaceutical management if > 15 minutes
What medication can you use for febrile seizure? - correct answer Benzodiazepines
How long should a febrile seizure last? - correct answer < 15min
What is the most common complication of coryza (common cold)? - correct answer Otitis
media
What are DOC for otitis media? - correct answer Amoxicillin, Septra
Signs of Croup? - correct answer Low grade fever, Coryza symptoms, Barking cough, stridor,
hoarseness
What is the most common etiology of croup? - correct answer Viral
Diphtheria primarily involves the - correct answer Upper respiratory tract
Management for diphtheria? - correct answer Erythromycin, Parental Penicillin G, Isolation
status
Referral guideline for pediatric UTI - correct answer Recurrent events
Patient presents with recurrent respiratory infection, pallor/amemia, glucose intolerance,
pancreatitis and recurrent diarrhea? - correct answer Cystic fibrosis
All asthmatic patients receive what - correct answer Albuterol
Patient presents with coryzal prodrome, rash (6 days), photophobia, koplick spots and
desquamation? - correct answer Rubeola
What are small spots with white/blue-ish centers on the buccal mucosa? - correct answer
Koplick spots which are described as "grains of salt on a red base"
